Keloid bump after a nose piercing

A keloid is scar tissue that grows beyond the original piercing wound. It is usually firm and smooth, may itch or feel sore, and can gradually enlarge. A small bump limited to the piercing channel may instead reflect irritation or a localised scar. Increasing warmth, throbbing pain, spreading redness, discharge, or crusting raises concern for infection rather than scar overgrowth. The nose is a visible, sensitive area, so the shape, depth, skin tone, jewellery material, and timing of the bump all influence assessment.

Keep hands clean before touching the area, avoid twisting or squeezing the jewellery, and reduce pressure from masks, glasses, or sleeping on that side. Do not remove jewellery on your own when infection is possible; ask a clinician or experienced piercer how to manage it. A dermatologist may discuss [Steroid Injection Into The Skin](/treatments/injectables/intralesional-steroid-injection/), laser options, freezing, or surgery depending on the diagnosis. Strong acids, tea tree oil, and home cutting can burn skin or worsen inflammation.

Get prompt medical advice for rapidly increasing swelling, severe pain, spreading redness, pus, fever, or trouble breathing through the affected nostril. Arrange an assessment if a firm bump keeps enlarging, bleeds, or extends beyond the piercing site. [Skin Lumps](/symptoms/skin-lumps/) explains why a new lump should be identified rather than assumed to be a keloid.

Ask what features distinguish a keloid from infection or irritation, whether the jewellery should stay in place, which treatment is suitable for the nose, how healing will be protected, and what signs should trigger an earlier review. Mention any previous raised scars before another piercing.