Austin Scar Removal doctors

I would recommend a combination of skin resurfacing either via dermabrasion or laser and an injectable agent such as juvaderm to help fill it in.  Unfortunately, the tissue will definitely have some memory and the scar will not disappear completely.  It will also probably become less noticeable as you age.

Keloids are thick scars that form after injury or trauma, but can also occur on their own. They can happen anywhere on the body but are common on the earlobes and trunk (especially the chest and upper back). Any form of injury to the skin, including surgery, ear/body piercing, accidental injury, or a tattoo can cause a keloid.

You should consult a board-certified dermatologist to discuss the treatment options. Steroid injections are often helpful for small keloids or to prevent keloids after surgery. These usually need to be repeated monthly for 3-4 months.

Surgery is also often used on the earlobe to debulk or remove the keloid. The recurrence rate can be high, so it is important to inject the keloid monthly after surgery.

There are other rarer or more experimental treatments like radiation therapy or imiquimod cream that are sometimes used for severe or difficult to treat keloids. These should only be considered in consultation with a dermatologist or plastic surgeon who is familiar with keloid treatment.

Sometimes excision is best. Like you said, if there if enough skin laxity in the area, then the scar can be surgically removed and replaced with a thin line scar. Some techniques are also available to make the scar irregular, that is, not a straight line. The human eye sees straight lines best, so sometimes an irregular line is more camouflaged. The best scars for excision are those that are widened or deep. More fine scarring are sometimes better approached with skin resurfacing procedures like chemical peels, dermabrasion, or lasers. Ice pick scars are often best managed with either a dermabrasion or a punch excision.