I have huge scars after having a breast lift and the doctor told me that they are keloids and that nobody could have predicted it. How do you proceed in such a case? Is it necessary to operate again or should I have them lasered?
2011-04-13 17:49
Keloids after breast lift
(Discussion to topic Breast-lift (Mastopexy))
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You can re-operate and remove the scars but you have to wear a silicone pads that will prevent formation of keloids or before surgery, your doctor tries to inject corticosteroids in the scars. LASER is the best for treat fresh scars few months after surgery although it is possible to do something later with scars.
2011-04-19 17:22
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KELOIDS AFTER A BREAST LIFT. A very difficult and unfortunate problem to correct. Treatment options include: do nothing, steroid injections, scar revisions and radiotherapy,or silicone sheet therapy. If they are truly keloids, do not get a scar revision alone, it will come back worse.
2011-04-21 03:15
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The scar depends on the surgeon correct suture and mainly on the patient specific biological response. Keloids or hypertrophic scars prevention should be done after cosmetic surgery by silicon sheet or silicon gel, or by other products or specific local injections.
2011-11-04 09:44
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laser is rarely effective on keloids,the best is still cortisone treatments locally but that should have been started earlier but it can still be of help .It is very difficult to predict the quality of the scars before surgery unless the patient has a propensity for keloids ,but the quality of a scar does not determine the quality of a new scar
2012-02-27 11:48
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Thomas Rappl M.D.
General Practice for adults
Plastic surgery
Sports Medicine
Laßnitzhöhe
Comments: 63
 | Active member |
Plastic surgery
Sports Medicine
Laßnitzhöhe
Comments: 63
you can treat keloids with silicone sheets, also massaging of keloids could be helpful. further a lasertherapy can lead to an improvement. also intraleasional injections with corticoids can help. nevertheless there is no guarantee that any of these procedures will help for sure.
2012-03-22 20:10
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aviral
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After the removal of the breast keloid are seen in the operated region.
2012-03-25 07:27
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In severe cases you can also try to inject corticoids. However, you should let time pass and in the meanwhile use silicon sheets and ointment. Should not appear any improvement after one year you should make a surgical scar correction and afterwards start imidiately with scar treatment.
Good luck.
Sincerely
Nektarios Sinis
www.sinis-plastische-chirurgie.de
2012-03-25 08:13
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Chest is a site where keloids / hypertrophic scars are most likely to form, after any kind of surgery.
Re-operation can result in a worsening of the situation, with sometimes a bigger keloid after surgery. Repeated 2 weekly intralesional steroids, chemical peels, laser resurfacing, silicone sheets, cryotherapy, are various options for treating keloids.
2012-03-25 08:51
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Hello aviral,beside a surgical scar correction(this would be the last possible step)you can use silicone gel or silicone sheets to improve the scars.Furthermore we can offer you an innovative scar pigmentation method that adjusts the scar to the surrounding skin area.
sincerely
Professor Dr.Ralf-Thomas Michel
www.prof-dr-michel.com
2012-03-25 13:30
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Do you have some other keloids scars on you?
Exactly which part of the surgical scars are keloids scars ?
When the surgery was done ?
2012-03-26 06:52
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Keloids are a difficult problem to solve. Treatment can be tried at different levels: intra-lesional steroid injections, silicone sheeting, pressure therapy, and excision with local radiotherapy when very resistant keloids.
In your case I would probably start with intra-lesional steroid injections.
best regards
2012-03-30 10:11
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something is missing...when the surgery was done?
2012-03-25 15:02
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If this is a true Keloid then I wouldn't advise you to go for surgery as it will most probably become worse. Silicone sheets or gel together with a pressure bras may be helpful but if the scars are growing red and painful then local intralesional corticosteroid injections may be helpful in improving the symptoms like itching and pain and the scar may become more flat. But this should be done by a professional to avoid the local side effects like excessive thinning of the scar. Laser may only be helpful in speading up reducing the redness of an active scar not an established keloid, and this may be achieved by the above mentioned recommendations so it is not cost worthy. If the scar is only wide but not raised above the skin then this may not be keloid, it may be simply stretching of the scar and for this case scar revision may be attempted. As your doctor has mentioned to you keloid may not be predicted except if you do have already older scars with keloids somewhere else in your body. Also darks skinned people are more liable to have keloids and if there is a positice family history.
2012-03-25 17:53
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there are many methods to treat your scars on the breast,better to start with silicon sheats.
2012-03-29 08:15
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