Thank you for your question. Keloids do recur with some frequency. Surgery alone may only be successful half the time. If you want to diminish the likelihood of recurrence, I would strongly suggest you add compression therapy, steroid therapy and radiation therapy to the regimen. Even despite all this, it may still come back, but the likelihood diminishes considerably. 1) Compression earings: For a good year - worn all the time (except for showering) 2) Steroid injections: Once every 4-6 weeks. Would recommend 6 treatments if there is no recurrence. 3) Radiation therapy: Usually done the same or next day. Three treatment cycles is usually sufficient, but I would talk to a radiation oncologist to verify. The overall dose is considerably less than cancer treatment. And just to reassure you: Keloids are not cancerous. But they are aggressive.