Facelift for Patient Prone to Keloids?

The good news is that facial skin is less prone to keloids that skin on other areas of the body. The other good news is that eye surgery rarely results in keloids. The bad news is that keloid and other hypertrophic scars can be a result of poorly performed facelifts and are especially common in “lite” lifts that create a great deal of tension on the sutures.

The best news is that if you take the time to find a facial plastic surgeon who has expertise and finesse, you should not have a problem with scarring. You do not mention whether your skin is dark or light. If you do have darker skin, it will be more prone to scarring and in that case it's essential that your facial plastic surgeon has a great deal of experience performing facelifts on ethnic skin. I hope this helps.

Keloids occasionally appear in facelifts, and rarely in eyelid surgery.  It really depends on what other scars on your body look like and whether they are truly keloids.  Fortunately, the face heals so much nicer than skin on other parts of the body and keloids are rarely a problem.

Keloids and hypertrophic scars ( a similar but distinct raised scar) can occur in some patients after a facelift.  It is not possible to predict which patients will develop a keloid or raised scar after the procedure.  Surgeons should avoid tension on the skin, meticulous close the incisions, and have long term follow up with the patients to ensure scar formation is minimized.  

In patients with a higher likelihood of keloids, consideration can be made to a limited incision lift versus an alternative to a facelift.