Click here to download a slide of this image in PowerPoint format. You do NOT need to request permission if you are reproducing or paraphrasing a table or figure to make slides or handouts for an educational lecture or discussion that is under the auspices of a not-for-profit educational organization. Otherwise, contact permissions{at}aap.org for additional information or to make a request.
Click on image to view larger version.

Fig 1. Keloid on earlobe secondary to ear piercing. The lower piercing was performed at age 2, whereas the second piercing, performed at age 17, resulted in keloid formation.