What causes internal keloids after breast surgery, and what should be done about it?

Apr 12, 2023 Source: Cainiu Health

Dr. Lv Aiming

Introduction

Internal keloids after breast surgery may be caused by surgical trauma, tissue healing response, infection, individual differences, complications, or other factors, and require targeted treatment. For mild cases of internal keloids, observation and conservative management can be considered, including regular follow-up examinations to monitor changes in the scar, as well as maintaining dryness and cleanliness of the breast area.

Internal keloids after breast surgery may be caused by surgical trauma, tissue healing response, infection, individual differences, complications, and other factors, requiring targeted treatment.

1. Surgical trauma: Breast surgery involves the removal of breast tissue or tumors, which causes certain trauma to the breast tissue. During the wound healing process, scar tissue may form, leading to internal keloids.

2. Tissue healing response: The tissue repair process triggered by surgical trauma may result in excessive proliferation of scar tissue. Some individuals may exhibit an exaggerated scarring response to injury, forming more prominent internal keloids.

3. Infection: Infections may occur during or after surgery. Infection can disrupt normal healing and promote increased scar tissue formation, resulting in internal keloids.

4. Individual differences: Healing responses vary among patients. Some individuals are more prone to developing scar tissue, including internal keloids. Genetic factors, age, skin tone, and overall health status may all influence the development of internal keloids.

5. Complications: Complications occurring during or after surgery may increase the risk of internal keloid formation. Postoperative hematoma, fluid accumulation, adhesive allergies, and similar factors may interfere with wound healing, thereby promoting excessive scar tissue growth.

For mild internal keloids, observation and conservative management may be appropriate. This includes regular follow-up examinations to monitor changes in the scar, as well as keeping the breast area clean and dry. For severe internal keloids, surgical excision of the scar tissue may be necessary. Patients should consult their doctor for a detailed evaluation and personalized recommendations.

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