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

Question

My body is prone to forming keloids. I want to undergo a BBL procedure to transfer fat from my back and abdomen to my butt. I know some parts of the body dont form or less likely to form keloids. I want to know if the incisions for a BBL procedure are likely or less likely to form keloids. I included photos of keloids. I'm 3 months postpartum (LINEA NEGRA).

Chris Funderburk, MD · Answer

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).

Zoran Potparic, MD · Answer

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.

Kenneth Hughes, MD · Answer

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.

Daniel Barrett, MD · Answer

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

Manuel Diaz, MD · Answer

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.

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

Answers (8)

Answer: Keloid

Answer: Keloid

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

Answers (8)

Answer: Keloid

Answer: Keloid

Answer: Good Question.

Answer: Good Question.

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Recommended reading

Everything you need to know about Brazilian Butt Lift

Our mission is to create a world where every investment in modern beauty is Worth It.