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.