Keloid from Ear Piercing - Removal Options?

Treating all keloids is a challenge but particularly in this area of the ear. If injection do not reduce the keloid, surgery with followup injections is a viable option but know that your participation by use of silicone sheeting, postoperative compression and regular injection is essential. Historically, if the keloids recurred, therapeutic radiotherapy was successful but the radiologists in my area no longer accept these cases for fear of the longterm effects of treatment. I treat post revision patients monthly with injection and emphatically advise against repiercing as this will induce regrowth and greater disfigurement.

Keloids of the ear and earlobe from piercings are quite common. In your situation, my recommendation would be for it to be surgically removed by a plastic surgeon (whether or not it is covered by insurance) with immediate injection with steroid medication. You should then be followed up monthly for a while with possible additional steroid injections at these visits if warranted. Just doing surgery alone has a very high rate of recurrence.