Keloids are raised, tough, irregular scars that result from an abnormal healing process. Unlike normal scars, keloid scars grow beyond the boundary of the original wound. Some people are genetically more prone to keloid formation. Although this type of scarring can affect persons of any race, they occur more often in people with darker skin tones. Keloids can be particularly challenging to remove. If you are prone to developing keloids, you should consider whether you really want to pierce your nose.
Visit your doctor to determine if the bump on your piercing is indeed a keloid. Many times hypertrophic scars, another type of abnormal scar, are mistaken for keloids. The bump could also be a granuloma, inflammation that appears at the site of the injured tissue.
Ask your doctor to inject your keloid with cortisone. According to MedicineNet, cortisone injections have been shown to be effective in the reduction of keloids. Generally, your doctor will give you one injection per month until you have received their maximum benefits.
Apply a pressure dressing to the pierced area. According to MedlinePlus, doctors have found applying pressure to be a useful method of reducing the size of keloids. You can use the widely available silicone sheets, but compression sheets made of other materials are just as effective.
Try cryotherapy. If the scar is persistent and rather small, cryotherapy may be a feasible option. The keloid will be frozen with liquid nitrogen and removed. Though painful, this keloids treated with this method has a low level of recurrence according to the article, "Use of Cryotherapy in the Treatment of Keloids," published in the "Journal of Dematologic Surgery and Oncology" in 1993.
Have it surgically removed. Surgery is another option for removing keloids, but, according to MedicineNet, there is a high chance that the keloid will reform.
It is best to avoid keloids or prevent them from forming in the first place. If you know that you are prone to forming keloids, avoid having your nose pierced. If you insist on having the piercing, have the area injected with cortisone shortly after the piercing and use silicone pressure dressing to further prevent keloid formation. Keloids are more of a cosmetic nuisance than a health risk. Scar treatments can improve the appearance of a keloid, but they won’t completely remove it. But, this is true of any scar.
You may not achieve the results you are looking for with these treatments. They may not work at all. Be sure that the keloid is bothersome enough to make its removal necessary. Some methods of keloid removal may result in the keloid returning larger.