Targets Keloid-Forming Cells
SRT delivers low-energy, focused X-rays to the treated area, targeting the rapidly dividing cells that drive keloid regrowth.
Advanced Keloid Treatment with SRT-100™
Remove StubbornKeloids withConfidence.
Dr. Klein and the HK Dermatology team pair precise in-office excision with targeted SRT-100™ therapy, an approach designed to lower the chance your keloid grows back.
In-Office ExcisionPrecise removal of existing keloids
SRT-100™ TherapyTargets keloid-forming cells
Lower Risk of RegrowthReported recurrence below 10%*
★★★★★ 5.0Rated 5 Stars from 770+ Google Reviews
A Better Solution for Keloids
Why Choose SRT
for Keloid Treatment?
Cutting a keloid away removes what you can see, but on its own it often isn't enough. Keloids have a well-known tendency to return after surgery, sometimes larger than before. If silicone sheets or steroid injections haven't worked for you, excision followed by SRT-100™ treats the area again while it heals.
Lower Risk of Recurrence
Surgery alone often isn't enough. Adding SRT after excision is reported to lower the recurrence rate to less than 10%.
*Individual results vary. No treatment can guarantee a keloid will not return.FDA-Cleared Technology
The SRT-100™ is cleared by the U.S. Food and Drug Administration to treat scarring caused by injuries, piercings, or surgeries.
Our In-Office Treatment Process
How SRT Keloid
Treatment Works
Every step happens here in our San Juan Capistrano office, with no hospital visit. Your provider plans each stage around the size and location of your keloid.
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01 · Surgical Excision
A trained HK Dermatology provider carefully removes the existing keloid tissue during a brief in-office procedure.
02 · Targeted SRT
Over the next 1 to 3 days, you'll return for a short series of quick SRT treatments to the area.
03 · Brief Sessions
Each session takes about 30 to 60 seconds. Your provider will walk you through aftercare before you leave.
Is This Treatment Right for You?
Ideal Candidates for SRT
SRT is a specialized treatment designed for specific types of keloid scarring.
Individual
Prominent Scars
Isolated problem areas
Earlobe
Keloids
Often caused by piercings
Large, Persistent
Keloids
Stubborn, recurring scars
This excision + SRT protocol is not designed for multiple acne scars. Your consultation will help determine which approach fits your scar.
An Alternative for Other Scars
Tumescent Kenalog Injections (TLE+K)
If you have multiple acne scars, or scars that aren't a fit for SRT, you still have options. Tumescent Kenalog (TLE+K) injections are designed for exactly these cases.
- A tumescent solution of lidocaine and epinephrine numbs the area and constricts local blood vessels.
- This allows smaller, precisely targeted doses of Kenalog to be delivered into the scar tissue.
- Treatment stays localized to the scar, helping soften difficult tissue and improve smoothness.
EXPERIENCED DERMATOLOGY TEAM
Meet the People Behind Your Care
Keloid care at HK Dermatology is guided by board-certified dermatologists with deep surgical experience, and by a clinical team that has worked side by side for decades.
Jeffrey Klein, MD
Board-Certified Dermatologist
Dr. Klein leads HK Dermatology and brings nearly four decades of medical and surgical dermatology experience. A clinical professor at UC Irvine, he is known for pioneering tumescent local anesthesia and his research in dermatologic care.
Norma Kassardjian, MD
Board-Certified Dermatologist
Dr. Kassardjian specializes in Mohs micrographic surgery and medical and cosmetic dermatology. She has more than 25 years of experience and extensive training in surgical techniques and tumescent anesthesia.
Joshua Spanogle, MD
Dermatologist & Mohs Surgeon
Dr. Spanogle is board-certified in dermatology and micrographic dermatologic surgery. Fellowship-trained in Mohs surgery, he brings extensive experience in precise skin cancer surgery and reconstruction.
Elena Novak, PA-C
Certified Physician Assistant
Elena assists with dermatologic surgery and cares for patients with conditions including keloids, acne, rosacea and skin cancer. She focuses on a thoughtful, supportive patient experience.
Madison Campbell, MMS, PA-C
Certified Physician Assistant
Madison provides medical dermatology care, assists with surgery and treats conditions including keloids, rashes, acne and skin cancer. Her background also includes emergency medicine.
Michele Horwich, RN
Registered Nurse & Practice Manager
Michele has worked with Dr. Klein and Dr. Kassardjian for more than 30 years. She brings extensive experience in tumescent local anesthesia and patient care.
REAL PATIENT EXPERIENCES
Kind Words. Trusted Care.
5.0★★★★★770+ Google reviews
What patients say about their visits with HK Dermatology.
★★★★★
“The staff was great, caring and patient with me.”
Dr. Spanogle made me comfortable and explained everything in great detail.
★★★★★
“She took the time and addressed all of them efficiently, effectively and professionally.”
Not to mention she is very pleasant and knowledgeable.
★★★★★
“Dr. Klein is my hero! He is the master of his craft who has genuine passion and love for what he does.”
I always felt safe and comfortable in his hands
★★★★★
“I had an excellent experience with Dr. Jeffrey Klein after struggling with shingles for several days.”
I’m grateful for his expertise and highly recommend his services
★★★★★
“She was very attentive to my questions and did not rush me at all.”
She had a very kind disposition.
★★★★★
“He is an exceptional teacher, making complex issues easily understandable.”
He is a very caring person and very dedicated to his patients.
Excerpts from Google reviews of HK Dermatology. Reviews cover a range of dermatology services, not SRT keloid treatment specifically.
Insurance & Payment
Straightforward Pricing for This Treatment
Keloids are a genuine medical condition, but many insurance plans classify SRT and advanced scar revision as cosmetic, which makes coverage hard to secure. To keep your care uninterrupted, HK Dermatology offers this combined protocol as a cash-pay procedure, with clear pricing reviewed at your consultation before any treatment begins.
Insurance for Other Visits
Outside of this specific protocol, HK Dermatology works with many major insurance plans for medically necessary dermatology care, from skin checks to medical treatment of common skin conditions.
Frequently Asked Questions
Your Questions, Answered
How effective is SRT for keloids?
Combining excision with SRT is reported to bring the recurrence rate below 10% for appropriately selected keloids. Results vary from person to person, and no treatment can guarantee a keloid will not return.
Is the treatment painful?
Each SRT session is brief, about 30 to 60 seconds. Before your excision, your provider will explain how the area is numbed, what you may feel, and what to expect afterward.
How many SRT sessions will I need?
SRT is given as a short series of sessions over the 1 to 3 days after excision, each lasting about 30 to 60 seconds. Your provider will set the exact number based on your keloid.
Will I need downtime?
Recovery depends on the size and location of the keloid and how much tissue is removed. Your provider will go over aftercare and any temporary activity limits at your visit.
Is SRT keloid treatment covered by insurance?
Many insurers consider SRT and scar revision cosmetic, so HK Dermatology offers this protocol as a cash-pay procedure. You'll receive clear, upfront pricing at your consultation.
Am I a candidate for SRT?
SRT may be an option for individual prominent scars, earlobe keloids, or larger persistent keloids. Multiple acne scars generally require another approach, such as Tumescent Kenalog injections.
Take Control of Your Skin Today
Request an SRT
Consultation
You don't have to keep living with painful, itchy, or stubborn keloids. If silicone sheets or steroid injections haven't worked, request a consultation and our team will help you decide whether excision with SRT-100™ is right for you.
Prefer to talk it through? Call (949) 248-1632.
Consultation with our dermatology teamClear cash-pay pricing
Request an Appointment
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Please note that availability will vary depending on your request. Your appointment will be confirmed by phone or email by a member of our staff. Thank you!