the piercing on the middle of the helix in both ears resulted in keloids formation .
 key clinical messageear lobe keloids are common following ear piercing and these lesions are conspicuous and cosmetically unappealing . 
 multiple methods including surgery , radiotherapy , anti mitotic agents , silicone sheet , pressure clips , and cryotherapy have been used . 
 the challenge is to have a good cosmetic outcome with minimal recurrence . 
Discussion
Conflict of Interest