Keloid scar after Gynecomastia surgery. (Photos)

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

Thank you for sharing your question and photographs.  I think it would be best to be seen by a gynecomastia specialist for an in-person examination.  Through feeling of your chest tissues the best treatment can be recommended, but most likely revision surgery will be needed.  Hope this helps.

At 2 years post op, what you see is your final result. I am sorry that you developed a keloid. Schedule a consultation with your surgeon or with another board certified plastic surgeon to discuss scar revision surgery. 

The wound healing process can be a very frustrating portion of the surgery.  At two years, however, I would say that the scars that you have are fully matured, and if they are hypertrophic, or thickened and raised, then it is time to do something about it.  The degree of thickening and elevation of your scars looks more like a hypertrophic scar than a keloid.  (thank you for posting pictures!)  Nonetheless, the treatment is similar.  At first, a course of steroid injections can help to soften the scar and, in combination with massage, they may flatten and the tenderness you are experiencing may subside.  In a worst case scenario, where steroids fail, surgical revision may be necessary.  Knowing that you have formed hypertrophic scars, you can pre-emptively attempt to keep future scar hypertrophy at bay with other methods such as silicone sheeting, while you heal after a revision.  I would recommend seeing your surgeon, or any other surgeon certified by the American Board of Plastic Surgery about your current situation.  Best of luck!

Keloids are very aggressive scars that can develop after any surgery. They are more commonly seen in people who are dark skinned and have a history of bad scars. Your scars look more like the hypertrophic variety. I would suggest that you consider steroid injections into the scars and see how well this works to flatten them. Steroids can be injected every 8 weeks until the result is improved. Compression also helps this area as well as finger massage (deep tissue).

I would not recommend any form of surgery to improve these scars. First line treatment is steroids and compression with finger massage. Be patient, as this will certainly get better.