If ur keloid is black and dryed out , is it okay to cut it off ? How do I sanitize Scissors to cut it ?

Use Plato's Scar Serum after keloid removal. There is a finite risk of keloid recurrence with piercing. Best, Dr. Karamanoukian @kareplasticsurgery on Instagram

First use combination cream of hydroquinone kojic acid steroid and tretinoin. This will lighten dark marks.If only partially effective either the q switched laser or erbium at 200 microns can lighten these dark area. I would recommend a test spot with the laser to see how it heals first.

Microneedling will safely raise small depressed scars. For hyperpigmentation can be lightened by a combination of hydroquinone kojic acid tretinoin and a steroid cream.