Abdominal Keloid Scar Removal

Patient: I am a 28 year old female. I was born with ileal atresia and was operated on when I was 3 days old. I have a deep horizontal keloid scar about 4 inches long beneath my belly button. When I gain weight the scar cracks and bleeds, but does not stretch. It has always been uncomfortable. Now I am concerned that when I decide to have children, the scar will become a major problem. What are my options for removal, if any?