Keloids are a hard thing to improve through scar revisional techniques.(scar removal / scar treatment / scar revision) Invariably they always come back to some extent. Steroid injections are helpful after excising them. During my fellowship training in Louisiana, I had a lot of experience with Keloids / large scars / hypertrophic scars. One thing we did there is take them out and let them heal secondarily or open without closing them and creating additional tension. That seemed to help that population a lot of times. This is something you should ask your doctor about. There is scientific basis to how that helps the healing. I did some extensive research on this.
Thanks for reading, Dr Y
Dr Young specializes in Facial Cosmetic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington