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Risk of Scarring from a Breast Lift with a History of Keloids?
While keloids remain a bit of a mystery, some things are clear. There are some areas of the body that are more prone to keloids and hypertrophic scars than others. One of these areas includes the central chest. People with a strong history (personal or family) are at a higher risk of keloiding. Meticulous technique, silicone sheeting and steroids can reduce the risks of keloiding. In my Bay area practice, people who have a strong history of keloiding are cautioned that even with the best technique and technology keloiding can occur and may require additional treatment. I have not had this happen in the over 400 breast reductions I have performed but it is certainly possible.
Clinical Context
Not all raised scars are true keloids — hypertrophic scars often get mislabeled, and the two behave differently. True keloid risk is higher with a personal or family history, darker skin tones, and scars on the chest, shoulders, or earlobes. If you've had keloids before, mention exactly where and how they were treated, since this helps your surgeon plan incision placement and decide whether preventive steps like silicone sheeting or steroid injections make sense for you.
