Can I use Epsom salt for a keloid on my nose ? (Photo)

Thanks for your photo.  I agree with Dr. Karamanoukian that you should remove the foreign body piercing and keep the area clean to remove the inflammatory stimulation.  The scars and keloids form as a healing response to trauma and should settle down in a few months, but will grow with continued stimulation of inflammation.  Salt treatments may help to reduce swelling, but the foreign body inflammation will only add more collagen to the keloid.  If you do develop nodular keloids, you may need more aggressive management and we can offer several nonsurgical options to consider.

If a keloid is forming, you may want to remove the piercing and cleanse the area frequently to prevent any further inflammatory process. We also advise you to use Plato's Scar Serum twice daily on the scar. Best, Dr. Karamanoukian Los Angeles