Keloids are unpredictable: Consult an experienced Plastic Surgeon

The develepment of keloids are very unpredictable.  I'll give you an example.  Suppose a patient sustains two identical injuries, one on the left arm and one on right arm.  A keloid may develop on one arm, both arms, or neither arm.  Its totally unpredictable.

If you have a history of keloid scars, there is a higher chance that you will develop them on your breasts after surgery.

Typically, an experienced surgeon would advise you against performing elective surgery as the risk of poor scars is higher in someone with your history.

Keloids are quite difficult to treat.  You should seriously discuss these issues with your plastic surgeon and weigh the benefits of breast lift (mastopexy) vs. poor scars.

Finally, the goal of a breast lift without implants is to improve the appearance of your breasts in the nude, not in clothes.  If you feel that you would be accepting of a breast scar that may be noticeable in the nude, then you may discuss breast lifting with your surgeon. 

Certainly, if you have a history of keloids on other areas of your body, you are at higher risk than the general population to develop them on your breasts following a breast lift. However, higher risk does not mean that you will develop them for sure. You should discuss this with the surgeon that you choose, so that you can determine if injection of a dilute steroid into your incisions at the initial operation may be beneficial. At the hospital that work with, we also have a low dose radiation protocol for treatment of keloids in patients who have required revision of severe keloids.

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