I am prone to keloid scarring. Can keloids form on the face?

Question

Hi, I'm a 24-yr old female of Asian descent. I got one small keloid scar on my shoulder following skin tag removal, I believe it was burned off. This happened when I was around 16.   I then had my ears pierced when I was 21, but no keloid.   I wanted to get some procedures done on the face, still thinking about them but currently wanting: 1. Asian double eyelid surgery 2. Dimpleplasty 3. Rhinoplasty   Can I get keloid from these 3 procedures? Can a keloid form on the face at all?

Suzette Miranda, MD · Answer

Dear Spaceprincess95, A keloid is a thick, raised scar formation that grows beyond the initial scar boundaries. They can certainly occur anywhere on the body as there are several factors that influence keloid formation. These are genetic, local and systemic factors. However, keloids are rarely observed on body regions that are subjected to less mechanical force, including the head, forehead, cheek, nose, eyelids, etc. I suggest you see a board certified plastic surgeon to discuss your desires and concerns so that you can reach your personal goals. Good luck! Sinecrely, Dr. Suzette Miranda Board Certified Plastic Surgeon

Sam Naficy, MD, FACS · Answer

Keloids are extremely rare after rhinoplasty.  I have never seen one form in over 20 years of performing rhinoplasty.  They are more common around the ears, neck, and chest.

William Portuese, MD · Answer

Yes, keloids can form on the face, but they're much less  chance on the face that on the shoulder/ trunk area. It's extremely rare to have a keloid form on the Eyelids after a blepharoplasty. A closed rhinoplasty approach can accomplish making the required changes to your nose which would completely eliminate the chance of a keloid. All the incisions are placed on the inside of the nose. No external incisions are required.

I am prone to keloid scarring. Can keloids form on the face?

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