Is having a BBL procedure highly not recommended for someone prone to forming keloids? (Photos)

Thank you for the question and photos. I know keloids can be a major problem, and I feel for you. Given your history, I would say that any incision on your body can result in a keloid. Some areas are typically more prone to keloid than others (ie chest, ear, etc) but this is not always reliable. The one good point is that each incision for a BBL is very small (about a centimeter). 

It is very likely that you will develop this type of scars on each of incisions used for liposuction and fat transfer (typically 8-10, 1 cm long incisions). To a certain degree, these scars may be manipulated with early injection of corticosteroids and pressure tape, but it is impossible to predict what would your result be. It is worth of discussing pros and contras with an experienced board certified plastic surgeon with expertise in BBL surgery.  Good luck.

Your risk is greater for having keloids as you have evidenced a proclivity in the past; but it does not necessarily mean that you will have keloids from the small incisions.  For keloid formers, there is not a way to prevent keloids.  In general, the longer the scar or the greater the number of scars, the greater the chance for keloids. The keloids may require multiple modalities to achieve the best results.  Laser may help to some extent with some types of scarring issues. 
As an author of "Scars and Scar Revision" in Reoperative Plastic and Reconstructive Surgery, I am well versed in the potential treatment options.  One treatment may be helpful for one patient while another treatment may help another patient.  Keloids can be reexcised, injected with steroids, and irradiated.

Dear Giving7774,
keloids are a big problem. 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

Thanks for the question and the photos. I am sorry to tell you that because of your small history that you shared with us it could be said that any incision in your body can result in a keloid. The only good point is that each incision for a BBL is very small (about one centimeter). To some extent, these scars can be manipulated with early injection of corticosteroids and pressure tape, but it is impossible to predict what their outcome would be.

Hello,
The keloids stand for the major scarring problems especially when they occur in cosmetic procedures. There are regions that they tend to occur more severe and frequently(like chest,shoulders,ears) but evaluating your pictures I would definitely recommend you to accept the fact that they will  strongly likely to occur at the incision sites even the entry incisions won't be even a centimeter.,and can be partly hidden. As well, the treatment of keloids or likely- to- form keloids also consist of the prevention steps that start in the OR and continue during the  post operative period. I think the most crucial point here is to accept the reality and see if you are mentally ready enough to take  the steps in case they occur. Just ask this question to yourself: ''What will make me happier? A slimmer waist-abdomen and a bb with probably at least 6 other keloids? or the body I have now without extra keloids?'
Good luck

Although the incisions are small for a BBL, they will still be susceptible to forming keloids. It is encouraged you consult a board certified plastic surgeon. If you are a good candidate for a Brazilian Butt Lift (BBL), the optimal outcomes are achieved with: 1) use of VASER liposuction to harvest the fat, 2) a closed looped system such as Puregraft to process the fat, and 3) strategic micro-packet transplant technique. These three processes have demonstrated over 95% fat graft take. This means that your results will be stable as long as you maintain your weight. As an official VASER trainer, I am routinely referred unhappy BBL patients. One of the most common reasons for disgruntled BBL patients is that patients are not able to accurately communicate their desired buttocks goals to their surgeons.  A buttocks assessment tool can be an invaluable tool to communicate to your surgeon the exact buttocks size and shape you are desiring. A Skype or FaceTime consultation with a BBL specialist can help you get an accurate recommendation and pricing. 
Respectfully,
Arian Mowlavi MD,FACS
Realself 100 Hall of Fame Inductee

Even though the incisions are small for Liposuction and fat transfer procedures they typically form pretty visible scars in people with a history of keloids. There’s a lot of inflammation around the scar edges from the cannulas going back-and-forth so many times.you have to except that each incision will leave a prominent market. They can be managed to some degree by injecting steroids and using silicone sheeting postoperatively but in your case they will still leave it visible and possibly highly visible marks.sometimes we can limit the number of incisions that this will compromise the ability to do liposuction and fat transfer to some degree.in the end you have to ask if you can live with the scars and if that justifies having the procedure.As you know, certain areas are more prone for bad scars these include the front of the chest, back and shoulders.consider steroid injections anytime you form a keloid to prevent excessive growth.absolutely never never never scratch scars no matter how bad they may itch,scratching scars increases inflammation causing further itchiness and definitely causing more scar tissue to form. Scratching your skin for someone like you is a big no-no.Best, Mats Hagstrom MD