Keloid Removal Expert in Santa Monica - Dr. Raffy


Scar treatments have advanced the way we look at scars on the skin. Years ago, there were few effective treatment options for unwanted scars. With advancements in laser and topical therapy, we now have a greater ability to modify scars and make them look more like our normal skin.  Unlike the majority of skin scars, keloids represent a unique problem as they are associated with chronic inflammation. Keloids tend to grow larger with time, recruiting adjacent skin and advancing horizontally and vertically within the matrix of the dermis and subcutaneous tissue.

In our Los Angeles plastic surgery center, we employ a HIDEF protocol that can reduce the inflammation associated with keloids, reduce the bulk of your keloid, resurface your skin, and help manage the scar so that keloids have less of a chance of recurring. Our treatment protocols may take months to complete, but can dramatically affect your scar keloid. 

Do I have a keloid or a hypertrophic scar? 

We are often asked by our patients whether a scar is a keloid or a hypertrophic scar and the distinction is not so black and white. Scars can have a tendency to keloid and hypertrophy based on their degree of inflammation and growth curves. A scar can have both components and be classified as both keloid and hypertrophic. We make distinctions when there are clear signs that a hypertrophic (or overgrown) scar begins to exhibit characteristics that make them grow beyond the original footprint of the skin injury. In other words, we look at the initial skin injury and if a scar begins to encroach on adjacent tissue, it is often labelled as a keloid. Some scars have characteristics that make them either hypertrophic or keloid and there is definitely overlap in the definition. 

What are my first steps towards treating my keloid?

If you are suffering from keloids, join the countless thousands of patients who have benefitted from the keloid protocols developed by world-renowned surgeon Dr. Raffy Karamanoukian. In our practice, we understand keloids from a clinical, molecular, and biologic level; which allows us many advantages in treating this unique and progressive problem.

Why Dr. Karamanoukian for keloid scars? 

There are so many reasons why we have been labelled as the number one center in the world for keloid scars. You may want to begin by asking the countless patients who have had successful treatments with keloids as we have treated thousands, if not tens of thousands of keloids in the last decade. These patients have had their lives transformed. 

Dr. Karamanoukian specializes in keloid scars and we can't begin to tell you how many patients travel from across the United States and even other countries to have their keloids treated in our center. Keloids take expertise to treat successfully and we have the lasers, technology, and clinical expertise to manage your keloids for good. 

Our center has been a national center of excellence in keloid and scar treatments and our surgeon is double board certified. While actively engaging in clinical research, Dr. Karamanoukian offers comprehensive keloid treatments for all types of keloid growths on the face and body. 

Our surgeon is a double board certified expert in keloid removal and treatment and the majority of our patients can be managed by non-surgical treatments. 
Dr. Karamanoukian has been featured on The Doctors television show demonstrating his approach to keloid scars. 

How can I get Dr. Karamanoukian to review my keloid case? 

Our office receives many requests for keloid treatment from all over the United States and internationally. Clearly, we cannot accept every patient with a keloid problem because our treatments take time and patient compliance. We do not treat patients who believe surgery alone will treat their keloid as there is a regimented post-surgical regimen after surgery that minimizes recurrence. We would encourage you to contact our office and email photos if you are not local in Los Angeles. If we can help with your keloid, we may advise a surgical, non-surgical, or topical regimen for your keloids. 

Kare Plastic Surgery keloid


Keloids represent a subset of scars that grow beyond the original footprint of skin injury. Most commonly associated with surgery, many keloids occur as a result of non-surgical skin injuries such as cystic acne, inflammation, and burns. Dr. Raffy Karamanoukian is a world-renowned expert in the management of keloids, having treated thousands of patients with his unique keloid protocols. 

Dr. Karamanoukian was featured on the popular television show, The Doctors, demonstrating his techniques for surgical keloid removal. In practice, Dr. Karamanoukian uses combination modalities that include kenalog IIT, scar modulation, laser therapy, RF therapy, and topical creams. Most patients begin treatment with daily application of Plato's Scar Serum in order to decrease keloid inflammation.


  • SCHEDULE AN APPOINTMENT FOR EVALUATION (310) 998-5533: Not all keloids are managed the same. Some require surgical treatment while others worsen with surgery. Dr. Karamanoukian can evaluate your keloid and determine a proper protocol for you.
  • TOPICAL SERUMS: Plato's Scar Serum should be applied vigorously on all keloids, twice daily. One tube provides enough serum for six weeks for a two inch scar.  If your keloid is sebaceous or dark, we would advise additional topical creams.
  • OCCLUSION: Scar strips are of limited use for dynamic scars, but provide some relief for static keloid scars.
  • SURGERY VS. LASERS VS. KENALOG IIT: Every keloid scar demands a tailored approach. We would recommend a more individualized protocol for each patient based on skin color, skin type, keloid type, and location of the keloid.




Myths about keloids

There are a lot of myths about keloid scars that make it hard to understand how to best treat your keloid. The fact of the matter is that not all keloids are the same. Some keloids develop as a result of surgery and tension on the skin, while other keloids are related to chronic inflammation related to sebaceous glands and sebum. We have found that it is very important to divide keloids into those that require surgery and those that will benefit only from lasers and injections.

Many people believe that keloid scars typically happen in darker skin types and Afro-caribbean ancestry. While we do see keloids in African American patients, keloids are not ethnically-selective and we commonly see patients of all skin types, including very fair Caucasian or Asian skin with keloids. Keloid risk is not clearly linked to ethnicity and skin color and we believe this is less fact and more myth. Our keloid demographic includes all ethnicities and is not exclusive to one skin type. If you have a family history of keloids, however, this may be something that runs in the family and may need to be explored if you are planning to do surgery. 

Keloids require surgery: Myth or Reality

Because keloids can develop on any body part and can occur in men and women of any skin color, it is very hard to subdivide keloids into those that require surgery vs. those that do not. Dr. Raffy Karamanoukian will first need to analyze your keloids and determine whether surgery is needed or whether it is more effective to control sebum content and inflammation. This decision is based on years of clinical experience and can differ from person to person. In fact, a single patient with multiple keloids may have some that require surgery and some that would solely benefit from lasers or injections.

Once you read the information contained in our website, schedule a consultation with the world's leading expert in keloid management. Our protocols take time, but can significantly reduce keloid volume, keloid growth, and keloid recurrence.