Keloids Growing Back After Removal

Removal of keloids is very difficult task. Some patients are more prone to developing keloids and some areas are more at risk, like the earlobe, shoulder, upper back, midline of the chest. Keloids typically run in the family and it is a problem with wound healing. So just by excising it, yes likely it will come back. There are some special things that can be done like steroid injections at the time of removal with follow ups every 6 weeks. Also radiation to the area as well as compression garments. Doing all this this can lead to a high rate of recurrence which is upwards to about 50% chance it will come back.

Keloids have a biologic behavior much similar to tumors. Excision alone often time leads to recurrence.
The next incision should be accompanied by a corticosteroid injection at the time of removal, as well as corticosteroid injections every 4-6 weeks for the next 3-6 months. You should also wear a compression earring all day and night if the keloid is on your earlobe. Should that be unsuccessful, the next treatment can incorporate fractionated external beam radiation treatment. Over 3-4 treatments, you would receive localized radiation, significantly diminishing the incidence of recurrence.
Best of luck!