Dr. Niteen Dhepe

+91 9890225577

+91 9422458130

Skin City
Keloid Specialist Dr. Niteen Dhepe

25 years of excellence

Meet Keloid Specialist,

Dr. Niteen Dhepe

Dr Niteen Dhepe is a board certified and senior dermatologist and possesses highest expertise in lasers. He is pioneer in introducing many lasers and energy based technologies in India. He has evolved various newer techniques of adopting laser energy for Indian skin. He is often called by his colleagues as ‘The Laser Man” of Indian Dermatology.

Dr Dhepe was the first user of Ultrapulse SCAAR FX technology in Indian Dermatology. He has developed his own protocols of using fractional CO2 laser and other modalities in various scar conditions. He has devised his ‘5 tier technique’ of acne scar modification. He has coined the concept of ‘vertical subcision’ with lasers. He has proposed an entire new way of classification of ‘laser treatable scars and scar-like conditions’. His innovative work is included in multiple chapters in various textbooks. Dr Dhepe is now considered an scar-authority as he has established the sub branch of ‘laser scar reduction’.

Ear keloid

Ear keloid

Keloids grow bigger here. Surgery mostly distorts shape of ear pinna. Non surgical combination protocol not only shrinks keloids but maintains natural ear shape.

Face keloid

Face keloid

Face is rich in hair and oil glands both of which are trigger factors. Keloid in mustache and beard needs urgent attention. Steroid cause acne and worsen keloids here.

Neck Keloid

Neck Keloid

Neck movement and beard hair are trigger factors here. Burn scars turn into keloids on neck. Beard hair removal with laser is often essencial.

Chest keloid

Chest keloid

Male chest has hair and acne while female have traction due to breast weight. Trigger factors management is most crucial in this area. Laser hair reduction is adjuvant treatment for this area.

Shoulder keloid

Shoulder keloid

Old BCG vaccine scar can turn many years after into a keloid. Traction is a trigger factor.

Scalp keloids

Scalp keloids (AKN)

Acne on back of neck and in scalp tend to evolve into keloids. They are called Acne Keloidal Nuchae or AKN. It may need a complete removal of affected scalp

Bypass surgery keloid

Bypass surgery keloid

CABG surgery has deep wound till bone and mostly results into keloid. Combination protocol with trigger factor management relives pain instantly.

Pubic keloids

Pubic keloids

Pubic area has hair and is oily. Hair follicles worsen keloid.

Can keloids be cured by surgery?

Absolutely No. Because Keloids are known to occur at the site of Injury. In fact Keloids develops at the site of surgical wounds. May be bypass surgery wound or any other wound can trigger Keloid.

So the excision or removal of Keloid through surgery is not the treatment protocol. Your body is 100% prone to have recurrence of Keloids at that site. A lot of places it is practiced to perform surgery of Keloids followed by radiotherapy which is certainly a dangerous option because the radiotherapy is itself a risky which can cause skin cancer. Only role of surgery is when there are lots of hair present at the site of Keloid or if there is a lot of tension that is causing pain. Just to release the tension sometimes we need to separate the bands of keloids which is the limited option used as a surgery.

What are aggravating factors in keloid?

Though the basic genetic defect of Why Keloids occur is unknown. However, we are now aware of various factors that can trigger keloids. Can also be called as aggravating factors which can worsen the keloids. Which are they?

a) Excess hair in and around the wound/keloids

If keloid occurs on your chest and if it is hairy, please be aware that the above factor can worsen the keloid. This is because the hair follicles can be trapped into Keloids which will in turn irritate the keloids from beneath which will have the expansion effect.

b) If your skin is oily and prone to get pimples, your body can get new keloids on neck, shoulders and back.

Skin Specalist

Treatments

Keloid chemotherapy
Keloid chemotherapy

Keloid is non-cancerous growth of collagen.

Read More
Pressure Therapy
Pressure Therapy

Pressure is one of oldest way of preventing hypertrophy...

Read More
Creams
Creams, do they really work?

Many creams claim to reduce scars.

Read More
CO2 Lasers
CO2 lasers? NO, only Ultrapulse SCAAR FX

Fractional CO2 lasers commonly used in scar treatments.

Read More
Fractional Drug
Fractional drug delivery FDD

Injection of steroids and keloid chemotherapy agents...

Read More
Enerjet Collagen
Enerjet collagen remodeling

As mentioned earlier, needle injections will lead uneven...

Read More
Cryotherapy
Cryotherapy. Not everything cool about it !

Cryotherapy is one of the effective modality for keloid therapy.

Read More
Radiation
Radiation ? only low dose SRT100+

Removing the bulk of keloid with surgery and applying radiation...

Read More
Radiation
Steroid free combination strategy (SkinCity philosophy)

Few of the effective treatments used in skincity in variety...

Read More

Testimonials

Why to see Dr. Niteen Dhepe

Genetics

Keloid has very much diverse and varied presentations. It may present as a single or multiple, discrete or confluent , thin linear lesions or large giant nodular patches. This variety of presentations hints at complex and multi-gene inheritance. Those having a mutation (change) in a single gene may have single or less severe keloid while those with multiple faulty genes may show more aggressive pattern of keloids. Specific genes are reported in Chinese and Taiwan population but larger studies are required to know which genes are at fault in each population. Such studies in India are missing and skincity is planning to take up one genetic study on Indian pattern of inheritance.

Skin Specalist
Skin specalist in Pune

Say No to Surgery

Whether keloid should be operated or not is an area of great controversy. Keloids not only re-occur after surgery, but often are often bigger in size and much harder to treat.

In first place The onset of a keloid is triggered by wounding of the skin. In surgical keloid removal, a much bigger injury is induced by the surgeon. This new and larger injury will obviously result into formation a much larger keloid. The risk of recurrence after surgery for certain keloids such as chest wall, shoulder keloids is near 100%. Local injection of steroids or chemotherapy or radiation after surgery may reduce the risk of recurrence of certain keloids. These interventions have their own limitations and side effects.

Skin specalist in Pune

Say NO to Steroids

Historically most common treatment used in past for keloids is steroids only. It can produce excellent results in short period but does not affect keloid progression. In fact most of the keloids which are slowly progressing become more aggressive after injection therapy.

Steroid creams if used in wrong potency will cause either skin atrophy in surrounding skin. It induced acne and folliculitis in and around keloid. These follicular inflammation and infections act as trigger for growth of same keloid and occurrence of new keloids at periphery.

Skin City in Pune
SCAR Summit 2019

SCAR Summit 2019

View PDF
SCAR Summit 2020

SCAR Summit 2020

View PDF