In medicine, few stories encapsulate the essence of perseverance, resilience, and the transformative power of skilled medical intervention as profoundly as Maria’s journey under my… Read More »A New Beginning: Maria’s Liberation from 17 Years of Silent Suffering
Articles about Acne Keloidalis Nuchae and other Skin and head-related bumps
Keloids are raised scars that extend beyond the original wound, posing a mystery to researchers. Despite the unclear exact cause, various factors contribute to their… Read More »Understanding the Factors that Predispose You to Keloids
Dr. Sanusi Umar, known as Dr. Bumpinator among fellow researchers and medical professionals, and his colleagues embarked on an investigative journey to explore the potential… Read More »Revealing a Common Precursor Condition in Acne Keloidalis Nuchae and Primary Cicatricial Alopecias
AKN Plaque Removal: Acne Keloidalis Nuchae, commonly abbreviated as AKN, is a condition that affects men of color and can result in small to large painful… Read More »Get Rid of Plaques Behind Back of Head: AKN Plaque Removal Results by The Bumpinator
Severe AKN Removal Results: If you haven’t read the 1st part of Robert’s incredible journey, you can find it here. The story of Robert Peeters… Read More »Severe AKN Removal: How This Big Lucky Bear Overcame His Breaking Point Part 2
The story of Dr.Bumpinator’s patient, Robert Peeters represents an extreme and unique case of severe AKN (Acne Keloidalis Nuchae) which he struggled with for nearly… Read More »How This Big Lucky AKN Bear Overcame His Breaking Point – Part 1
A patient named Reginald turned to Dr.Pimple Popper to get rid of a massive tissue growth on the back of his scalp which had developed… Read More »Dr.Pimple Popper Teams Up With Dr.Bumpinator
This patient first came to see Dr.Bumpinator after an eight-year struggle with Acne Keloidalis Nuchae – AKN. Before this, he tried a nonsurgical approach at a different clinic using steroid injections. However, this did not get rid of his bump lesion. He then decided to choose Dr.Bumpinator as his service provider, hoping to achieve a discrete and inconspicuous linear scar. With Dr.Bumpinator’s surgical method to produce the best Acne Keloidalis Nuchae treatment results, this patient would also be able to have his final scar covered with his own hair growth.
Before Photos – AKN Class I Plaque
Due to the size and location of this patient’s bump lesions, this patient was categorized as an AKN Class I Plaque, according to Dr.Bumpinator’s system of classification.
The patient’s AKN bump is vertically narrow and located in the upper nuchal region.
Dr.Bumpinator’s categorization schema helps patients by allowing them to be matched with the most appropriate treatment format. By pairing specific cases with fitting methods, it is possible to expect the best possible cosmetic outcome (1) reliably.
Procedure Photos – Dr. Bumpinator’s Acne Keloidalis Nuchae Treatment Results – A Thin, Discrete Linear Scar
For this patient’s procedure, the most obvious starting point was to remove the actual AKN bump lesion through surgical excision. Dr.Bumpinator’s innovative surgical method would then result in a thin linear scar covered by the patient’s own hair growth.
After Photos – A Well Camouflaged Final Linear Scar
Here are images of this patient’s outcome, taken 14 years after his procedure with Dr.Bumpinator. Due to the successful growth of hair through the final linear scar, it is not even obvious that this patient had undergone any surgical removal or that AKN was even a problem in the first place. Can you tell that he even had a procedure done?
VIDEO: Acne Keloidalis Nuchae Treatment Results – No More Embarrassing Bumps
Watch this video to learn more about Dr. Bumpinator’s surgical journey and final scar outcome.
Frequently Asked Questions – AKN Removal
Should I see a dermatologist get rid of my AKN bumps?
Acne Keloidalist Nuchae removal requires a specialized treatment approach. Many doctors (dermatologists included) lack the expertise required to eliminate lesions and keep them from coming back permanently. Patients are often prescribed drug medications, injections, topicals, etc. However, these will not actually get rid of the unwanted tissue. Although AKN can be excised using surgery, Dr.Bumpinator recommends classifying each patient case to determine specific protocols for removal. It’s important to realize that the end goal is not just to get rid of the Acne Keloidalis Nuchae bumps but also to leave behind the most natural-looking final scar. This will require more advanced surgical methods. You will need to see a true specialist.
Is Acne Keloidalis Nuchae the same as razor bumps?
AKN starts as tiny bumps, resulting from close razor shaves on the back of the head. However, what makes them different from ordinary razor (shaved haircut) bumps is how the person’s skin responds. Affected individuals have a genetic predisposition to produce prolific collagen as a reaction to ingrown hair. Their immune systems mistake the hair shaft as a threat. The collagen is intended to heal the damage resulting from these attacks. So really, AKN does start as what appears to be regular razor bumps. But the bumps themselves (in predisposed individuals) are really starting a progressive and chronic skin issue.
Does AKN come back after surgical removal?
It really depends on how the surgical excision and wound closure was performed. Bumps are more like to return if the surgeon does not excise deeply enough to remove the affected tissue. Also, they can come back if the wrong wound closure method is used. Dr.Bumpinator has developed methods that aim towards long-term and permanent outcomes that patients can be happy with in the end.
- Umar, Sanusi et al. “Patient selection criteria and innovative techniques for improving outcome and cosmesis in acne keloidalis nuchae lesion excision and primary closure.” JAAD case reports vol. 5,1 24-28. 4 Dec. 2018
Keloids are raised scars that primarily appear after trauma – a cut or wound. They’re firm, sometimes shiny, rubbery, and have fibrous nodules that are caused by the scar tissue. They range in sizes and in colors – pink, skin-colored, red, or dark brown.
What Is Keloidal Scarring?
As the body tries to repair the wound, there is a production of collagen. It’s the overproduction of collagen that forms a lump. Typically, keloids are also known as keloid disorder and keloidal scars can form in a variety of scenarios namely – severe acne, chickenpox scarring, infections, burns, vaccinations along tension during wound closure, or repeated trauma to the skin.
There have also been instances with something as simple as a pimple, mosquito bite, insect bite or a scratch can cause keloids. They appear on the chest, back, shoulders, earlobes, arms, pelvic region, and the collarbone. These types of keloids are not meant to be confused with Acne Keloidalis Nuchae, which has a different etiology.
How Do I Know if I Have a Keloid
Although injuries are attributed to the result of a keloid, they can appear spontaneously and prone to growth. Similarly, it can start as a small lesion on the skin and grow (slowly) with time (1). Keloids also tend to appear more so in the younger years, Dr. Sanusi Umar, also known as Dr. Bumpinator explained. Meaning that young girls between ages 10 and 20 have a higher frequency of keloids due to ear piercings.
Keloid symptoms include –
- Itchy, stinging, or burning sensations on the skin.
- There’s a ridged or bumpy area on the skin that’s unusually raised.
- The skin is toned red or pink in color.
- The scar tissue, in time, increases in size
- The keloid can be unsightly or uncomfortable.
A qualified medical professional can diagnose and treat keloids. Although medical attention is not necessary to treat keloid. They’re generally benign, but seeking medical attention as a precaution is not a bad idea.
Reasons To Get Keloids Removed
- Proximity and involvements of vital organs and functions
A keloid’s common area on the body includes – areas of high skin tension.
The Pierced Ear Keloid
Keloids are most common after ear piercing. The piercing itself causes a minor trauma on the earlobes in addition to the skin and cartilage higher on the ear. As the wound heals wider and larger than the initial pierced skin, it becomes uncomfortable and embarrassing too.
Because the way every person heals from wounds is different, the size of the developed keloid varies from person to person. This condition is commonly seen mostly among African Americans, Latinos, and Asians (1).
Ear keloids are broken down into three types (1) –
- Massive ear keloid: One keloid lesion measuring greater than 10 centimeters.
- Large and semi-massive ear keloid: One keloid lesion measuring 2.1-10 centimeters.
- Small ear keloids: One keloid lesion measuring no greater than 2 centimeters.
Conventional methods of keloid removal call for surgical removal, but according to research, almost all ear keloids will “relapse” after surgery (1). When those keloids grow back they get worse and with time even grow larger. Ultimately, “the ear keloids will continue to relapse in many instances and at some point, the surgeon and patient or both will abandon therapeutic intervention,” research documents show.
Dr. Bumpinator disagrees. “With the appropriate treatment,” Dr. Bumpinator said. “the lesions or keloids respond well and never return.”
For this to occur special surgical and post-surgical protocols are necessary. At Dr. U Hair and Skin Clinic in Manhattan Beach, he’s implemented a keloid removal procedure that helps prevent the keloid from returning. The guiding principle is to get rid of all keloid tissue while avoiding the expansion of the zone of injury by keeping all surgical injuries to within the original borders of the keloid, minimizing tension and reductive the wound created less need to form a scar in the bid to cover itself.
“I want my patients to be left with an aesthetically pleasing earlobe with fast recovery time.”
The following photos show examples of patients surgically treated by Dr Bumpinator using the espoused surgical principles:
Dr.Bumpinator is on a mission to terminate all unwanted skin bumps, including keloid scars! *
There are other (non-surgical) keloid removal options, including:
- Cryotherapy: Freezing of the keloid. This is the better option for smaller keloids, i.e. caused by acne. Risks lightening of the skin.
- Corticosteroids: Injection of medicine into the keloid. This is one of the most common approaches to remove keloids. It is also often used in conjunction with cryotherapy or post-surgery.
- Medication: Though not as effective as corticosteroids, other medications that have been used to treat keloids includes: verapamil, fluorouracil, bleomycin, and interferon alfa-2b shots.
- Radiation: Radiation of the Grenz zone, is the most effective if done within 24-72 hours after excisions. It is actually quite an effective treatment with a low chance of recurrence. Dr. Bumpinator uses this treatment option with more complicated wound closures.
Furthermore, Dr. Bumpinator’s unconventional method pushes for a keloid free patient who didn’t have a need for steroid injections.
Dr. Bumpinator encourages anyone with a growth of a keloid on the ear or other parts of the body to consult with a medical professional. Ask your keloid questions at
FAQ – Understanding Keloidal Scarring
Who is a candidate for keloid removal? Any person with a keloid can be a candidate for keloid removal.
How much does a keloid removal cost? Cost varies and depends on the size of the keloid. In other instances, at other clinics, the cost may also depend on the location of the scar and the method the doctor decides to use. The average cost could range between $350 to $3500. Unfortunately, insurance doesn’t cover cosmetic procedures.
What keloid removal procedures are available for Dr. Bumpinator patients? Dr. Bumpinator, an expert in bumps, also has experience in keloid removal and offers individualized treatment plans. In order to determine your procedure or best removal method, schedule a consultation:
- Tirgan, Michael. (2017). Massive ear keloids: Natural history, evaluation of risk factors and recommendation for preventive measures – A retrospective case series. F1000Research. 5. 2517. 10.12688/f1000research.9504.2.