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how to prevent keloids short answers you canamp;#39;t unfortunately keloids are a way of healing that is determined just by your own genetics the way your body heals and keloids are so unpredictable you can have a keloid in one area have surgery six inches away and not develop a keloid scar and so we know that certain areas for sure are prone to developing keloid scars so if youamp;#39;ve had a keloid youamp;#39;re more likely to develop another keloid scar but it kind of depends on the area the areas that are worse for developing keloids are those of what we call high skin tension so if you look at something like here you know this is very low skin tension thereamp;#39;s a lot of laxity upper eyelid thereamp;#39;s very low skin tension here but in your in your upper chest in your back in your shoulders in in arms and legs those are much higher skin tension areas and those areas are prone to more likely to develop a keloid keloids in a breast not very common itamp;#39;s not zero