How will my new belly button look after tummy tuck if I am keloid prone?

Thank you for your thoughtful question. Since you already know you’re prone to keloid formation, it’s completely valid to be concerned about areas like the belly button, where scars are more visible.
While tummy tuck scars are typically placed low enough to be concealed under clothing, the belly button does remain exposed. Fortunately, most surgeons take special care to shape and suture this area in a way that hides the scar within the natural contour. However, for keloid-prone individuals, even well-placed incisions can sometimes heal unpredictably.
If a keloid does develop around the belly button, several treatment options beyond laser therapy may help: • Silicone gel or silicone sheeting (used consistently post-op) • Steroid injections (often used as a first-line treatment for raised or thickened scars) • Pressure therapy or taping techniques during healing • Microneedling or superficial radiofrequency treatments under medical guidance
The key is close follow-up with your surgeon and possibly consulting a dermatologist early in the healing process. Preventive strategies can often make a big difference for keloid-prone skin.
Wishing you a smooth recovery and optimal scar healing

Hello, if you have keloid and youı'll ahve a tummy tuck, your scars will be more visible than expected. You can have non surgical treatments, or you can have a scar revision after your operation

Thank you for your question — it's a very important consideration, especially for patients who are prone to keloid formation.
In some cases, depending on your anatomy, your surgeon may be able to perform a technique called a “floating belly button.” This involves releasing and repositioning the belly button internally without creating a new scar around it on the skin’s surface. This technique is more likely to be possible if your belly button is positioned slightly higher on your abdomen to begin with.
If a scar around the belly button is unavoidable, it's important to be proactive from the start. We typically recommend early and consistent steroid injections to minimize the risk of keloid development. In particularly high-risk cases, a very low dose of localized radiation may also be considered as a preventive measure to help keep keloid formation under control.
While there’s no guaranteed way to prevent keloids entirely, these strategies can significantly reduce the likelihood and severity. Be sure to discuss all of your options in detail with your plastic surgeon, who can tailor the approach to your unique anatomy and history.