This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Plastic Surgery and Skin Lesions, Subject name: Surgery
First line treatment for keloid is:- 
Select and explain. 
A. Intralesional injection of steroid, B. Local steroid, C. Radiotherapy, D. Wide excision
A: Intralesional injection of steroid
Answer: A: Intralesional injection of steroid 
Explanation: Treatment of hyperophic and keloid scars Pressure: local molds or elasticated garments Intralesional steroid injection Excision and postoperative radiation Intralesional excision Laser: To reduce redness Vitamin E or palm oil massage Silicone gel sheeting Excision and steroid injection