Risks of Breast Augmentation for People Prone to Keloids?

I have performed breast augmentation on patients with active keloids and caution them to follow up regularly to prevent thickened scar formation on the areola and breast.  These patients have done extremely well with their breast implants.

It is normal to be concerned if you have had problems with surgical scars in the past. Unfortunately, your prior surgical scarring history often gives us no insight into your risk of developing breast implant capsular contractures. Having a consultation with a Plastic Surgeon can help to sort out whether you have had previous "keloid scarring" or the much more common process of  "hypertrophic scarring". Patients who have true "keloids" usually have a problem with all skin injuries - including piercings. Keloid forming patients will be at higher risk for a poor breast augmentation scar but are not a higher risk for an implant capsular contracture.

In my practice, a proactive approach to your breast surgery scarring will improve the chances of  having a very discreet scar from this surgery. Careful surgical technique and excellent aftercare can lower your risk of developing capsular contracture as well.

Dr. Mosher