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The best way to decide on a treatment approach is to first gain clarity on your condition through an accurate diagnosis. What many people think are keloids on the back of their head can actually turn out to be Acne Keloidalis Nuchae (AKN). The tissue that develops with AKN is not keloidal. The condition occurs due to aggressive immune system attacks on the follicles, causing the skin to produce large amounts of thick collagen. AKN medications as described may help alleviate the discomfort, itchiness and swelling. But surgery is often necessary to get rid of the bump(s).I have included a link below with an example of the condition and its treatment.
Our office specializes in keloid removal in Los Angeles. Depilation and application of Plato's Scar Serum can help improve the scar; wherein you may want to consider laser, injection therapy, thereafter. Raffy Karamanoukian MD FACS
Keloid scars can generally be improved through a combination of laser and intralesional steroid injections. Several treatments may be necessary for large keloids. Please consult a board certified dermatologist with experience in keloids and scars.