Tendency to heal with an abnormal scar7. The external ear is most prone to unfavorable wound responses such as keloids8. Earlobe keloids are common response to ear piercing, especially in females and darker skin individuals9. Keloids on the ears present several therapeutic challenges. They are common after small skin excisions and other procedures, including drainage of auricular hematomas, repair of other auricular traumas or as secondary keloid formation after prior keloid excision. Several treatment modalities are used for keloid such as surgery alone or surgery combined with other measures with varying success rates. Today there is no agreement about which treatment modality will significantly solve the problem10. This paper report a case of a large bilateral post burn ear keloid on the helical rim which was successfully treated with surgery and intra-lesional injection of 5FU and Triamcinolon.