What is the best way to get rid of the acne keloid scars on my back?

Injections: Hypertrophic scars on the back are very difficult to treat and only modest improvment is the norm. They can be decreased by intralesional cortisone injections.

Keloid Rx: The safest approach is silicone tape/gel (myscaraway, from walgreens/online), steroid/bleomycin injections immunosuppressant/chemotherapyagent) only in pro hands, electron-beam radiotherapy, almost never excision unless radiotherapy can be guaranteed within 24hr after excision. Be very careful or it will be made worse by cutting it! close follow up for 2yrs+ to monitor for recurrence essential!