The lesion measures almost 4 cm in diameter, but, being sessile, the base is only ~ 2 cm wide.
5 Weeks p Shave excision: C&E, followed by imiquimod 5 days per week. At this point we will stop the imiquimod and follow. Patient does not live near to my office and can be seen only once a month or less frequently.
8 weeks p shave excision: The patient stopped imiquimod 2 - 3 weeks ago and just applied Vaseline. The wound is looking better. There's a slightly raised area in the middle of the erythema.
1. Treatment of keloid scars post-shave excision with imiquimod 5% cream: A prospective, double-blind, placebo-controlled pilot study. J Drugs Dermatol. 2009 May;8(5):455-8. URL
2. Successful treatment of earlobe keloids with imiquimod after tangential shave excision. Dermatol Surg. 2006 Mar;32(3):380-6. URL
3. Failure of imiquimod 5% cream to prevent recurrence of surgically excised trunk keloids. Dermatol Surg. 2009 Apr;35(4):629-33. URL