At G Square Clinic Skin, Hair and Plastic Surgery in Hubli, Dr. Girishkumar M. Chalawadi treated a challenging presternal keloid associated with capillary lobular haemangioma, also known as pyogenic granuloma, using a targeted technique called Intralesional Radiofrequency Ablation (ILRF-A).
Presternal Keloid with Pyogenic Granuloma
A keloid develops when scar tissue continues growing beyond the boundaries of the original injury. The presternal or central chest region can be particularly challenging because keloids in this area may remain thick, symptomatic or recurrent.
In this case, the underlying chest keloid was accompanied by a prominent reddish vascular growth consistent with capillary lobular haemangioma.
Pyogenic granuloma is more accurately termed lobular capillary haemangioma. It is a benign vascular proliferation that often appears as a red, friable growth and can bleed easily.
This created two treatment considerations:
Controlling the abnormal keloid tissue
Treating the vascular component while limiting unnecessary injury to surrounding skin
What Is Intralesional Radiofrequency Ablation?
Intralesional Radiofrequency Ablation, or ILRF-A, delivers radiofrequency energy directly within the targeted abnormal tissue.
Instead of treating only the surface, the technique aims to create a controlled thermal effect inside the lesion while preserving surrounding tissue as much as possible.
Dr. Girish has previously presented an insulated ILRF technique using an intravenous cannula for capillary lobular haemangioma, keloids and acne scars. The published conference abstract describes the technique as promising and cost-effective while also noting that larger studies are needed to establish its role more fully in dermatology.
Why Consider ILRF for Keloids?
People searching for keloid treatment in Hubli should understand that there is no single treatment suitable for every keloid.
Established options may include:
Intralesional steroid injections
5-fluorouracil injections
Cryotherapy
Silicone therapy
Laser procedures
Surgical approaches
Combination treatment
The American Academy of Dermatology notes that keloids can recur and that dermatologists frequently use combinations of treatments rather than relying on one procedure alone.
Intralesional radiofrequency offers another treatment concept by targeting tissue from within the lesion. Clinical studies have evaluated intralesional RF alone or together with intralesional steroids for keloids, although treatment selection still needs to be individualized.
Targeting the Vascular Component
The associated pyogenic granuloma or capillary lobular haemangioma adds an additional challenge because these vascular lesions can be fragile and prone to bleeding.
Radiofrequency has been used as one treatment approach for lobular capillary haemangioma, and Dr. Girish's own academic work has specifically explored insulated ILRF for these lesions.
For the presternal lesion described here, ILRF-A allowed a lesion-directed, minimally invasive approach rather than relying solely on extensive conventional excision.
Advanced Keloid & Scar Treatment in Hubli
Dr. Girish Kumar Chalawadi is an MD Dermatologist with a Fellowship in Dermatosurgery (FRGUHS) and practices as Chief Dermatologist in Hubli. His official profile highlights experience in clinical dermatology, cosmetic dermatology and minimally invasive procedural care.
His academic work on intralesional radiofrequency has included the technique:
“A Novel Method of Insulated Intralesional Radiofrequency Ablation Using an Intravenous Cannula for Capillary Lobular Haemangioma, Keloid, and Acne Scars.”
For patients searching online for a keloid specialist in Hubli, chest keloid treatment, scar doctor near me, pyogenic granuloma treatment or dermatosurgeon in Hubballi, appropriate examination is important before deciding which treatment is suitable.
Book a Keloid & Scar Consultation in Hubli
Have a raised scar, chest keloid, recurrent keloid, bleeding skin growth or unusual scar-like lesion?
Consult Dr. Girishkumar M. Chalawadi for dermatologist-led evaluation and an individualized treatment plan.
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Dr. Girish Kumar M. Chalawadi
Dermatologist | G Square Skin, Hair & Plastic Surgery Clinic