Keloid Scarring and BBL?

Question

I would really like to get a BBL to trim some inches of my waist and augment my hourglass figure but I’m concerned about my keloid prone skin. I’ve had previous breast augmentation that resulted with keloid scarring around the areola incision which thankfully is in an area that is generally hidden. If I were to get a BBL, would there be lots of noticeable liposuction marks post recovery? I’m also semi-skinny so I might need to obtain fat from a couple areas (abdomen, arms, inner & outer thighs)

Kenneth Hughes, MD · Answer

Keloids are an abnormal scar response in some individuals and cannot be avoided. Keloids can be reexcised, injected with steroids, and irradiated.

Benjamin Liliav, MD · Answer

Any individual that had keloids in the past is prone to developing keloids after any type of surgery, bumps, bruises. You need to be prepared for the fact that you will have keloids in the surgical incisions. That said with BBLs usually only very few incision are made for liposuction and fat transfer. In addition if you do end up developing a keloid those can be treated with compression therapy, steroid injections and SRT.

Daniel Barrett, MD · Answer

Dear iamfyl,
scar prevention begins in the OR during the surgery when I meticulously close wounds in multiple layers in order to reduce tension and reduce scars width. I tape my incisions during the early postoperative period to reduce micromotions of the tissues so the incision can heal earlier. I also use compression garments and later Biocorneum gel.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Mats Hagstrom, MD (license on probation) · Answer

If you’re prone to hypertrophic scar and then the scars from Liposuction and fat transfer will follow suit. Typically thin skin like around the areola tend to heal better than thick skin on the back for example.

Certain parts of the body are more prone to worse healing than others.

Those with a history of poor healing should consider the impact of this on the decision of having surgical procedures.

I take a scarring history on everyone I do surgery on her and discuss the implications. Those who are at risk for having highly visible scars need to be instructed on postop scar management that may include silicone sheeting for many months and or steroid injections.

Preventing hypertrophic scar ring is far easier than managing it once it’s present.

Keloids or an extreme version of hypertrophic scar in where the scar continues to grow like a tumor. Most patients who claim to have keloids actually have hypertrophic scars. Those who form true keloids should be careful and having a necessary surgery.  The difference between hypertrophic scar and keloids is sometimes a bit subjective.

And someone with low body fat who’s going to have a subtle result fromBody contouring procedures and or need most of their body treated it sometimes doesn’t make sense to add so many scars when they will potentially be visible.

This is something to be discussed during in person consultations.

I recommend having multiple in person consultations for the local board-certified plastic surgeons. The importance of consistent in person follow up cannot be overstated for someone like yourself who may need intervention and management of their scars for a year or longer after the procedure.

Best,

Mats Hagstrom MD

Keloid Scarring and BBL?

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