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Plastic Surgery Question of the Week
 
Plastic Surgery Question of the Week
by Jean M. Loftus, M.D., Board-Certified Plastic Surgeon
 
Dr. Jean Loftus

Dr. Jean Loftus is a double board-certified plastic surgeon and is a national authority on plastic surgery. She has appeared on CNN, MSNBC, and The Today Show, as a vocal advocate of safety, conscientiousness, and honesty in plastic surgery. Her book, The Smart Woman's Guide to Plastic Surgery, is the #1 best-selling book in the country on plastic surgery. This book is available online at amazon.com, bn.com and borders.com.

Dr. Loftus has offices in Cincinnati and northern Kentucky. Visit her website at www.infoplasticsurgery.com. To schedule a consultation, you may contact her offices at (513) 793-4000 or (859) 426-5000.

Dr. Loftus just loves getting questions and posting answers. To submit your question, please follow the link at the bottom of this page. Even if you just want to send her a comment, she'd love to hear from you.


Q: I am a 41 year-old physically fit African-American female who is interested in liposuction of my abdomen and flaks. Should I be concerned about keloids or other problems because of my background?

Dr. Loftus Answers: Keloids (for those of you who don't know) are large unsightly scars that grow beyond the bounds of the original scar. They often appear as tumor-like growths on the skin. Once they occur, they can be very difficult to eradicate. They are more common in African-Americans (especially earlobes, chest, and abdomen), but they may also occur on Caucasians. If you have previously had surgery without keloiding, you will be less likely to develop keloids following liposuction than someone else who has formed keloids. If you have never had surgery, you are still at increased risk of Keloids compared to Caucasians because of your race. Yet, if you consider all African Americans who have had liposuction, those who do not develop keloids far outnumber those who do, so odds are on your side. This is still no guarantee.

If you do decide to have liposuction, voice your concerns to your plastic surgeon, who will hopefully want to monitor you closely for keloids following surgery. At the first sign of keloid development, your surgeon may choose to inject steroids. As for other concerns due to your race, you should expect that in general, your scars may be more visible than those of Caucasians. This is true even if you do not develop keloids, and is due to disparity between the color of the scar and that of the surrounding skin, which can be greater in African Americans than in Caucasians. I wish you the best and hope that if you do proceed with surgery that you have a successful and keloid-free outcome!


Curious about what others have asked? Want more valuable information on Plastic Surgery? Go to the Question of the Week Archives!

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