Delayed healing after reduction can lead to hypertrophic scars

Peter E. Johnson, MD answers: Hypertrophic breast reduction scarring

I had a breast reduction and suffered a pretty significant wound separation. Could this potentially be the reason for hypertropic scars?


Peter E. Johnson, MD
7 months ago

Hypertrophic, or thick scars after breast reduction can have many causes such as age, ethnicity, presence of infection, tension during healing, delayed healing, or prolonged irritation or inflammation. An open area or wound separation can easily lead to a thickened or hypertrophic scar.

Once this process has been set in motion it can take a very long time for the scar to soften and improve, sometimes 12 to 24 months. If your surgeon feels the scar can be revised and improved, given a better environment to heal kindly, revision need not wait the one to two years and you may be better off. There is no harm in waiting however and you can also use scar massage or silicone sheeting to help speed the process.

Best of luck,

peterejohnsonmd

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