How To Prevent Keloid After Breast Augmentation
A keloid is scar tissue that extends beyond the original injury site. Unlike normal scars, keloids continue to grow even after the wound has healed. They appear raised, thick, and often darker than surrounding skin, ranging from pink to dark brown. Keloids can be itchy, tender, or even painful and may cause physical and emotional distress to patients.
Approximately 2-4% of all surgical patients develop keloids, with a higher incidence (6-16%) in people with darker skin tones. In fact, research finds that African Americans and Asians are 15-20 times more likely to develop keloids. Fortunately, breast augmentation-specific keloid rates are relatively low (around 1-2%) when proper surgical techniques are used.
Minimize your risk
Preventing keloids begins before your surgery by discussing with Dr. Kesarwani about any personal or family history of keloid formation. This information helps Dr. Kesarwani plan appropriate surgical techniques and incision placements to minimize risk.
Once your surgery is complete, proper wound care becomes crucial. Keep your incisions clean and dry, following all post-operative instructions carefully. Avoid activities that could stress the healing tissues, and wear your prescribed compression garments as directed.
Scar management should begin as soon as your wounds have healed. Silicone sheets or gels (like Cytoderma) are considered the gold standard for preventing keloid formation. These should be used consistently, along with sun protection, to prevent UV damage to healing tissue. Gentle massage techniques once healing has progressed sufficiently may also be recommended.
A balanced diet rich in proteins, nutrients and vitamins after your surgery. This will support proper healing. Stay well-hydrated and avoid smoking, as it can impair healing. Excessive alcohol consumption should also be avoided during the healing period.
Watch for warning signs of potential keloid formation, including excessive itching, raised or thick scar tissue, or scars that spread beyond the original incision lines. If you notice any of these signs, contact Dr. Kesarwani immediately, as early intervention is crucial for preventing full keloid development.
Long-term management involves continued monitoring and protection of your scars. Maintain regular follow-up appointments with Dr. Kesarwani, and continue using sun protection on your scars even after they appear fully healed.
Dr. Kesarwani will provide personalized recommendations based on your specific situation and risk factors. Following these guidelines doesn't guarantee you won't develop keloids, but it significantly reduces your risk and gives you the best chance for optimal healing.