Prone to Keloids: Can I Still Have a Tummy Tuck? Is There an Injection to Combat Keloids?
Doctor Answers 5
There's different options out there in order to treat keloid scarring after surgery. Talk to you PS for his response.
Keloids and tummy tuck
To find out, see a Board Certified Plastic Surgeon to examine both what you think are keloids and your tummy.
If you have true keloids, a tummy tuck can be done but the risk of a keloid is high.
High dose steroids, taping, silicone sheets and later radiation + scar revision may be needed to treat it.
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if you think that you are prone to keloids then there is always a high chance to form keloids at the site of the tummy tuck incision. As you probably already know, there is not one good method to prevent keloids from forming. What I have used is injecting steroids at the incision site, using silicone strips and in extreme cases I have consulted with a radiation specialist so that the patient can have a small subtherapeutic dose of radiation in the hopes that the three modalities will reduce the chances of a keloid. Having said all that you should know that same methods to help prevent keloids from occurring could cause healing issues at the tummy tuck incision. I hope that helped shed some light on your situation. Please seek a consultation with a board certified plastic surgeon because wound healing and wound care is part of the training of a plastic surgeon. Best of luck
Keloids and injections
Once a keloid starts to form, or if a keloid has been excised, there are certain therapies that tend to help reduce keloid formation, or at least make the keloids less severe.
Injecting steroids or 5 FU (Fluorouracil) can help with some keloids. Recurrent keloids, especially those on the ears, I consider sending for radiation therapy post op. I do not typically recommend radiation therapy for any abdominal keloids though.
Patients should see a board certified plastic surgeon in order to fully be evaluated for (and adequately discuss) any keloid risk.