Permanent removal of keloids is possible with surgery. But people with abnormal scarring tendency have a high recurrence rate. Some non-surgical therapy is necessary after the surgery. These may be corticosteroid injections, silicone sheeting or laser treatment or others.

There are various ways to break down a keloid. You can go for surgical excision or cryotherapy. They remove the entire keloid tissue. Corticosteroids injections and silicone sheets soften and reduce the tissue. They also prevent further growths. PDL and radiation disintegrate the extra tissue. Pressure therapy forces the keloid down to an even level.

Laser treatment can restore the keloid to the original flatness and flexibility. It leaves some redness and scars, but they are hardly visible and usually disappear. However, if the patient is prone to keloids, ablative laser therapy can cause more keloids.

Massaging can help reduce keloids. It keeps the area from hardening and reduces the bump formation. Massaging also keeps the keloid from anchoring to nearby tissue. That includes blood vessels, bones, muscles and nerves. This not only keeps the keloid flexible but also prevents expansion.

Applying 5% Imiquimod ointment(Aldara) to a wound helps in quick healing. This helps prevents keloids in normal injuries as well as keloid surgery.

Keloids are benign and harmless to the body. The only concern would be their appearance and impedance to free movement.

You should never try to pop a keloid. A keloid has solid tissue inside. Trying to pop it can cause injury and bleeding.

People get keloids when their skin experiences trauma. This can be due to injury, surgery, tattoos, piercings, injections, acne, chickenpox or burns. Keloids occur due to overgrowth of scar tissue at the injury site. Certain over-active growth factors and connective proteins enhance keloid formation. That is why some people are more prone to keloids.

Doctors give intralesional steroid injections. This breaks down the collagen fibres in the keloid and reduces its size.

Tee tree oil is anti-inflammatory and helps reduce the redness and swelling of wounds. But there is no established proof of their effectiveness on keloids.