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Hypertrophic scars on the scalp are less common than alopecia scars. I would begin therapy with twice daily application of silicone based Plato's Scar Serum. Best of luck,Dr. Karamanoukian
From the photo it appears your scar is a keloid. Because of your pigmentation, laser treatment is not feasible, however, cortisone injection once a month for 2 to 3 months will probably improve the scar significantly. Usually this would be covered by insurance but should not be more than several hundred dollars per treatment if you are uninsured.
Unfortunately from looking at your picture and the fact that you are of Afro-American ethnic background the chances of improvement are slight. It would be unfair to offer you the hope of improvement, and take your money when the chance is less then 50-50 that there will be a worthwhile positive change. This is a difficult area to make improvement in and even without any keloid or scar hypertrophy issues it still may be best to leave it be. Kenalog (steroid) injections for scars like this can sometimes leave a flat discolored area and I would be hesitant to start them. Most important is to give this at least a year or two to improve on its own. Silastic sheeting applied at night might be a good present option
Our treatments use combination therapy to improve the epidermis and dermis for most deep scars. The options available for acne scars depend on the character of your scars, in terms of topography and contour. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and...
You will likely need surgical removal of the overgrown scar (keloid) and cartilage, and subsequent series of steroid injections to keep it calm and minimize recurrence. And don't re-pierce it.