I just wanted to share so that others may not have to struggle as I did. What finally got my keloids reduced to flat, no longer growing scars was: at least once a month having high level IPL laser treatments, going over and over the area till evenly dark purple, followed immediately with Kenalog 40 mg. steroid shots. Then in 2 days apply moist pressure ie: silicone scar bandage (secure it with Tegaderm bandage - kind of expensive - and I'm poor - but will save you lots in the long run. See if your insurance will pay for it.) If it's on an area you can wrap with an ace bandage then use that to secure it.
You can leave the silicone scar bandage on as long as you like. You don’t have to change it as the directions say. In fact, with some of them, it can pull even your healthy skin off. Don’t pull it off before it’s ready to come off, even if that’s months. I have had that happen. In the meantime, you can skip IPL and steroid shots because it is healing. If when it comes off, you notice that the keloid is dry and flakey, then next time, put some silicone gel (Cimeosil) on the scar area only, before putting on the silicone scar patch.
For earlobes, use acrylic magnet earrings (with silicone bandages underneath if they're too tight) make sure earrings cover entire scar. You can also buy pressure earrings (Delasco.com) made for keloids but make sure you get the hypoallergenic ones only. They look like old lady earrings and there's only one style in hypoallergenic as far as I know and it's not for sleeping so you'll need to get a donut shaped ear cushion so you can sleep wearing it. I have tried several of Delasco’s earring selections over the years, including their sleepers but I have found them to be notoriously hard to adjust to fit cut into my skin (even when they are lined with silicone) thereby setting my progress back considerably. Their acrylic ones need some design tweaking before they will actually work. I’ve never had a Delasco earring that would stay on without cutting me, so save yourself the aggravation and go with acrylic magnets.
Keep LIGHT pressure on the keloid 24 hrs a day. (If skin starts to break down over the scar, you’re putting too much pressure on. Remove the treatment, keep it clean and sterile until it heals up and start again.) Do this for at least one year.
Things I've noticed make my keloids start growing again are:
Zinc in high doses (found in cold remedies - multivitamin levels are fine).
Things rubbing against them (seams, collars, even hair)
In the future, I plan to treat all new scars with this regimen from the time they are healed over with fresh skin for at least a yr. I know this seems excessive but an ounce of prevention is worth many pounds of cure in this case.
Over the last 25 yrs, I've tried many treatments but this recipe is the only one that finally worked for me. I say recipe, because if any of the ingredients are missing, it won’t work.