Ear keloids are becoming an increasingly common presentation in plastic surgery clinics across the UK. With rising piercing trends, particularly multiple lobe and cartilage piercings, more patients are seeking treatment for raised, symptomatic scars that develop months — or even years — after the original piercing.

At Precision Surgery Clinic in Birmingham, we regularly assess and treat patients concerned about ear keloids, offer piercing scar treatment in the way of offering both surgical and non-surgical management options.

What Is Driving the Increase?

Several factors are contributing:

1. Multiple Piercings

Stacked lobe piercings and cartilage piercings increase trauma exposure and scar risk.

2. Younger Piercing Age

Earlier piercing means longer lifetime risk of keloid development.

3. Piercing Guns vs Needles

Blunt-force trauma from guns may increase abnormal scarring risk in predisposed individuals.

4. Genetic Predisposition Awareness

More patients now recognise family patterns and seek treatment earlier.

Why Ear Keloids Are Difficult to Treat

Ear keloids present unique challenges:

• Limited surrounding skin
• High tension closure risk
• Cosmetic visibility
• Jewellery intolerance
• Psychological impact

This is why combination therapy is often preferred over single-modality treatment.

Modern Treatment Approach – Ear keloid removal UK

Current best practice to treat keloids after ear piercing typically includes:

• Surgical excision
• Intralesional steroid therapy
• Pressure therapy (clips)
• Silicone scar modulation
• Close follow-up monitoring

At our clinic, excision is performed under local anaesthetic as a day case procedure, with adjunctive steroid therapy to reduce recurrence risk.

Can Keloids Come Back?

Yes — recurrence remains the most important consideration in keloid treatment and earlobe scar surgery.

No intervention eliminates risk entirely, which is why structured follow-up and early steroid therapy are critical parts of long-term management. Keloid recurrence prevention includes a multimodal approach which your surgeon will discuss with you. This includes steroid injections, silicone tapes, silicone gel, pressure clips, and surgery.

When Should You Seek Treatment?

You should consider assessment if your ear scar is:

• Increasing in size
• Painful or itchy
• Preventing jewellery use
• Cosmetically distressing
• Previously treated but recurring

Early intervention often allows more controlled treatment.

Treatment at Precision Surgery Clinic

We provide:

• Specialist scar assessment
• Surgical excision under local anaesthetic
• Steroid therapy protocols
• Follow-up injections included
• Transparent pricing

Patients may also submit photographs for preliminary review before consultation.

If you are concerned about an ear keloid, early assessment can help guide treatment options and recurrence prevention strategies.

Contact Precision Surgery Clinic in Edgbaston, Birmingham to arrange a consultation or remote review. Whatsapp 077822002890 now for a quote.