Do I need surgery to have this keloid scar removed? (Photo)

To determine which of the
two apply (keloid or hypertrophic scar), I would recommend you visit a
qualified dermatologist in your area for an in-person evaluation. Often what
patients consider keloids are hypertrophic scars. A keloid behaves like a benign
tumor that grows beyond the wound boundaries often to abnormally large
dimensions. A hypertrophic scar is just a hyperactive scar but would not grow
beyond the wound boundaries and is often quickly self-limiting in its
dimensions. A hypertrophic scar is often more tolerable cosmetically and in
select patients, it is easily improved by steroid injections, laser treatment or
carefully executed revision surgeries with permanent results. Keloids on the
other hand tend to exhibit tumor like behaviors. Often surgical excisions could
result in a worst keloid. Treatments can include excision within the wound
margin in combination with a variety of complementary treatments that could
include topical or intralesional steroid injections, radiation treatment and
pressure bands. Read more about keloidal scars below.

you can have this surgically removed but it may recur, its likely best to do a combination of lasers.  Best, Dr. Emer.

I would massage the scar down and seek the advice of a plastic surgeon to discuss options for removal of the lesion. Best, Dr. Karamanoukian Los Angeles