How can I permanently eliminate my keloid?

May be surgery. Keloids can be excised, however, there is a risk for the new scar becoming keloid. Steroid injection may be employed. It would be prudent to consult a plastic surgeon.
You may not. There are multiple treatments for keloid which means there is no one "good treatment". Your plastic surgeon can help you deal with this.
Steroids and . Surgery. I use steroid injections before during and after surgery also use biocorneum topical scar cream.