6 months after breast reduction and lift, is it possible that my thick, raised areola scar is a keloid? (photos)

Question

Hi :) I had my breast implants removed and a lift 6 months ago. I am very happy with my breasts however on one side there is a thickening of the scar on one side of my areola. The area started as a red dot which I thought was a spitting suture. It has now healed but is a raised scar and slightly pigmented in that spot. Does this look like a keloid? Thank you very much

Shaher W. Khan, MD · Answer

Hello, thank you for your question. The thickening and pigmentation you are describing could be a few things, including a keloid or a hypertrophic scar. Keloids tend to be more raised and extend beyond the original incision site, while hypertrophic scars are raised but typically stay within the boundaries of the scar. Please view the attached video that responds to your specific question in detail.

Wayne I. Yamahata, MD · Answer

It is not possible to make an accurate diagnosis based on your two photos alone. This would require a physical examination. I would recommend visiting your surgeon for this. If indicated, he or she can probably reduce this with a steroid injection.

Chet Mays, MD · Answer

Thank you for your inquiry!  Scars soften over time.  If there is a hypertrophic scar, kenalog can be used to soften and / or minimize it.   We would love to sit down with you and review your options.  Schedule a consultation with a Board-Certified Plastic Surgeon to discuss your goals.

Daniel Barrett, MD · Answer

Dear Em737,
I understand your concern. However, without a proper assessment, it would be difficult to determine what is wrong. Based on your photos, it doesn't look like a keloid. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Catherine Baron, MD · Answer

hello, it could be an hypertrophic scar, use silicone scar sheet, massage 2 times a day during 10 min and if it continuous after 3 months maybe an steroid infiltration could help regardsCB

Camille Cash, MD · Answer

From the submitted photo you have hypertrophy of the scar but it is not a keloid.  You can try various options to improve the appearance such as scar creams, silicone sheeting, lasers, and sometimes steroid injections.  If after a year you still have concerns you can consider scar revision.

Connie Hiers, MD, FACS · Answer

No, you do not have a keloid, but your scar is hypertrophic and could be treated with Kenalog injections. Please go back to your surgeon.

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6 months after breast reduction and lift, is it possible that my thick, raised areola scar is a keloid? (photos)

Answers (7)

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