Removal of keloids is very difficult task. Some patients are more prone to developing keloids and some areas are more at risk, like the earlobe, shoulder, upper back, midline of the chest. Keloids typically run in the family and it is a problem with wound healing. So just by excising it, yes likely it will come back. There are some special things that can be done like steroid injections at the time of removal with follow ups every 6 weeks. Also radiation to the area as well as compression garments. Doing all this this can lead to a high rate of recurrence which is upwards to about 50% chance it will come back.


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