Horrible scarring after mastopexy, are these hypertrophic scars or keloids? (Photos)

I am so sorry to hear about your recent healing. Bad scarring is a spectrum from hypertorphic scarring to keloid scarring and I would say that you fall into the hypertrophic scar range. There are a whole host of genetic and technical factors that may make you more prone to poor scarring after surgery. 

It sounds like you are in close contact with your plastic surgeon, which is great. There are a lot of tricks we have to reduce and improve the appearance from intralesional steroid injections, topical creams, silicone bandaids, and lasers so don't loose hope! Scar revision is also an option but it has to be timed just right to avoid recurrence of the problem above. Best of luck to you!

Dr. Hustak 

Keloid scars are characterized by their growth potential and increased degree of inflammation within the skin. Unlike non-inflamed scars, keloids have the potential for growth beyond the original footprint of injury. Our office specializes in the management of keloids, whether single or multiple, using a combination platform that includes lasers, RF, scar modulation, Parke-Davis Scar Protocols, and injection therapy. Some keloids will require surgical intervention as an initial step for treatment.
Best,
Dr. Raffy Karamanoukian
Realself 100 Surgeon

They are probably just hypertrophic. The difference is that there is less chance of recurrence in hypertrophic scar treatment. Four months is too early to do revision in my opinion. I would recommend silicone gel sheeting / tape, and topical steroids. Some think lasers (pulsed dye) are effective. Massage is a must. Good luck.

Keloids are a type of hypertrophic scarring.  There are ways to treat this scarring.  Consult your plastic about the options available to you.  After a scar revision, your surgeon can suggest scar treatment therapies to reduce skin tension.  Good luck and don't give up yet.  Thank you for your question. 

it is not your surgeons fault since this can happen to anyone. it is more likely to occur if you are young (22 years old is still young:)) or if the wound is closed under tension. However, injecting Kenalog once per month and maybe a total of 3 injections, should help flatten the scarring. if after waiting at least one year, it may be possible to surgically revise the scar in the office under local anesthetic. however, this could help but it is not a guarantee.remember, you are your own worst critic.david berman mdps just so that you don't think your nurse and doctor are fighting. it is a continuum between a hypertrophic scar and a keloid. by definition a "keloid" extends well beyond the boundaries of a normal scar.