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)
July 15, 2021
Answer: BBL in those with propensity for hypertrophic scarring 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
Helpful 1 person found this helpful
July 15, 2021
Answer: BBL in those with propensity for hypertrophic scarring 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
Helpful 1 person found this helpful