“…[56] Helical rim keloids can result from a variety of causes involving deep dermal injury, with the most common being ear piercings, post-elective surgery, acne, trauma or burns. [3] Increasing tension placed upon the lesion in certain sites and orientations, and the presence of infection and foreign bodies, may augment the risk of keloid formation. Keloid can develop at any age, but tends to be most prevalent in individuals aged between 10 and 30 years.…”