Keloid on a rook piercing: what to know

A rook piercing passes through the upper inner cartilage of the ear. A keloid can form as thick, raised tissue that extends beyond the piercing site and slowly becomes more noticeable. It may be itchy, sore or sensitive to headphones and hair. Irritation bumps and cartilage infection can resemble a keloid, while infection may cause heat, drainage or worsening pain. A photo cannot reliably separate these causes.

Have the ear examined by a dermatologist or another qualified clinician. Do not twist the jewellery, press the bump, pierce it again or apply harsh antiseptics. Keep hair and headphones from catching on the site, and follow gentle cleaning advice. Possible medical options include Steroid Injection Into The Skin, Cryotherapy (Lesion Removal), Pulsed Dye Laser Treatment or Keloid Removal Surgery. The best sequence depends on the size, activity and depth of the scar.

Seek prompt care if ear pain is escalating, redness is spreading, the ear feels hot, pus appears, fever develops or the cartilage looks increasingly swollen. Urgent assessment is also sensible for sudden bleeding, skin breakdown or a rapidly changing mass.

Ask whether this is a keloid, irritation or infection; whether the jewellery should remain; which option protects the cartilage; how to reduce pressure during healing; and what follow-up will check for regrowth.