Breast Reduction: Q&A
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Non-surgical Revision for Breast Reduction Keloid Scars?
I am a 62-year-old black female. I have formed keloids from breast reduction surgery. The keloids are on the surgery site. I do not particularly want to go back into surgery. I am interested in any non-surgical procedures, especially any new ones.
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15 Doctor Answers |
Asked by
gmdaniel
in Fort Lauderdale, FL
+3
Keloid scar - One Tough Problem
Keloid scars can be a tough problem. It is first very important to differentiate between a hypertrophic scar and a keloid scar. The treatment for each type is quite different.
A keloid is a progressive growth that extends past the original scar and invades and destroys normal skin and tissue. A hypertrophic scar is just a widened, thick scar due to excessive tension. These are common on the upper back, between the breast and upper arm. These are all areas of excessive tension.
The...
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Non-surgical treatment of keloid scars
The standard non-surgical approaches to keloids are:
pressure therapy
topical silicone gel sheeting
intralesional steroid injections
radiation therapy for severe and recurrent forms
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Bra Reduction - Keloids on Scars
I'm sorry that you're having this problem...keloids remain one of the most vexing problems in plastic surgery (as well as other surgeries, and even just as a result of trauma). Their genesis is poorly understood, and their treatment is frustrating. Non surgical methods include pressure, occlusion with pads (such as silicone) and steroid injections, but with firmly established keloids, none of these is typically successful. Surgery is effective in removing the scars,...
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Breast Reduction and Keloid Scars?
Thank you for the question.
Sometimes the use of silicone-based products and/or steroid injection may be helpful. The use of superficial radiation treatment is possible for symptomatic scars. Sometimes scar revision surgery and careful scar management afterwards may be helpful. Despite anecdotal reports otherwise I have not seen significant improvement with laser treatment of scars.
Best wishes.
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Improving keloid and hypertrophic breast scars
The first stage of scar management, whether keloid or hypertrophic, should be non-surgical. These treatments include injection of TAC, massage, silicone sheeting, and observation. If you have unsightly breast scars, you may be a candidate for non-surgical scar management.
Keloids can be improved with multimodality therapy, but sometimes surgery is required. Surgery90210
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Keloid treatment options
If you have fully formed keloids, then usually surgery is recommended along with one of many modalities (steroids, radiation). Taping, silicone sheeting, steroids really only help to prevent them before they grow or help in only moderately raised scars.
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Keloid scarring options
There are several options, but nothing ideal for everyone:
1. You can use silicone sheeting - chance of imptovement: minimal
2. You can use cordran tape (cortisone tape) - chance of improvement: minimal to moderate
3. You can use steroid injections - chance of improvement: moderate
4. You can use laser - chance of improvement: moderate
5. You can use radiation - not advisable in the breast area
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Kenolog and 5FU injection for keloid scars
Talk to you doctor about using a combination of kenalog and 5FU. There was a recent article in the plastic surgery journal regarding this treatment. I have used this for more than 10 years.
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Response to your keloid comment
GM,
I will respond to your comment, as others have addressed your original question adequately. There is no breakthrough for treating this vexing and frustrating condition. See your board certified plastic surgeon for a discussion on treatment of keloids. My protocol is:
1. Serial Kenalog injections with pressure and/or silicone application.
2. Excision with either Kenalog injection or radiation.
Of course any surgical removal may invite worsening of the keloids. However, incision...
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Keloids respond well to limited excision and radiation
I had a chance to review your question and followup comment regarding the keloid scar around the nipple after breast reduction. I noted that you have had taping and Kenalog without results.
For refractory keloids there is a very effective treatment which will require some minor surgery. The treatment protocol that we use is removal of the bulk of the keloid under local anesthesia. The very same day our radiation department will start superficial electron beam radiation and continue for five...
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Several options
Hi there,
I have had good success treating keloid and hypertrophic scars under local anesthesia. The method depends on the exact nature and location of your scars, but may include excision and repair (there are technical details that need to be attended to in order to avoid recurrence, especially in African American skin), with or without steroid injection, and with or without topical postop management or laser treatments.
I would talk to my surgeon about these options. I don't think you...
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Silicone sheets,kenolog injection and excision
If you really got keloids and not hypertrophic scars i would try injecting them with Kenolog first.This will help to make the scars flat and decrease any symptoms of irritation if present.
Silicone sheets are very useful but the effect is limited by how old your scars are. They will work in hypertrophic sacrs but not in keloids.(Keloids extend beyond the original incision)
The most efficient way is still a combination of excision ,kenolog injection and radiotherapy in extreme cases....
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Kenalog injections may be helpful
Gmdaniel,
Kenalog steroid injections may be helpful to reduce the keloid scars. Keloids are difficult to treat. Even if we cut them out, there is always a good chance that they will grow back. Good luck.
+1
Steroid injections may work
Steroid injections may work for your post-surgery scars, but they also carry the risk of depigmentation and thinning the skin. It is therefore advised to have someone experienced in the technique.
Another possibility is to undergo scar revision, but this is surgical.
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