What treatment for keloids has a least chance of regrowth?concerned with getting it as small as possible with a low chance of growing back not removal

Many options: Excision is best way to remove a keloid but re growth is possible. Attempts to use pressure (compression), steroids, and radiation have all been used with variable success.

No one answer!: Keloids commonly regrow after attempts at removal, so steroid injection, pressure therapy, and even radiation has been tried in addition to re-excision and careful precise closure with as little inflammation as possible. If there was one "correct" answer, we all would use it.

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!