I have a couple scars on my sternum that I believe are keloids caused from very severe acne. I would be very hesitant to look into surgical removal as there is a very possible and perhaps probable likelihood that keloids will return and be larger than they originally were. Some Mederma may be worth looking into. Also I hear laser treatments, and reductions are available. Dont know much about them so just be cautious, alot of dermatologists will probably tell you that the possiblility a keloid will return is minimal. They have to make money though, so it can be hard to judge whether a paitient's well being is truly on their mind. I had another keloid on my back. Several years have passed and its barely noticeable. So it could just be a time thing man