Breast Reduction: Q&A

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I Want to Get Breast Reduction but I Am Prone to Keloid

I am 20 years old, short, on the chubby side, with a bra size of 42DD but I feel that my breast are larger than that. They are quite saggy and have been since my earlier teen years. Could it just be fat? I want breast reduction but I tend to Keloid. I have keloid scars on my chest area and back from acne. I was told not to get tattoos because they might turn into scars but I have three that are keloid free. I've been experiencing spontaneous chest pains now and then...what should I do?

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age 18-24 DD cup keloid scar

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8 Doctor Answers | Asked by Seattle6891 in Seattle, WA

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Breast Reduction Candidate?

Thank you for the question. You mentioned that you are “chubby”; it will be in your best interest to reach a long-term stable weight prior to proceeding with breast reduction surgery. The acne scarring that you have on your sternum does not necessarily indicate that you will have keloid scarring after breast reduction surgery. Some parts of the body are more prone to hypertrophic or keloid scar formation than others. At some point, you will need to weigh the... more

Keloid scars

Unfortunately, if you have a tendency to keloid after surgery, you will be prone after breast reduction surgery. Discuss pre-opertively with your surgeon about post-operative scar managment.

Keloids and breast surgery

If you definitely form keloids and not hypetrrophic scars, you more than likely will get keloids of your breast incisions.

Steven Wallach, MD

13 reviews

Manhattan Plastic Surgeon

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Scars for Breast Reduction

The biggest trade off that patients with symptomatic macromastia (large breasts) face is that of scars. The question is whether the risk of scars, or of bad scars like keloids is more than the benefits you can get in terms of relief of back, neck and shoulder pain with a breast reduction. There are also treatments that can be used if you develop keloids, so I would suggest you start with a consultation with a board certified plastic surgeon and then decide from there. more

Breast reduction

With a history of keloids, it is likely that you will have them; however, you must decide which one you would rather live with. large breasts with all of the symptoms, or thick scars. Incidentally, often they are not keloids but rather thick scars (hypertrophic). Sometimes they are managed successfully with silicone gel sheeting for 3-6 months.

Breast reduction in a patient prone to keloid

Tattooing done by simple needle injection should not scar and therefore is not an indicator of keloid-type scarring. Even someone who keloids from a scar in one area may not form a keloid-type scar in another part of the body but there is no way to know for sure, test for it, or control it. The minimum scar from a true breast reduction is a lollipop-type scar around the areola and down to the inframammary crease. Usually this area doesn't keloid but there is no guarantee.... more

I Want to Get Breast Reduction but I Am Prone to Keloid

I always tell any breast reduction patients that there is always some form of scarring. In your case I would guarantee it. A keloid former has a very high risk if not a high possibility of forming significant keloids in the breast reduction scars. Using tattoos might work. Posted photos of the breasts and tattoos would help. See in person a boarded surgeon in your area. From MIAMI Dr. Darryl J. Blinski, 305 598 0091

Options for breast reduction in individual with keloid scarring.

With a history of significant keloid scarring, there is definite concern for unfavorable healing following reduction mammoplasty. Of course, weight gain and fatty accumulation may be contributing to the enlarged breasts and the simplest solution would be to get closer to your ideal body weight to assess the impact on the size of your breasts and symptom relief. However, it is more likely you will require surgery for a signficant size reduction. Alternatively you could consdier liposuction.... more

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Breast Reduction: Q&A