When skin is injured, fibrous tissue called scar tissue forms over the wound to repair and protect the injury. In some cases, scar tissue grows excessively, forming smooth, hard growths called keloids. Keloids can be much larger than the original wound. They’re most commonly found on the chest, shoulders, earlobes, and cheeks. However, keloids can affect any part of the body. Dr Hwong uses kenocort (triamcinolone) combined with Botox and cryotherapy to treat keloids. It is a safe method that is does not cause much pain as a local anaesthetic (licodaine) is mixed into the injection in order to numb the skin.