Keloid scars can definitely be tricky because they're caused by an overgrowth of scar tissue. Steroid injections are one common approach, but they're not the only option. Laser therapy has shown good results for keloids by breaking down the excess collagen. Some people also combine treatments for better results. The key is finding someone experienced with keloids specifically, as they behave differently than other scar types. It's worth getting a second opinion if you're unsure about the suggested treatment.