Keloids of the earlobe are frequent. The effective treatment remains a challenge. Intralesional injections, topical corticosteroids, cryotherapy, radiotherapy, laser therapy, and pressure dressings represent some treatment options. To demonstrate the effectiveness of positive pressure dressings after surgical excision to prevent recurrence of earlobe keloid. 2 weeks after surgical excision, the patient was instructed to wear pressure earrings. The dressing was worn for at least 12 h a day during 6 months. The patient was followed 3 years after the surgery. There was no recurrence of the earlobe keloid. Pressure earring was effective for prevention of relapsing keloid scar after surgical removal.