Question: I am African-American and I have a tendency to form keloid scars. Is it possible for me to get a nose job without keloid scarring? If the incisions are made on the inside of the nose and keloid scars form there, what would happen?
Answer: It is interesting that even in African-American patients that form keloids on other body parts, they tend not to form keloids on their nose and, certainly, I have never heard of keloids forming on the inside of the nose from incisions placed there during a rhinoplasty. If for some reason this would happen, most keloids are successfully controlled with repeated periodic injections of a steroid solution and it would be highly unlikely that these would grow to the point where they would become an issue with either the cosmetic result or the nasal airway.