Stop irritating the piercing
Avoid touching, twisting, or squeezing it
Clean gently with sterile saline
Use warm saline compresses
Keep hair, makeup, and skincare products away from it
Do not use alcohol, hydrogen peroxide, or tea tree oil
See a dermatologist or piercer for confirmation it is a keloid
Ask about steroid injections
Ask about silicone gel or silicone sheets
Ask about cryotherapy
Ask about laser treatment
Ask about pressure earrings or pressure jewelry
Ask about surgical removal only with follow-up treatment
Remove or replace jewelry only with professional advice
Choose hypoallergenic jewelry if the piercing stays in place
Avoid re-piercing the same area
Get medical care if it becomes very painful, red, hot, or drains pus