There is no complete cure for hyperplastic keloids, which can be improved with the use of silicone products, compression therapy and surgery. Keloids are benign skin tumors caused by skin injuries characterized by fibroblast overgrowth and abnormal accumulation of extracellular matrix. 1. Silicone products. Silicone films can increase hydration of the stratum corneum and reduce evaporation of water from the skin. Hydration of the stratum corneum is thought to increase oxygenation, thereby reducing hypoxia-induced angiogenesis and tissue growth. Silicone can be used as a liquid gel or applied or pasted to the scar. 2. Compression therapy: Compression therapy changes the tension in the scar through compression. In addition, compression induces local tissue ischemia which leads to collagen degradation and changes fibroblast activity. The extremities and trunk are best suited for compression therapy. 3. Surgery: For keloid scars in special areas, such as earlobes, back of shoulders and other exposed areas, surgical excision combined with postoperative radiation therapy can be considered to achieve significant improvement in the appearance of the scar. The redness, pain, itching and other symptoms caused by keloid scars, functional or aesthetic discomfort seriously affect the quality of life of patients. Yet there is still no perfect treatment. Therefore, prophylactic treatment is very important for patients at risk of keloids, and suitable prophylactic treatments should be systematically implemented at the time of surgery or trauma to improve the patient’s quality of life. Self-medication is not recommended for hyperplastic keloids, which should be treated professionally at the dermatology department of a regular hospital.