What advice would you offer to patients with a history of keloids and scarring when preparing for a breast lift with implants?

 Indeed because you have a history of keloid scarring, you are at higher risk for having thickened, darkened and/or true keloid scarring from a breast lift. That being said, the risk is definitely not 100%. Unfortunately how scars heal is only about 30% up to meticulous wound closure by a skillef plastic surgeon but the other 70% is up to the patient’s genetics.  If your desire to have a breast lift is strong enough and outweighs the potential risk of keloids then I would probably recommend going forward with it. If indeed you do form keloid scars they can later be revised with a combination of excision and immediate postop radiation treatments with quite good success. Glad to be of help. 

Keloids can occur anywhere on the body as a result of skin inflammation or injury. In my practice, I usually opt for nonsurgical treatments first followed by surgery if necessary. Our patients benefit from multi-modality protocols that include scar modulation, application of Plato's Scar Serum twice daily, Replenish retinoid cream, laser therapy, and Kenalog IIT. 
Best, 
Dr. Karamanoukian
Realself100 Surgeon

The
technique I recommend is The Bellesoma Method. 
The advantage of this method is that the closure around the areola has
minimal tension and less likely to scar. 
Also, the vertical scar is eliminated. 
The only scars will be at or near the inframammary fold.  This technique was developed specifically for
people who have a history of bad scarring. 
Unfortunately, you have not provided photographs or told us your bra
size.  The other alternative, instead of
implants, is fat transfer.  Implants are
not lifetime devices and half are removed by 9.5 years.Best Wishes,Gary Horndeski, M.D.