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The Best Lift For Skin That Keloids? (photo)

Now that it is pretty much evitable that I will need a lift, wondering what is the best plan of action. I have a history of skin that keloids....from my ears, legs & other areas mostly superficial & minor but visible. My concern is having the "lollipop" or anchor lift & forming unsightly scars. Are there any other suggestions?

Doctor Answers (12)

Breast lift in skin that keloids

+3

Your concern for keloid scarring definitely sounds significant.  You will need strict follow up with your surgeon if you choose to have a breast lift so that if the skin starts to keloid, you can have steroid injections to help.  I would seriously consider not having the surgery done as well as the scars might out weigh the benefit in your case.  Good luck.


Dallas Plastic Surgeon
4.5 out of 5 stars 18 reviews

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Breast Lift for Skin that Keloids

+2

  Although certainly not mandatory, you may want to consider implants to fill the tissue envelope and improve the fullness.  I think that no matter what type of lift is chosen, it will be a variation of a full breast lift or lollipop lift as you mentioned.  I would recommend an exam by a plastic surgeon to determine the nature and severity of the previous scars.  Find a plastic surgeon who routinely manages patients prone to keloid scars and then Find the plastic surgeon with ELITE credentials who performs hundreds of breast lifts each year.  Kenneth Hughes, MD Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 180 reviews

Anchor lift scar is obsolete, especially in women concerned about scars.

+1

Good question.  When it comes to cosmetic surgery, it's always a cost/benefit analysis.  Does the benefit justify the cost?  And the cost is not just financial but the presence of scars.  First of all, you will need not only a breast lift but implants too.  Secondly, if you are going to have a breast lift, the vertical lift is the best type.  The anchor lift is obsolete in my opinion and especially for you with your concerns about scarring.  I'm not sure that you actually are a keloid former based on your description of your scars as "minor but visible."  You could opt for implants alone so that you just have a small scar tucked under your breast, but you need a vertical lift to correct your asymmetry (breast implants will not correct this).  Your best advice is to look at plenty of before and after photos.  I have a rule of 10.  You should see ten examples of results from your surgeon that you personally would find acceptable.  If you do, the chance that you will be satisfied is high.  I've attached a link to this part of my website in case you wish to read more.

Eric Swanson, MD
Kansas City Plastic Surgeon
4.5 out of 5 stars 33 reviews

The Best Lift For Skin That Keloids

+1

If you are a keloid former then you may want to have implants only to avoid the possibility of of disfiguring keloids from your surgery.  if you do decide to have the lift, please notify your surgeon at the first sign of a keloid so that appropriate steps can be taken to prevent progression.

Thomas Guillot, MD
Baton Rouge Plastic Surgeon
5.0 out of 5 stars 2 reviews

Keloids after breast lift

+1

It will be important to ensure you have keloids or hypertrophic scarring. If you have keloids any type of breast lift will place you at risk for keloids to develop. Please consult with a plastic surgeon to make the best choice for you.

Lisa M. DiFrancesco, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 10 reviews

Keloids and surgery

+1

A couple of tips here. I hear the words "I keloid" a lot, only to examine the scar and find that is not a true keloid. Keloids are scars that outgrow the original  surgical site, become painful, itchy, bulbous, and raised. Keloids are much more common on incisions that are non-surgical where there has been trauma, like an earring hole, burn (you see curling irons a lot) or accidental injury causing an open wound. So, if your keloid is from the above, a nice neat surgical incision usually does not keloid. If you do have a tendency to keloid, the skin can be closed in a low tension manner, placing the stress on the deeper tissues, which helps - also kenalog or other steroid can be injected at the time of surgery. Finally, what most call a keloid is usually a stretched out, wide scar - it's actually the opposite of a keloid. These are common with orthopedic scars that use a stapled closure instead of a more cosmetic layered closure. For you, check with a surgeon to see what your true risks are before proceeding.

Lisa B. Cassileth, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 6 reviews

Keloid and lift

+1

I think first that you  need to be properly evalauted to see if you truly form keloids or hypertrophic scarring. If you truly keloid than you are probably best not to have a lift with the significant risk of having keloid scars.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 15 reviews

Keloid

+1

Hi ChiChiRoni,

     It sounds like you have a mild propensity to form keloid scars.  Actually, as you describe them, it sounds more like you develop hypertrophic scarring as opposed to keloid scarring.  Hypertrophic scars, by definition, are thickened scars that remain contained within the scar.  Keloid scars, by definition, are much more severe and can grow way beyond the border of the actual scar.   Of course, you will need to make the final decision as to the risk of poor scarring and the benefit of the lift.  However, I think you should have the following pieces of information when arriving at you decision.  Firstly, different parts of the body have different risks of developing bad scarring.  Keloid scars, for example, have the highest risk of developing on the ears, mid chest, shoulders, and back.  They are almost unheard of on the eyelids.  On the actual breast they have the highest risk of developing along the horizontal scar, a bit less on around the areola, and rarely along the vertical incision.  Fortunately,  there are techniques available that avoid the horizontal incision.  You would either require a lift with an incision only around the areola or a lift that requires that incision along with a vertical.  Certain breast lift techniques produce better scars than others. Breast lifts that rely on the skin for the lift usually produce poor scarring as opposed to lifts that do not rely on the skin.  These latter techniques usually produce very good scars.  Finally, what are the options for treatment in the event poor scars develop?  Traditional modalities such as creams, silicone sheeting, or steroid injections have some success.  They are quite successful in mild hypertrophic scarring, but poor effectiveness in severe keloid scarring.  One treatment that is available and has a high degree of success for keloid scars is low dose superficial radiation to the scar area after excision.  This modality is a bit controversial as there is concern of risking future malignancy at the radiation site.  However, most radiation oncologist believe that the risk is so low that the treatment is justified.

Good luck,

Ary Krau MD FACS

Ary Krau, MD, FACS
Miami Plastic Surgeon
5.0 out of 5 stars 32 reviews

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