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Keloids or hypertrophic scars are formed because of any cut or any injury to the skin. It could be just a simple inflammation even post pimples, post acne also can get keloids, so there is disruption on the skin surface and in the process of healing, the skin from either side comes and joins to form a normal skin. But in people with tendency to form keloids the skin from either side which comes is going to be exaggerated meaning excess skin production which forms a lump which is called keloid. Better not to exercise them surgically because in that surgical excursion if made a cut again it is going to form a keloid. Best is to give a small injection into the keloid which flattens it. It is a hereditary factor and can run in the families and the person will always be prone to this keloids. To avoid them best way is to stay away from the injuries.