Fig. 33From: Diagnosis and Treatment of Keloids and Hypertrophic Scars—Japan Scar Workshop Consensus Document 2018Surgical excision followed by reconstruction with skin grafts or flaps. If primary closure after keloid/hypertrophic scar excision cannot be performed with low tension, it is best to consider reconstruction with skin grafts or flaps. The procedure should be followed with postoperative adjuvant therapies such as radiotherapyBack to article page