Facelift for Patient Prone to Keloids?

These procedures have a low rate of hypertrophic or keloid scar occurence, in my opinion.  Treatment should focus on minimizing tension and proper wound healing postoperatively.  I would recommend surgery. 

I would approach the facelift cautiously in a patient prone to keloids.  Deciding whether to perform the surgery or not.  If the patient understands the downside of the cosmetic result then facelift may be done and steroid injections and/or silicone sheeting performed to minimize keloid formation.

Concerning the eyelids, keloids rarely if ever form from an incision in the delicate eyelid skin.

Dr. ES