Nanette joins with her daughter, Anjessica, on Skype, to ask The Doctors about scaring on Anjessica's hands. She explains her daughter was born with syndactyly, a condition in which digits are fused together. Anjessica's middle and ring finger were fused together on her left hand. Now, she worries about the keloids growing at the site of where the fingers were surgically separated.
Anjessica had developed scarring at the site of her separation as well as some keloids, which is extremely rare. Their pediatric surgeon thinks the keloids should be removed surgically but says they have to wait a year. Nanette is concerned about Anjessica's mobility and her fingers growing back together.
The Doctors agree with Nanette's surgeon's plan. Dermatologist expert Dr. Sonia Batra shares how important it is for Nanette to closely monitor Anjessica's hands, to avoid the reoccurrence of the keloids once they are removed, by doing things like cortisone injections and radiotherapy. In the meantime, while awaiting surgery, Dr. Batra suggests using silicone sheeting to keep the scars soft and occupational therapy to help with mobility.
Plastic surgeon Dr. Andrew Ordon agrees it's important to keep Anjessica's fingers moving so they don't get stiff. He adds in addition to Dr. Batra's suggestions, a topical steroid may help in the interim.
The Doctors discuss for anyone susceptible to keloids, it's important to to be vigilant in watching scars to make sure keloids do not start to form.