I would make it a point in the pre-op history and physical to explain again that you are prone to keloids, and ask how you and the surgeon can tamper the likelihood of that possibility. For other surgical procedures, there are surgical suturing techniques that can lower the possibility of Keloid formation (e.g. subcutaneous sutures), and surgeons will employ this. That being said, SRS surgeons are unique in that they perform such a specialized surgery, that involves the epithelial tissue that can granulate, that it may be better to just rely on their normal methods. By this, I mean to say that if a surgeon has done a procedure with certain techniques for a give outcome, it may be best for them to do that original method; as them deviating from it can lead to less than desirable results. Again, just remember to bring it up when you have the pre-op face to face visit, hope that helps 🙂