Most earlobe keloids are caused by pierced earrings, so they are mostly seen in young and middle-aged women. The hard “swelling” grows in the area where the earring hole was pierced, and it grows larger and larger. In serious cases, the earlobe is stretched, painful and unsightly, causing a lot of damage to the body and mind. Medically, this swelling is called a “keloid” and is one of the most unusual types of scarring. It can be caused by a small injury and can grow in size, extending beyond the site of the injury. It is often high on the skin surface, red in color and hard in texture, hence the name “keloid”. Treatment of auricular keloid After understanding the cause of auricular keloid, there is a purpose for treatment. 1. First of all, the keloid formed after ear piercing or sharps injury to the auricle is more limited. We mainly remove the keloid within the keloid, right down to the cartilage surface, or even thin the cartilage and completely remove any foreign bodies that may be present. The skin on the surface of the keloid is preserved, the excess skin is cut away, and the incision is closed without tension. It is best to use oiled gauze staples for anterior and posterior pressure fixation to prevent subcutaneous blood leakage. Such treatment, firstly, removes the possibility of foreign bodies within the keloid and secondly, the incision is tension-free. Such treatment can basically solve all auricular keloids. 2. For keloids formed after burns or large injuries, we believe that an effective treatment is to remove the keloid and the skin on the surface, and use skin implants or expanded skin to cover the trauma. The purpose of removing the foreign body and closing the wound without tension is achieved. 3. For patients with keloid or easy scar growth. We believe that surgical treatment for keloid patients should be cautious or even contraindicated. Patients who are prone to scar proliferation need comprehensive treatment, i.e. surgical excision + radiation therapy + drug injection therapy. Does every patient need comprehensive treatment? 1. We believe that for patients who simply have their ears pierced and form keloids, as long as they are not keloid or prone to scar proliferation, careful surgical excision can completely achieve satisfactory and lasting results without the need for radiation therapy. After all, the damage of radiation to the human body is serious. 2. For patients with a tendency to recur, we can prevent recurrence with auxiliary steroid hormone local injections, which can be given once every other month for a total of 3~4 times. The side effects on the human body are extremely mild and can be completely assured. 3.Only for patients with keloid hyperplasia, we have to adjuvant radiotherapy and drug injection treatment after excision. 4.Does the auricular keloid need continuous compression after surgery? I think the effect is not obvious, firstly, compression is not easy to implement, and secondly, the effect is not obvious either. Compression is effective for keloid growths, but not for keloids.