Keloids must be controlled before being removed. Keloids that are removed before being medically suppressed may return and grow much bigger. Dr. Tinsley has in fact invented a cream, KeloidX, to treat keloids. This cream has replaced painful injections for many patients. Dr. Tinsley has published extensively on the management of keloids. During your visit he can explain in detail what the expectations are for the individual’s keloids. When appropriate he will recommend removal.