Thank you for your question and for sharing your photographs. It appears that your keloid is fairly mature and sizable, so in my opinion, conservative measures such as ointments, compression therapy or silicone sheets are unlikely to work. To start conservatively I would recommend a steroid injection into the keloid to see if it helps soften or reduces the size. If there is no response to the steroid injection, you may need to seek a revision by surgically removing the keloid and following postoperative therapies to minimize the chance of recurrence.

Earlobe keloids will respond to Plato's Scar Serum, a silicone gel, and surgical excision. Application of Plato's Serum is important before and after treatment to reduce the risk of recurrence. Best, Dr. Karamanoukian Los Angeles