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A 23-year-old female presented with ongoing management of a keloid scar on her right auricle with no relevant medical history. At 21 years of age, she had her ear pierced and developed a local infection that was treated initially with topical antibiotics. Subsequently, a keloid scar began to form (Figure 1). At first presentation, the lesion was observed to be a 1 cm red keloid scar on the mid-helix of the right auricle. Initially, 40 mg of methylprednisolone acetate was injected locally and she was given a prescription for a pressure earing. Mechanical pressure is often used as a means to prevent or treat keloid scars.11

At 1 month follow-up, during which time she had been wearing the pressure earing consistently, a slight improvement was observed with a mild reduction in the overall size of the keloid scar. Another injection of 40 mg methylprednisolone acetate was given locally (Figure 2).