Keloids after breast lift/augmentation - any suggestions? Any lasers available for melanated skin? (Photo)

Question

I had a lift and augmentation in Aug 2021. No complications. Seemed to heal quickly. Then I developed keloids sound my nipples and under boob. They were itchy and painful for months. Doc did a revision in March. Unfortunately they came back. Each time I've received steroid injections. I've had 3 rounds of shots thus far. Pain will go away for a a few days and then returns. Any suggestions? Any lasers available for melanated skin? Hate the look and sadly regretting my decision.

Raffy Karamanoukian, MD, FACS · Answer

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

Nelson Lee Novick, MD · Answer

I have been treating keloids for more than three decades. Quite commonly revision surgeries, as in this case, results in recurrences, which is why I seldom ever recommend it. Assuming an appropriate algorithm for ratcheting up the concentrations and the amounts of the steroid injected has already been done, then there are additional steps that may be taken, as, for example, the addition of an algorithm for the addition of  5-FU and/or the pretreatment with cryotherapy to soften the keloid and/or the the use of fanning technique of injections to ensure that the anti-inflammatory is dispersed more evenly within the keloid scars. You would be wise to consult an experienced, board certified cosmetic dermaologist scar specialist. Hope this helps. Best of luck.

Daniel Barrett, MD · Answer

Dear LadyLady2004,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Keloids after breast lift/augmentation - any suggestions? Any lasers available for melanated skin? (Photo)

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Keloids after breast lift/augmentation - any suggestions? Any lasers available for melanated skin? (Photo)

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