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Facelift for Patient Prone to Keloids?
Asked 33 months ago by
rebeccaj in jacksonville
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Facelift scarring
Far and away the best way to prevent keloids is meticulous, expert technique. Not too much tension on the closure, clever suturing.
Minilifts are notorious for producing keloid scars. There is simply too much tension placed on the incisions and they stretch out, causing bad scarring.
Facelift surgery is definitely an artform as well as a surgical procedure.
That being said, different skin types scar differently. There are special measures that need to be taken with patients with...
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Facelifts and Keloids
Keloids and hypertrophic scars ( a similar but distinct raised scar) can occur in some patients after a facelift. It is not possible to predict which patients will develop a keloid or raised scar after the procedure. Surgeons should avoid tension on the skin, meticulous close the incisions, and have long term follow up with the patients to ensure scar formation is minimized.
In patients with a higher likelihood of keloids, consideration can be made to a limited...
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Keloid
I would approach the facelift cautiously in a patient prone to keloids. Deciding whether to perform the surgery or not. If the patient understands the downside of the cosmetic result then facelift may be done and steroid injections and/or silicone sheeting performed to minimize keloid formation.
Concerning the eyelids, keloids rarely if ever form from an incision in the delicate eyelid skin.
Dr. ES
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Patient prone to keloids can still have facelift
Indeed you can have a facelift if prone to keloids, however, both the patient and the surgeon must understand that there is a very small risk that you can get a keloid from a facelift. Only dark-skinned and Asian patients are susceptible to this. It is important that cortisone shots are placed in the incisions at the time of the surgery and very close following and monitoring postoperatively for occurrence of these keloids can be done. Sequential injections of steroids at a month and...
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Keloid after facelift is possible, but unlikely\
I would agree with most of the comments. Keloid type scarring is possible but usually does not occur even with a history of keloids elsewhere on the body. Exacting surgical technique is extremely important. Unfortunately, no one could give you a 100% guarantee that a keloid would not occur. It may be worthwhile doing a small facial procedure at first just to see how you feel.
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Keloids are site dependent
If you developed a keloid after a burn or cut on the chest or back, it means little because almost everyone will keloid there.
Keloids on the face are infrequent in most patients unless they are black or of very dark genitic background.
Eyelids almost never keloid unless it is the result of a burn.
Facelift scars can keloid, but usually can be managed by injection of cortisone.
The way the incision is located in a facelift greatly influences its ability to form a keloid.
Good Luck....
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True keloid former
Eyelids rarely if ever keloid. However, if you are a true keloid former, not just hypertrophic scars, facelift that use incisions around the ears can have problematic scars. Even in non-keloid patients, hypertrophic scars can appear around the ears or back of the neck. Discuss the relative risks carefully with your surgeon. Perhaps there are other methods to get you close to what you want without undue risk of unsightly keloids.
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Facelift and Keloid Scars
Facelift scars are usually very inconspicuous. However, if you are prone to keloids, you may have a problem with the portion of the facelift scars that extend from behind the ears to the upper neck hairline. In order to aviod incisions in this area, you should consider a short-scar facelift, also called mini-facelift or S-lift.
With this technique, we can improve the contour of the cheeks, jowls, and jawline, while limiting the extent of the incision behind the ears. However, if you...
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