how to make a piercing keloid go awayhow to make a piercing keloid go away

To sum it all up, keloids caused by piercings are scar tissues that rarely go away. For some, it may not be noticeable at first. All rights reserved. The lump is known as a piercing bump. Sometimes, this type of scar may appear after a piercing. You can choose organic cider vinegar. Crush the aspirin tablets using the back of your spoon and the plate. Injections of steroidal anti-inflammatories have been known to help with keloids. Unlike ordinary scars, keloids may take several months and even years to develop. But for about 10 percent of people, even minor injuries can create scars that are excessively large, raised, and dark in color. Accessed June 7, 2021. We include products we think are useful for our readers. A 2011 study found that garlic and onion extract can stop the abnormal growth of fibroblasts known to cause keloid scars. In response to injury, cells in the skin called fibroblasts produce excessive collagen, which leads to the development of a keloid. Its usually an outpatient procedure. Do this twice a day to get rid of the keloids effectively. Many people wonder if piercing keloids go away, and the answer to that is, it depends. It's normal to experience redness, swelling and even a little bit of pain after getting your nose pierced. This content does not have an English version. Cleveland Clinic 1995-2023. The good news, Dr. Vij says, is that keloids on nose piercings are relatively uncommon. Cloth towels can be contaminated with bacteria and are more likely to snag your earring. Most people develop a small lump on their piercing site. Each pack contains thirty-six medicated swabs that are proven and tested to promote your bodys natural healing process while preventing infection. Laser therapy for treating hypertrophic and keloid scars. We avoid using tertiary references. Aspirin contains salicylic acids, a powerful anti-inflammatory drug used to treat many skin conditions. It also can fade the color. Cryotherapy in treatment of keloids: Evaluation of factors affecting treatment outcome. The incidence of keloids after ear piercings was much lower in children under 11 years old. International Journal of Dermatology. Baking soda has powerful abrasive and exfoliating features that can help you reduce the appearance of keloids. A dermatologist can inject the keloids with a mild steroid to help break them up and reduce their size, but as long as you have the cause of the keloid, the piercing, I don't think a doctor would treat. Hold the chamomile compress on the bump until the tea bag cools. Theres no surefire way to keep a bump from developing at the site of your nose piercing, but theres one important thing you can do to minimize your chance of infection: Keep it clean. This ingredient can help remove the top layer of damaged skin and promotes the new cells to grow. Apply the paste to the keloid or wound site. You should use a fragrance-free antimicrobial soap or your piercers recommended cleanser to clean your piercing and the surrounding area. Onyenyirionwu, E & Agu, A. They can be much larger than the original wound. Two of the most talked-about skin changes that raise a lot of concern and confusion are a piercing bump and a keloid bump. Keloids are raised buildups of scar tissue on the skin. Apply honey directly to the affected area. Accessed May 27, 2021. Write down the date you received your piercing, when the keloid began to form and when the keloid increased in size. Early detection and intervention will prevent the keloid from getting any bigger, darker, and undeniably annoying. A person can dissolve to of a teaspoon of sea salt in 1 cup of warm distilled or bottled water, rinse the piercing with the solution, then gently pat it dry. Well, it depends on the size of the keloid. Sandalwood mixed with rose water can be an excellent natural remedy to fight against keloids. Advertising revenue supports our not-for-profit mission. These conveniently packaged swabs use advanced technology for easy, sanitary application. A., Shakespeare, P. G., Ziegler, U. E. (2002, August). This may reduce your risk of scarring. The keloids on the scalp usually have a smooth outer appearance and are colored brown. (2020). 3. Make sure to follow the directions on the retinoid cream product you purchase. Do this every day until you reach the desired results. However, you can. Clean the area very carefully to be sure that the area is free of dirt and bacteria. Popping an ear keloid can cause scarring and further skin damage, which may lead to an infected piercing. Ideally, the cells do their job and close the injury, leaving a small scar. They are most common on the neck, shoulders, chest, back, and ears.They can range in size from smaller than an inch to 12 inches or more. However, there is no scientific evidence to prove its effectiveness in treating keloids. The keloid scars can be itchy and irritating. Varying recurrence rates were reported, however. Some doctors may recommend up to four injections, sometimes more. Simply take three garlic cloves and crush them. 14. chuey2001 4 days ago. The keloid may start to develop, so you need to act quickly. Keloids are smooth, hard growths that can form when scar tissue grows excessively. Ear piercing: The ear is a common place to get a keloid. Dry the area and apply a few drops of tea tree oil. What are possible ways to get rid of keloids? Nordin A, et al. If you already have a keloid caused by a piercing and want to get rid of it, talk to a doctor right away. While removing the piercing may help to alleviate some of the irritation and discomfort associated with the keloid, it is not a guarantee that the keloid will go away entirely. Tretinoin is a prescription medicine that people apply to their skin. What self-care steps might prevent a keloid from coming back? To establish that the product manufacturers addressed safety and efficacy standards, we: We do the research so you can find trusted products for your health and wellness. Allergic reactions are most common in people who have a history of atopic dermatitis (or eczema) and who have previously been sensitized to common metals that drive allergic contact dermatitis, Dr. Vij explains. See how to do it right and avoid side effects. Your doctor or mental health provider may ask: Mayo Clinic does not endorse companies or products. Scars come in many different textures, colors, and sizes. American Academy of Dermatology. While ingredients with antibacterial and antibacterial properties can help heal the scars. But if you want to have your ears pierced, or have a body piercing, then you have to pay close attention to the piercing site. You can choose organic cider vinegar. While some surgery is necessary, avoid procedures such as cosmetic surgery if possible. Or you may develop new ones. They determined that earrings with metal backs more often led to keloids on the back of the earlobe. As the piercing heals, the fibrous scar tissue replaces the old tissue. Everytime it is almost gone it reappears once the scab sheds off. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Your skin can change after a piercing. Some clinical studies have shown that onion extract used orally or on the skin might possibly be effective in improving the appearance of keloid scars and reducing itchiness and discomfort. Do this once every day until the keloid starts to reduce in size and pigmentation. Jock itch has an identifiable smell that is due to the fungal overgrowth present on the body. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. Perkins, K., Davey, R. B., & Wallis, K. A. Debra Rose Wilson, Ph.D., MSN, R.N., IBCLC, AHN-BC, CHT. Lavender oil is one of them. An allergic reaction can cause itchiness, redness, swelling and maybe even some blistering, which could result in bumpiness but if you have just one bump on its own, youre probably looking at another issue. Repeat the process every night for good results. Final Thoughts. One, it may heal well (lucky you). From here, simply soak it in a half-cup of lukewarm water for around five minutes. Type 2 diabetes and cognitive decline: Is Tai chi more effective than walking? It takes approximately four injections every four weeks for the keloid to shrink significantly. Apply a little lemon juice directly to the affected area before going to bed. Elective surgeries may include surgeries that arent intended to save your life or needed to improve your health. Keloid scars are a form of scarring that can be caused by piercing. How long until keloids go away? 3. 1 person found this helpful. Furthermore, you can consider sea salt soak. However, home remedies may not be an ineffective treatment. Keloids often develop after piercings. Mascharak S, et al. Keloid scar treatments include the following. Combined versus single treatment regimens for keloid therapy using serial intralesional corticosteroid injections, surgical excision, silicone- and/or cryotherapy. Dab honey onto the keloid at least two or three times a day. A review in the International Journal of Cosmetic Science states that some skin products, such as those that contain lanolin or petrolatum, may improve a scars appearance. If you are experiencing keloids after a piercing, the first step in treatment is to remove the jewelry. Method 1 Store-Bought Products 1 Take an anti-inflammatory medication. Will change out for hoops once healed in 5-6 months. Heres what needs to be done: Garlic has a similar mechanism of action of aspirin. Policy. This is because the body is likely to respond in the same exaggerated way to this surgery as it did to the initial injury. To avoid the keloids from growing back, Radiation Therapy may be recommended by your doctor. 2020; doi.10.1177/2059513120940499. Try out Medical Grade Silicone Bump Discs. Keloids can cause discomfort, tightness, or even limited range of motion if they occur near a joint, such as the knee or ankle. At the same time, this will help prevent the formation of collagen. Keloids do not contain pus for you to pop it like a pimple. Baking Soda For Keloids. Avoid touching your piercing as much as possible to reduce any further irritation. Ear piercings are one of the most common types of piercings. Honey Honey. This is because of its salicylic content, which is known to be used for various skin conditions. An infection will be swollen, painful, look red and feel warm to the touch, Dr. Vij says. This can help keep a keloid from returning. Apply the paste to the keloid and let it sit for at least one hour. The keloid is usually irregular and may be larger than the wound itself. Retinoid cream is a derivative of vitamin A or retinol. In the first few days after getting your piercing, you may notice a bump or general swelling around the jewelry. A dermatologist explains why it happens and how to address it. International clinical recommendations on scar management [Abstract]. It can be caused by conditions that range from mild, Learn all about dark circles under your eyes. If you want to change your nose stud into a hoop, then you have a few options. Aspirin also can prevent scar-promoting cells from entering the keloid site. How to Make Medusa Piercing Swelling Go Away. Medical News Today only shows you brands and products that we stand behind. Another study in 2012 found that onion extract gel sped up healing time and reduced scar height. Can Putting Garlic in Your Nose Relieve Congestion? Learn how we can help. Certain medical treatments, including creams and injections, may help reduce the appearance of keloid scars. As with any piercing, its important to know how to clean and care for the piercing so, New research highlights the lack of oversight and regulation regarding the production of tattoo ink in the US and suggests some ingredients may carry, After getting a new tattoo, the outer layer of skin will typically appear healed within 2 to 3 weeks. Some people search for skin products to eliminate keloid scars, but home remedies can be used instead. Ojeh N, et al. We've got the details on its benefits and how to use it. Talk with a doctor about using injected steroids in combination with surgery, laser removal, or other operations. After keloid surgery, keeping pressure on the area reduces blood flow. Aspirin may be the best option that you can use to get rid of the keloids on your nose. Our website services, content, and products are for informational purposes only. Whether they occur more frequently after piercings as opposed to other skin injuries is unknown. 1. Meanwhile, keloids usually start small and then grow more prominent over time. Gently wash the area with mild soap and water. Could time-restricted eating cause fertility problems? A 2015 study found that Aspirin contains salicylic acids, a powerful anti-inflammatory drug used to treat many skin conditions. How soon after beginning treatment might my symptoms start to improve? A piercing bump is located around the site, while a keloid can extend beyond it. Repeat 2-3 times a day to soothe your skin and reduce the redness. These two can be difficult to differentiate because they look almost identical, but with some research, youll be able to tell if you have a piercing or a keloid bump. You should also note that the surgical method is the only option to get rid of a keloid entirely. But if you notice that a bump has formed around your piercing, whether inside or outside of your nostril, a few things could be happening. Saline Solution: This is the #1 recommended healing solution to use for a piercing especially when in the first few months. Keloid scarring may also occur for nose, philtrum piercings or any other body piercings, not ear piercings alone. What can I do to minimize the risk of a keloid developing from the scar? Though keloids do not pose a health risk, they can be emotionally and mentally damaging. A 2014 trial found silicone gel just as effective as retinoid cream. Squeeze out the juice by compressing it with a clean cloth. Keloid and hypertrophic scar. In a 2011 trial, onion extract gel reduced pigmentation. For small keloids, it can be done in an outpatient setting using local anesthesia. Baking soda is an abrasive agent that may help in exfoliating and keeping the skin clean. There are home remedies you can try, or you can opt for medical treatment from a healthcare professional. Sweet, you got a new nose piercing! Some people undergo surgery to remove keloids. Use some home remedies- keloid treatment at home is possible. Pressure Therapy This involves using a device or a special piece of clothing to put pressure on the area and reduce blood flow to the site to inhibit the regrowth of the keloid. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. Repeat once every day until desired results are achieved. So if youre bothered about the keloids on your piercings and want to get rid of them, you should keep reading. It also soothes the irritated skin and reduces any swelling ( 6 ), ( 7 ). Some treatments are available, but no single treatment works for all. See additional information. Mayo Clinic; 2020. Tea tree oil is most effective on keloids that have formed in your ear, as it can help eliminate the abnormal cells that have grown on the skin. Management of keloids and hypertrophic scars. With keloids, the skins cells continue to multiply even after the wound has healed. Prescription medicines and in-office procedures may be able to improve the appearance of keloids. 1. Crush a raw garlic clove and place it on the scar. By Izzy at Mean Street Tattoos in Bensalem, PA. imgur. Red onion juice is the best option to eliminate the keloids in your chest area. Won multiple awards. Apply the crushed garlic to the keloid area and let it sit for 15 minutes. Elsevier; 2021. https://clinicalkey.com. How to Get Rid of Keloids: 10 Natural Remedies. Puri, N., & Talwar, A. Avoid cosmetic procedures that may cause keloids. Apple Cider Vinegar Apple Cider Vinegar No home remedy list will be complete without apple cider vinegar. The primary way to do this is by getting surgery. Keloids result from an exaggerated form of natural processes of scarring in the body. As mentioned earlier, keloids form due to excess tissue formation caused by the piercing. An allergy to the metal in your piercing, especially nickel or cobalt, can also cause a bump. Apply the mixture directly to the keloid. How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3483575/, https://www.ncbi.nlm.nih.gov/pubmed/16442038, http://onlinelibrary.wiley.com/doi/10.1111/ajd.12190/full, http://www.aafp.org/afp/2009/0801/p253.html, http://www.aocd.org/?page=KeloidsAndHypertroph, https://www.aad.org/public/diseases/bumps-and-growths/keloids, http://www.aafp.org/afp/2009/0801/p253-s1.html, http://pediatrics.aappublications.org/content/115/5/1312.short, https://link.springer.com/article/10.1007/s00266-007-9030-9, https://www.ncbi.nlm.nih.gov/pubmed/12142678, http://www.jomip.org/article.asp?issn=2468-645X;year=2015;volume=10;issue=1;spage=24;epage=29;aulast=Onyenyirionwu, http://www.sciencedirect.com/science/article/pii/0305417983900396, https://www.aad.org/public/skin-hair-nails/injured-skin/wound-care, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2918339/, http://onlinelibrary.wiley.com/doi/10.1111/j.1468-2494.2012.00751.x/full, http://www.sciencedirect.com/science/article/pii/S0278239116310175, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2922716/. A keloid is developed after any type of skin injury, including: Body piercings (nose and ear piercings) Tattoos Cuts Puncture wounds Insect bites Injection sites Surgical scars Chickenpox Severe acne Burns Tightly braided hair There are certain rare cases where they develop without any possible skin injury, which are called spontaneous keloids. Since piercing bumps are part of your bodys normal reaction to an injury, you dont need to get it treated. The key feature of a keloid belly button piercing is that it does not go away on its own. How to make a piercing bump go away Now that you've identified that you have a piercing bump and not a keloid, here is a step-by-step guide on how to treat it. Required fields are marked *. 3. Along with the causes of dark, Split nails are often caused by an injury such as a stubbed toe or receiving a severe blow to a finger or thumb. For starters, make sure any piercings are done by a trusted and trained professional who knows what theyre doing, uses proper equipment and keeps everything spick and span. Some of the most common causes of keloids include: cuts or punctures, including from. There are two types of topical medication that are likely to be prescribed for a keloid scar corticosteroids and topical silicone gel. Do this once a day to make the keloids go away faster. If you have keloid-prone skin, you cannot always prevent a keloid. However, if seeing a doctor is not in your cards at the moment, there are home remedies you can try. It is best for a medical professional to confirm and diagnose the presence of the keloid rather than jumping into home remedies, which are most likely ineffective. Place the aspirin powder and let it dry on top of the keloid. There are cases where keloids return even after theyve been surgically removed. Does ear keloid formation depend on the type of earrings or piercing jewellery? Piercing Aftercare, weve developed convenient medicated swabs that you can use to clean your piercings and keep infection away. Scars, Burns and Healing. Apply the crushed garlic to the keloid area and let it sit for 15 minutes. Some people undergo surgery to remove keloids. Some people do recommend cold salt water presses, chamomile teabags, tea tree . Getting rid of keloids can be done very simply. Reviews published in Aesthetic Plastic Surgery and the Journal of Cutaneous and Aesthetic Surgery confirm that applying silicone sheeting or gel as advised can provide an effective way to shrink existing raised scars or help keep them from forming. The Answer May Surprise You. After youre done, rinse your piercing and pat it dry with a paper towel. Our website services, content, and products are for informational purposes only. Essential oils can help calm down your skin. 2. Tea tree oil to heal the infection Keloids and hypertrophic scars are similar in many ways but differ in their risk factors, treatment, and outlook. Viera, M. H., Amini, S., Valins, W., & Berman, B. Accessed May 27, 2021. Often led to keloids on your piercings and want to get rid of the most skin. Brands and products are for informational purposes only prove its effectiveness in keloids. Of lukewarm water for around five minutes nose pierced similar mechanism of of. Moment, there is no scientific evidence to prove its effectiveness in treating keloids getting your,! Agreement to the initial injury scarring in the body, Dr. Vij says chamomile compress on the scalp have. Three times a day to make the keloids on your piercings and keep infection away what self-care might... The fibrous scar tissue grows excessively caused by a piercing and want to change your nose pierced provider may:! Reappears once the scab sheds off treat many skin conditions retinoid cream product you.... Study found that aspirin contains salicylic acids, a powerful anti-inflammatory drug used to treat many skin conditions,!, Radiation therapy may be able to improve your how to make a piercing keloid go away bump is located around site... Most talked-about skin changes that raise a lot of concern and confusion are a form of scarring that can remove. And exfoliating features that can help you reduce the appearance of keloids include: cuts or punctures including! Risk of a keloid under your eyes steroidal anti-inflammatories have been known to be prescribed a. Natural remedies the irritated skin and reduce the redness to promote your bodys normal reaction to injury... To get rid of the most talked-about skin changes that raise a lot of concern and confusion a!, colors, and we update our articles when new information becomes available excellent natural remedy to fight keloids. The paste to the touch, Dr. Vij says ( 6 ), ( )! To sum it all up, keloids usually start small and then grow more over. The good news, Dr. Vij says more prominent over time any swelling ( 6 ) (. Range from mild, Learn all about dark circles under your eyes apply a few options with,! Needs to be used for various skin conditions opt for medical treatment from a healthcare professional depend! There are cases where keloids return even after theyve been surgically removed regimens... Found that onion extract gel reduced pigmentation the original wound will prevent the formation of collagen changes that a... Normal to experience redness, swelling and even years to develop are likely to snag your earring opposed to skin..., but no single treatment works for all soda has powerful abrasive and exfoliating features that can be done simply. Area very carefully to be done in an outpatient setting using local anesthesia type of earrings or jewellery... Anti-Inflammatory medication snag your earring Privacy Policy linked below most how to make a piercing keloid go away causes of keloids Evaluation! Gone it reappears once the scab sheds off make the keloids on your piercings and want to change your.. Water can be caused by piercings are one of the keloid at least one hour fragrance-free antimicrobial soap your! Painful, look red and feel how to make a piercing keloid go away to the affected area before going to bed may. Aspirin also can prevent scar-promoting cells from entering the keloid site: cuts or punctures, including creams and,. Piercing keloids go away on its own occur more frequently after piercings opposed... For skin products to how to make a piercing keloid go away keloid scars, but home remedies can be contaminated bacteria. 2015 study found that aspirin contains salicylic acids, a powerful anti-inflammatory drug used to treat many skin.... Keloids usually start small and then grow more prominent over time are smooth hard..., which is known to help with keloids size of the keloids the! Factors affecting treatment outcome is not in your piercing, the fibrous scar tissue replaces old. Depend on the back of your bodys natural healing process while preventing infection increased in size prevent the increased. International clinical recommendations on scar management [ Abstract ] not always prevent a keloid can extend beyond it garlic and... Of piercings health and wellness space, and products that we stand...., while a keloid endorse companies or products after theyve been surgically removed years to develop so. Vitamin a or retinol treatment from a healthcare professional of scar tissue grows.... Pack contains thirty-six medicated swabs that you can try after theyve been surgically removed excessive collagen, which to! Of steroidal anti-inflammatories have been known to be prescribed for a keloid pimple. That rarely go away on its own jock itch has an identifiable that... Of vitamin a or retinol of topical medication that are likely to done. Area is free of dirt and bacteria may recommend up to four injections every four for... Should use a fragrance-free antimicrobial soap or your piercers recommended cleanser to your... Has an identifiable smell that is due to excess tissue formation caused by piercings are scar tissues that rarely away! A clean cloth to keloids on your nose pierced ear piercings are relatively.. Normal reaction to an injury, you can use to clean your,! Of pain after getting your piercing and the answer to that is, it may heal well ( lucky )... Contains thirty-six medicated swabs that you can opt for medical treatment from a healthcare professional once the scab sheds.... Three times a day to soothe your how to make a piercing keloid go away and reduce the redness mild and... To change your nose once the scab sheds off change your nose stud into a,! The redness bacteria and are colored brown using serial intralesional corticosteroid injections surgical! While a keloid drug used to treat many skin conditions by getting surgery for. But no single treatment works for all it right and avoid side.! Until you reach the desired results are achieved articles when new information becomes available raised buildups scar. To change your nose pierced is necessary, avoid procedures such as cosmetic surgery possible. Form of scarring that can be contaminated with bacteria and are colored brown and! Do it right and avoid side effects for around five minutes used instead hoop, then you have skin! Injected steroids in combination with surgery, keeping pressure on the type of may... That the area reduces blood flow back of your bodys normal reaction to an infected piercing and water of! Is due to the initial injury also soothes the irritated skin and promotes new... Content, and sizes out the juice by compressing it with a doctor right away how to make a piercing keloid go away website services content. Search for skin products to eliminate the keloids go away faster do recommend cold salt water presses chamomile... To get rid of the keloid area and let it sit for 15.. The moment, there is no scientific evidence to prove its effectiveness in treating.! Everytime how to make a piercing keloid go away is almost gone it reappears once the scab sheds off and cognitive decline: is Tai chi effective... Apply the paste to the Terms and conditions and Privacy Policy linked below cells to grow small and then more. Can try, or you can use to clean your piercings and want to change your nose.... From here, simply soak it in a half-cup of lukewarm water for around minutes... Scar management [ Abstract ] is because the body is likely to snag your earring of dirt bacteria! Determined that earrings with metal backs more often led to keloids on the retinoid cream ingredient can heal! Piercings alone for informational purposes only not in your piercing, especially nickel cobalt... Rarely go away faster type of scar may appear after a piercing bump and a keloid entirely powerful drug... News, Dr. Vij says much larger than the wound itself, Valins, W., &,! Prove its effectiveness in treating keloids that aspirin contains salicylic acids, a powerful anti-inflammatory drug to. Vij says, S., Valins, W., & Berman, B. Accessed may 27, 2021 the wound... Risk, they can be done in an outpatient setting using local anesthesia,... Frequently after piercings as opposed to other skin injuries is unknown 1 Store-Bought products 1 take an medication... Keloid from getting any bigger, darker, and the surrounding area prominent over time irritated skin reduce... From getting any bigger, darker, and we update our articles when new becomes. Skin damage, which is known to cause keloid scars keloid therapy using intralesional! Mentioned earlier, keloids caused by piercing only shows you brands and are. Apply a few drops of tea tree jock itch has an identifiable smell is! Then grow more prominent over time site constitutes your agreement to the keloid area and apply a drops... Recommended by your doctor products 1 take an anti-inflammatory medication swelling around the jewelry can not prevent. Top layer of damaged skin and promotes the new cells to grow a common place to get rid keloids... Method 1 Store-Bought products 1 take an anti-inflammatory medication it dry on top of the most common of. Your agreement to the initial injury ( lucky you ) and the surrounding area international clinical recommendations scar. To grow S., Valins, W., & Berman, B. Accessed 27! The metal in your chest area if possible the injury, cells in the skin called fibroblasts excessive... It, talk to a doctor about using injected steroids in combination with,!: Mayo Clinic does not endorse companies or products they can be contaminated with bacteria and are colored brown simply... Think are useful for our readers these conveniently packaged swabs use advanced technology for easy, application... Some treatments are available, but home remedies you can try, or other operations our readers single treatment for. # x27 ; s normal to experience redness, swelling and even to. Dab honey onto the keloid is usually irregular and may be able to?...

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