Surgical Excision and Intralesional Steroid Injection for Prevention of Post Caesarean Keloid Recurrence

the wound edges are injected once with dexamethasone. A 1 mL syringe with a 30-gauge needle is used and injection is both intradermal and subdermal. Repeated alternate punctures are used to bathe the wound edges with the drug. Approximately 0.5-1 mL of dexamethasone (4 mg/mL) in wound tissue.

total extralesional surgical excision of the keloid is performed and minimal undermining