Have you tried the cortisone injection? I have a keloid on my chest as well. I received my first injection a few days ago and it reduced the size. It s still there, but my doctor said it may take several injections (once per month) before it is completely gone. Put your finger on top of your keloid and press down on it... if it feels squishy then you re in luck! the injection should be very beneficial. If it feels really hard then a cortisone treatment will be more painful and sometimes less effective, but you never know how your body will respond. Before I knew what was on my chest I tried healing it with neosporine, but my doctor said that it does not have any affect. I have heard of some people using acne creams (w/ salicylic acid)... although it did not work for me it still may help? You should definitely look into some preventative treatment as well. Here s a helpful site for prevention http://www.ehow.com/way_5498946_keloid-prevention.html Make sure you do not touch/mess with your keloid or any type of bumps,scrapes etc on your skin. Discuss with your doctor the benefits and risks of surgery because with surgery there is a chance your keloid can get bigger. For the itch maybe a cortisone cream would help, the kind which requires a prescription works best. Mine used to be really itchy before I started using the prescription kind... the over-the-counter creams did not help me at all. I m married as well and I do feel self-conscious when I wear shirts that show my keloid. People always point out my keloid which is embarrassing, but just explaining what it is will help. Sometimes I use a concealer and powder to reduce the redness and shininess. Remember that it is not your fault and it is a very common thing! Since you stated that it is creating marital problems I suggest that you seek couple s counseling. Communication with your partner about how you feel about your keloid is very important. Maybe even educating your partner on keloids can help.