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 San Francisco 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.
In terms of costs, a breast lift without augmentation typically costs about $5000 in my practice.
I hope this helps!
