Facelift for patient prone to keloids?

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... more

 In 30 years I have never seen keloids of the eyes or facelift. I have seen wide scars due to too much tension on the skin. Going to an experienced facelift surgeon should give you what you want without keloids.

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... more

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... more

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... more

It is a difficult choice. I would be tempted to minimize scars a s much as possible. A short scar face lift could be an option.  An eye lift could be done from the inside of the eye or with a small incision below the eye lid. In general, this incision does not keloid badly. Best of luck!