Revision Surgery for Keloid Scars at Rejuvence Clinic: Redefining Excellence in Ear Keloid Management

At Rejuvence Clinic, we are proud to be recognised as a Centre of Excellence for Keloid Scar Treatments in the UK and Europe. Our multidisciplinary team specialises in providing comprehensive, evidence-based care for patients affected by keloid scars — particularly ear keloids, one of the most complex and emotionally distressing forms of this condition.

Why Choose Rejuvence Clinic for Keloid Revision Surgery

Many patients come to us seeking revision surgery after unsuccessful or incomplete treatments carried out in other clinics, including on Harley Street or within the NHS. We frequently hear similar stories — surgical removal without proper aftercare, painful and poorly administered injections, or lack of follow-up leading to recurrence.

At Rejuvence Clinic, our mission is different:

We combine precision surgery, reconstructive planning, and a holistic aftercare package designed to minimise recurrence and optimise cosmetic outcomes.

The Challenge of Ear Keloids: What the Research Shows

Ear keloids, often arising from piercings or trauma, are notorious for their high recurrence rates — reported to be between 50% and 80% when treated with surgery alone (Mohammadi & Kardeh, 2019, World Journal of Plastic Surgery link).

However, recent studies demonstrate that combining surgical excision with postoperative steroid therapy, compression, and adjunctive laser or light-based treatments can dramatically reduce recurrence to below 10–20% (Rosen et al., 2007, Plastic and Reconstructive Surgery).

Key Findings from Recent Literature (2019–2025):

• Surgery + Steroid Injections remains the gold standard, reducing recurrence significantly (Haq et , 2025, Journal of Plastic and Reconstructive Surgery).
• Radiation therapy post-excision can lower recurrence to 27%, but availability and cosmetic concerns limit its use (Mohamed et , 2022, J Egyptian Society of Plastic Surgeons).
• Triple Therapy — excision, intralesional steroids, and 5-fluorouracil (5-FU) — offers excellent results for recurrent ear keloids (De Sousa et al., 2014, Journal of Cutaneous and Aesthetic Surgery).
• 5-FU and Triamcinolone Acetonide (TAC) should be administered separately, not mixed, to maintain pharmacologic stability and efficacy (Walsh et al., 2023, Systematic Reviews).
• Compression earrings and LED-based adjuncts (such as DuoX LED) further reduce recurrence risk by modulating collagen synthesis (Sivakumar et al., 2023, Asian Journal of Medical Sciences).

Why Many Keloid Surgeries Fail Elsewhere

We frequently see clients whose previous surgeries have failed due to:

• No postoperative care: Surgery was performed, but no steroid or follow-up injections
• Inadequate surgical technique: Shave excisions or cauterisation without reconstruction leading to poor healing and deformity.
• Lack of reconstructive planning: In one striking case, an entire earlobe was removed unnecessarily, resulting in permanent disfigurement and keloid recurrence.
• Painful injections: Improper techniques causing trauma and discouraging patients from completing treatment.
• NHS system limitations: Limited follow-ups, long wait times, and lack of aesthetic

At Rejuvence Clinic, we address every one of these issues with expertise, empathy, and innovation.

Our Comprehensive Ear Keloid Revision Service

Personalised Surgical Planning

Our surgeons use precision excision and flap reconstruction techniques tailored to each patient’s anatomy and keloid behaviour.

Gentle, Pain-Free Injection Protocols

We use local anaesthetic and TargetCool™ cooling technology to make post-op steroid injections virtually painless.

Our preferred combination includes separate administration of Triamcinolone and 5-FU, ensuring maximum efficacy and safety.

Advanced Non-Surgical Therapies

We integrate several adjuvant modalities:

• DuoX LED Therapy for anti-inflammatory and collagen-modulating
• Fractional laser and pulsed-dye laser treatments for scar softening and pigmentation
• Compression earrings for auricular keloids to minimise

Dedicated Aftercare and Surveillance

Our expert admin and clinical support team maintain direct communication with all patients, ensuring rapid response to early changes in scar behaviour.

Patients are never left unsure — we guide them through every step of the healing process.

Keloid Expertise Trusted Across the UK and Europe

Rejuvence Clinic attracts patients from across the UK and Europe, often after disappointing experiences with private clinics or NHS treatments.

We provide:

• Affordable, transparent treatment packages
• Tailored, multi-stage care plans
• Compassionate long-term follow-up
• Expert advice based on the latest global research

We understand the frustration of recurrence — and we are here to offer not just a second chance, but the best chance for long-term success and beautiful results.

Our Ongoing Commitment to Excellence

We continuously evaluate our techniques against the latest peer-reviewed research to ensure the most effective and evidence-based keloid management in Europe.

Our clinicians are dedicated to ongoing learning and innovation — from injection delivery protocols to advanced light-based therapies — ensuring that Rejuvence Clinic remains a true leader in scar management.

References–

1. Haq, , Davies, L., & Dheansa, B. (2025). Understanding and Comparing Current Practice for Ear Keloid Scars: A Narrative Systematic Review. JPRS.
2. Mohammadi, A., & Kardeh, S. (2019). Management of Ear Keloids Using Surgical Excision Combined with Postoperative Steroid Injections. World Journal of Plastic Surgery.
3. Rosen, J., Patel, M. K., & Freeman, K. (2007). A Primary Protocol for the Management of Ear Keloids. Plastic and Reconstructive Surgery.
4. Mohamed, , et al. (2022). Outcome of Postoperative Radiation Therapy Following Plastic Surgical Resection of Recurrent Ear Keloid. J Egyptian Society of Plastic Surgeons.
5. De Sousa, F., Chakravarty, B., & Sharma, A. (2014). Efficacy of Triple Therapy in Auricular Keloids. J Cutaneous and Aesthetic Surgery.
6. Sivakumar, , et al. (2023). A Novel Approach of Neoadjuvant and Adjuvant Therapy for Large Keloids of the Ear. Asian Journal of Medical Sciences.
7. Walsh, A., et al. (2023). Keloid Treatments: An Evidence-Based Systematic Review. Systematic Reviews.
8. Tirgan, (2017). Massive Ear Keloids: Risk Factors and Preventive Measures. F1000Research.

At Rejuvence Clinic, your recovery doesn’t end with surgery — it begins there.

With the right combination of expertise, empathy, and evidence-based care, we redefine what’s possible in keloid revision