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Eyelid Surgery OK if Prone to Keloids?

asked 2 years ago by 3466anon in india
Latest answer by Lawrence Kass, MD
Question viewed 1,346 times
Tags: ptosis, keloid scar

I have the problem of congenital ptosis. My doctor has advised for a plastic surgery. I also have the problem of keloid. So i want to know whether keloid will form in my eye lids after surgery?

22 answers to Eyelid Surgery OK if Prone to Keloids?

Facial keloids unusual

While many people are genetically prone to keloid formation, there are certain anatomical areas that increase the risk. The midline of the chest (over the breastbone) and the point of the shoulder are notorious places for the development of keloids. However, keloids are unusual on the face, perhaps because the composition of collagen in the skin is a bit different from elsewhere. We do occasionally see thickened scars behind the ears after facelifts, but the scars in front of the ears... more

Debra J. Johnson, MD
Sacramento Plastic Surgeon

Eyelid surgery and keloids

ASfter 25 years in practice and thousands and thousands of these procedures, I have never seen keloids develop from eyelid surgery. Set your mind at rest, the risk is minimal if at all.

Lawrence Kass, MD
Saint Petersburg Oculoplastic Surgeon

www.kassmd.com

Keloids are rare in the eyelid

Keloids are rare in the eyelid. I often make a very minimal incision through the inside of the lower lid so the incision cannot be seen, is very small and doesn’t scar. Therefore it should not be a problem for those that are prone to keloids.

Joseph A. Eviatar, MD
Bronx Oculoplastic Surgeon

www.ChelseaEye.com

Keloids do not form on the eyelids

A keloid is a histologically different form of tissue than a normal scar, growing beyond the boundaries of the original wound. Keloids form on the deltoid, sternum, and earlobe/auricle regions. Eyelid skin is the thinnest skin in the body and lends itself to excellent scarring in the vast majority of cases. Your chances of being struck by lightning or winning the lottery are greater than forming a keloid on your eyelid after ptosis surgery by a qualified surgeon.

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon

www.drprendiville.com

Keloid after eyelid surgery is very rare

We have never seen a keloid on the eyelids and it would be extremely rare to develop a keloid on the eyelid. If there is only a ptosis repair that needs to be performed, this could be potentially performed from the inside of the upper eyelid.

William Portuese, MD
Seattle Facial Plastic Surgeon

www.seattlefacial.com

Keloids very unlikely in eyelids

As an oculoplastic surgeon, I have never seen a keloid scar in the eyelid. While this is certainly no guarantee, discuss this with your surgeon. The advantage of repairing the congenital ptosis outweighs any potential risk for scar formation in my book.

Scott M. Goldstein, MD
Philadelphia Oculoplastic Surgeon

Keloids and eyelids surgery

If this were an elective procedure for cosmetic reasons, you would probably be better off not tempting fate so to speak. Usually keloids do not form around the eye. However for ptosis, You may want to consider the chances and just be monitored very closely for keloid development.

Steven Wallach, MD
Manhattan Plastic Surgeon

Keloid after eyelid surgery

The eyelid skin is the thinnest skin in the body and therefore much more resistance to keloid formation. I am not aware of actual keloid forming in this region after elective surgery. The chance is very rare.

Michael A. Jazayeri, MD
Santa Ana Plastic Surgeon

Keloids and Upper Eyelids

You're in luck. Keloids have a higher propensity in darker skinned individuals. The most common areas for keloids are the sternum or breastbone, shoulders and back. However, interestingly enough Keloid never appear on the upper or lower eyelids. For some reason the eyelids are spared this form of abnormal healing.

Christopher L. Hess, MD
Fairfax Plastic Surgeon

Scar or Keloid with Eyelid Surgery

Any cosmetic surgery has the potential for scar. Keloid is a specific type of scar, which is more common in darker skinned individuals. True keloids are more common on the ear and characterized by growth beyond the initial incision. Keloid scar around the eyes or nose is very rare, as others have already mentioned. I have not seen or heard of true keloids in the central part of the face. Only after a comprehensive evaluation by a plastic surgeon can he/she help determine an appropriate... more

Houtan Chaboki, MD
Washington DC Facial Plastic Surgeon

www.potomacplasticsurgery.com

Eyelids do not usually form keloid scars

First of all, it is common to call any thick, dark scar a keloid. Keloids however are more specifically a benign tumor of the skin which occurs in response to some injury, accidental or surgical. A scar that is thick, raised and dark is usually not a keloid, but more appropriately called a hypertrophic scar. If what you are calling a "keloid" is in fact not a big tumor-like growth, you probably have a hypertrophic scar, and this rarely occurs on the eyelid. Keloids are also rare... more

Elizabeth Lee, MD
Bay Area Plastic Surgeon

I agree that upper eyelids are not prone to keloids but caution is advised here.

True keloids of the eyelid are extremely rare. However, it is worth bringing your concerns to the attention of your surgeon. The surgeon will assess scars on your body and your medical history to determine if you have a true problem with how you heal your scars. Also I will advise extreme caution in picking a surgeon to address your congenital ptosis in India. You want to find someone who has fellowship training specifically in eyelid plastic surgery or pediatric ophthalmology and a... more

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Eyelid surgery is not prone to keloids

Keloid scar is a genetically determined over healing of skin in response to an injury. They do not form just anywhere and have certain locations, the earlobe and lower cheek, over the shoulders, the pubic area. Even if you are a keloid scar former you can have eyelid rejuvenation safely without risk of keloid scars. Best of luck, peterejohnsonmd

Peter E. Johnson, MD
Chicago Plastic Surgeon

Keloid on eyelids very rare

I must say I can't recal seeing a keloid or even a hypertrophic (thick) scar on an eyelid. The eyelid skin is extremely thin and seems to heal well and without keloids. Discuss this with your plastic surgeon and have him look at your other scars to see if they actually are keloids. Good luck.

Steven Schuster, MD
Boca Raton Plastic Surgeon

Eyelid surgery scarring

Typically, this operation leaves hardly noticeable scars, however if you develop keloids elsewhere then it is theoretically possible to develop them anywhere. Depending on how severe your degree of levator ptosis is you may need to stop and reconsider the operation. Many times, patients will have their levator ptosis fixed just to get insurance to cover their blepharoplasty. In your case this would be a very bad idea for obvious reasons. If your levator descent is such that you are... more

Ricardo A. Meade, MD
Dallas Plastic Surgeon

Keloids very unlikely

Keloids scars are very unusual on the eyelids and most patients that have been told they have "keloids" don't actually have keloid scars, but rather hypertrophic scar potential or traumatic scar.

David J. Levens, MD
Coral Springs Plastic Surgeon

Keloid after eyelid surgery

I have not seen Keloid form on the upper eyelids after upper eyelid surgery. I have never heard of this occurring either. The eyelid skin is very thin and therefore tends to heal very well with minimal scarring. Because you form keloids on other parts of your body is not an indication that you will form them on your eyelids.

Robert M. Jensen, MD
Medford Plastic Surgeon

Keloid is very unusual with eyelift

The possiblity of the upper eyelid surgery and having keloid formation is rare. You may have had hyertrophic scar from previous surgery and not keloids.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon

Eyelid surgery won't make bad scars or keloids

Eyelid surgery won't make bad scars or keloids. The eyelids are a privileged site for scars. In 28 years of soing eyelid surgery, I've never seen a bad scar. So getting your eyelids balanced in height is a real challlenge of the surgery you're considering, you don't have to worry about scars.

G. Gregory Gallico III, MD
Boston Plastic Surgeon

Keloids unusual after eyelid surgery

Although there is a very slight risk of keloid formation, it would be extremely unusual to develop keloids after eyelid surgery. You should be able to safely proceed with your ptosis repair.

Michael D. Yates, MD
Huntsville Plastic Surgeon

Keloid scar formation in aesthetic surgery

Keloids can form in any area of tissue injury-whether from surgery, trauma or burns. Keloids are firm and rubbery lesions or shiny hard nodules. They are caused by overgrowth of the collagen in scar tissue. A keloid scar can be itchy and painful. The best predictor of keloid formation is a previous keloid. Certainly, darker skinned individuals are at increased risk. Keloids are most frequently seen in the sternal area, upper back and upper arms, but are also common on earlobes. The... more

Glen Brooks, MD
Springfield Plastic Surgeon

Eyelid keloids

I have never seen a true keloid on an elective eyelid procedure even on patients who are known keloid formers. The neck, cheeks, earlobes and trunk are much more susceptible to these very problematic lesions.