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Breast Augmentation Keloid Removal

asked 1 year ago by Gingeretti
Latest answer by Eleanor J. Barone, MD
Question viewed 260 times
Tags: keloid scar

Which Incision Position is Best for a Keloid Former in Breast Augmentation?

8 answers to Breast Augmentation Keloid Removal

+2

Breast augmentation and keloid formation

My first concern about answering this question is that there is a huge difference between forming a hypertrophic scar and forming a keloid.  There are a myriad of modalities to treat and prevent occurence or recurrence of hypertrophic scars.  Preventing keloid formation is much more difficult.  Please consult with your board certified plastic surgeon. Wishing you all the best, Tal Raine MD FACS
Talmage J. Raine, MD

Chicago Plastic Surgeon
+2

Keloids and breast augmentation

I agree that the decision to have cosmetic surgery in a known-keloid former should not be made lightly, either by the patient or surgeon. Having said that, there are some techniques used in known keloiders to reduce the risk of a keloid developing. For example, injecting steroid medication into the wound edges immediately before closure is one such technique, although it may carry some risk of delayed wound healing. Also, the use of silicone gel sheets for pressure to the scar is quite... more
Tim Abou-Sayed, MD

Palm Beach Plastic Surgeon
+1

Incisions for keloid patients

The classic advice for keloid formers is that the skin of the breast itself (not the chest wall as in the inframammary crease) and the eyelids are less likely to form keloids.  Additionally, your surgeon can inject steroids into the incision and use various silicone gel preparations to try to prevent keloid formation.  Having said all of this, it is a risk that you are aware of as is your surgeon, and all of your efforts may not prevent a keloid just as birth control may not... more
Eleanor J. Barone, MD

Tampa Plastic Surgeon

avantiaesthetic.com

+1

Placement of breast augmentation incision for keloid former

You will want to choose an incision that can be hidden, such as the fold under the breast or the armpit. You can also ask your surgeon whether a kenalog (steroid) injection into the incision at the time of surgery and silicone sheeting after the dressings are removed are recommended. This is often done to reduce keloid formation in known keloid fotrmers. After your surgery, be vigilant about the development of a keloid and let your surgeon know as soon as you think one is forming. ... more
Nia Banks, MD, PhD

Washington DC Plastic Surgeon
+1

Keloids and breast augmentation

If  you are a true keloid former, I would think twice about having breast surgery.  If on the other hand they hypertrophy, then I would conseider close monitoring and probably inframammary.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Which Incision Position is Best for a Keloid Former in Breast Augmentation?

I inform my patients who have a tendency to keloid to choose the incision site that would least likely bother them if they did end up getting a keloid.  There is no steadfast guarantee that you will not keloid with any of the incisions, so it is best to choose an area that would bother you the least.  I find that the axillary incision tends to have an extremely low incidence of keloid formation in my practice, and I believe that this is because there is no tension on the incision... more
Amy T. Bandy, DO

Newport Beach Plastic Surgeon
+1

Scar locations for breast augmentation

The incisions we usually use for breast augmentation are located in the crease under the breast or around the areola or in the armpit. Occasionally, if saline implants are used it can be placed through the belly button. In my opinion placing the incision in the fold may be the best option for a keloid former.
S. Ozan Sozer, MD

El Paso Plastic Surgeon
+1

Breast Augmentation Keloid Removal

It is difficult to say without examining you, but in general I would recommend a inframammary fold incision because if it does keloid it would likely be hidden by the augmented breast.  There are other options that might be better for your specific body (including perhaps not having surgery).  I would discus your concerns for scarring with you board certified plastic surgeon and then they can guide you to the best option for your body and skin type. Good luck! more
Timothy W. King, MD, PhD

Madison Plastic Surgeon

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