


Keloid scars Treatment in Dr. Cláudio Lemos
About the clinic
Keloid care at Dr. Cláudio Lemos Plastic Surgery in Botafogo, Rio de Janeiro, Brazil, includes assessment, non-surgical treatment, and scar excision. Plastic surgeon Dr. Cláudio Lemos has 25+ years of experience, and surgery takes place in JCI-accredited hospitals.
Assessment and scar maturation
The clinic treats adults and children with keloid scars. Before treatment, the team reviews the scar and personal and family history, then assesses the risk of recurrence.
Excision is considered only after the scar matures, usually 6–12 months after it forms. This timing helps guide the choice of treatment.
Keloid treatment options
- Keloid scar excision. The surgeon loosens tissue beneath the scar and advances a flap to reduce tension on the wound edges. Absorbable stitches sit under the skin; they remain for at least 6 weeks, and longer than 6 months in high-tension areas. Dermabond Prineo glue and mesh close the wound without external stitches.
- Triamcinolone injections. This first-line treatment is injected into the keloid every 2–4 weeks. The number of sessions depends on the response. Reported response rates are 50–100%, with recurrence rates of 9–50%.
- Laser therapy. Options include CO2 laser, argon laser, and pulsed dye laser (PDL). Laser may be used over the scar after surgery, and follow-up lasts at least 1 year. PDL can also be paired with corticosteroid injections.
- Silicone gel sheeting. Silicone plates are started only after the wound has fully healed. They are also an option for children and people with low pain tolerance.
- Compression therapy. Garments apply continuous pressure of 24–30 mmHg for 6–12 months. Earlobe keloids may be treated with pressure earrings. Compression starts after suture removal and full wound closure.
- Radiotherapy or brachytherapy after excision. Radiotherapy uses 15–20 Gy across 5–6 sessions within two weeks after surgery. Brachytherapy is given 24 hours after excision. These options are reserved for adults whose keloids did not respond to other treatments; radiotherapy is avoided in children because of growth-plate risks.
Combining treatments to limit recurrence
Excision alone has a reported recurrence rate of 45–100%. Adding corticosteroid injections lowers recurrence to below 50%, while surgery with radiotherapy brings it to about 10%. Surgery may also be paired with laser or silicone sheeting for scar control after healing.
Patients can request a consultation through Bookimed to discuss assessment and suitable treatment options.
Highlights
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Treatments prices in the clinic
| treatment | Price | |
|---|---|---|
| Surgery | Price on request | |
| Cryodestruction | Price on request |
How are we doing?
hospital accreditations of quality
Dr. Cláudio Lemos: more details about the clinic
Dr. Cláudio Lemos is a private plastic surgery practice established in 2016 in Rio de Janeiro, Brazil. The clinic operates in the Botafogo neighborhood. It collaborates with specialized hospitals for surgical procedures, including Hospital Badim, Hospital Copa Dor, and Casa de Saúde São José.
Accreditations and Professional Recognition
The clinic follows international safety standards through hospital-based pathways accredited by Joint Commission International (JCI). Dr. Cláudio Lemos holds memberships in several medical organizations:
- Sociedade Brasileira de Cirurgia Plástica (SBCP)
- American Society of Plastic Surgeons (ASPS)
- International Society of Aesthetic Plastic Surgery (ISAPS)
- American Society for Aesthetic Plastic Surgery (ASAPS)
- Associação Médica Brasileira (AMB)
Dr. Lemos teaches at Hospital Federal da Lagoa. He also trains through the Allergan Medical Institute's international programs.
Specialties and Surgical Procedures
The clinic offers aesthetic and reconstructive surgeries. Each procedure includes pre-operative guidance and long-term follow-up.
Facial Rejuvenation
Specialists perform the Deep Plane Facelift to address advanced aging signs. Results are tracked with photos at 30 and 60 days. For non-surgical lifting, the clinic uses the 8 Point Lift method with MD Codes. This technique applies dermal fillers like Juvéderm Voluma to restore cheek and zygomatic volume.
Body Contouring and Liposuction
The clinic offers several methods for body reshaping and fat reduction:
- Renuvion technology for tissue contraction and collagen stimulation
- VASER Lipo for ultrasound-assisted fat removal
- Gluteoplasty using cohesive silicone implants or autologous fat grafting (BBL)
- Abdominoplasty and mini-abdominoplasty for abdominal laxity
Surgeons place gluteal implants under or within the gluteus maximus muscle. This procedure typically takes around 2 hours.
Rhinoplasty and Calf Augmentation
Rhinoplasty addresses both aesthetic concerns and breathing issues. Surgery takes about 1–2 hours, and patients often go home the same day. Calf augmentation is available for both men and women using silicone prostheses. The procedure takes about 50 minutes. Surgeons use cyanoacrylate glue for skin closure, so there are no external stitches.
Pediatric Plastic Surgery
The clinic treats congenital conditions in children. These include otoplasty for ear correction and treatments for polydactyly (extra digits). Specialists also use the EarWell system for non-surgical infant ear correction.
Treatment Technologies
Planning tools focus on accuracy and patient visualization. Crisalix 3D scanning lets patients see simulated results before surgery. For skin closure, the clinic uses the Dermabond Prineo system – a surgical glue and mesh combination that replaces traditional external stitches. MRI and CT scans are available at affiliated hospitals.
Services for International Patients
The clinic treats patients from abroad, including the United States. International care is coordinated through JCI-accredited hospitals. This includes full anesthetic management and a complete surgical support team. The medical staff includes anesthetists and surgical assistants with over 20 years of experience each. Specialists provide post-operative recovery schedules, including guidance on compression garments and lymphatic drainage.
Additional services
Patient reviews
Fernanda Gularte
claudia gularte
Ana maria Dal monte
AP Paisagismo
Larisse Braga
Gabriela Constantino
Claudio Portella
Marcio Esteves Esteves
Stenia Souza
Rua Real Grandeza n-108 sala - 311 Botafogo, Rio de Janeiro, RJ, Brazil, 22281-034
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