Trauma to the earlobes can cause keloids. Earring piercing, sebaceous cyst, surgical procedures, and burns. These growths are bothersome from an esthetic, social, and functional standpoints and have a high recurrence rate.

Keloids have been treated with numerous surgical and nonsurgical modalities, including direct excision, laser reduction, injection of steroids, chemotherapeutic agents, and radiation.

The most common of these lesions are on the earlobe. If small, intra-lesional steroids may be my first line of treatment. If excision is required, I perform Radio Frequency surgery which minimizes trauma and salvages some of the normal tissues. I inject steroids immediately after closure, and then monthly for 3 additional months. Because of the increased risk of recurrence, frequent monitoring is required.