Dear GHendrix Thank you for your question! The shape of your chest ( the fullness) is very common. The scar on your shoulder is definitely a sign that scarring could be an issue. If you decide to have surgery- the incisions should be carefully place ( for liposuction and possible gland removal) and they should have prophylactic injection of steroid and an antimetabolite to try to prevent the scarring. With Warm Regards, Trevor M Born MD
You do have a significant keloid which means that there is a significant chance that you will form keloids again. The scar around the nipple is usually a great scar but in your case I would be quite concerned about getting a keloid here. A liposuction only surgery is likely what you have to settle for. This can we done through a small incision in the axillary. The central gland can't be removed but it's likely better than a big visible keloid.