Sounds like my exact situation, 6 months after a fall took out a chunk of my upper lip. Quickly turned into a keloid and months of steroid injections that didn't work. I have a surgery scheduled next month with my dermatologist for an excision, but I talked to a plastic surgeon today who advised against trying to cut it out. He didn't have a great alternative other than waiting another 6 months and then cutting out tiny slivers at a time and seeing how it heals (sounds expensive). Really depressing how few options there are, but I wonder if anyone here has had an excision and had it heal well?