Keloid is cutaneous lesion characterized by fibrous growth produced as a result of aberration in the healing process. Pressure therapy, in combination with other forms of therapy, is used for the management of keloids. Clips or stents are generally used for the therapy and prophylaxis. This report presents use of presurgical compression and prophylactic passive pressure therapy with acrylic appliances for auricular keloids in a patient. Spring and magnets were used in the design of custom-made appliances for compression and retention.