hello, without first having a look, i won't be able to comment, but, for acne keloidalis nuche, removing them surgically might not be a good option. you can try undergoing microdermabrasion. i have found it to be effective in some cases. Regards, Dr.Shruti Jadhav Devershi, Sólskin Professional Dermacare, Kharadi, Pune
Next Steps
Consultant a qualified Dermatologist trained in dermatosurgery
Health Tips
to do not try to self medicate.