Proceed with caution and low expectations.

Robin T.W. Yuan, MD answers: Hypertrophic scar revision after Breast Reduction?

I am an African American 7 months post op breast reduction. I have painful hypertrophic scars around the areola, as well as horrible scaring from where my plastic surgeon placed these plastic pins to guide him through the surgery. They came through my skin and had to be removed whenever they came to surface and out of the incision, otherwise it would be terribly painful. I also have healed with the marks of sutures. Am I candidate for revision? How soon can revision be determined?


Robin T.W. Yuan, MD
8 months ago

Unfortunately, treatment for hypertrophic scars in Afro-Americans is unpredictable atr best. In performing scar revisions, you have to ask yourself what characteristic of scarring you are trying to diminsh. You might want to try lower risk treatment such as silicone sheeting, pressure, even small amounts of steroid injection if you are trying to softenand flatten the scar. Scar revisions put additional skin tension on the wound often leading to repeat hypertrophic scars or spreading of the scars. Revison also usually lengthens the scar. I would suggest non-surgical treatment first and wait at least 1 or even two years for revision.

1 of 1 found this helpful
Helpful?

Request info from Dr. Yuan

50 words maximum (0 words entered)
Your info is protected by our privacy policy
Post your question

Scar removal before & after photos

Post your question
IMPORTANT: As noted in our Terms of Service, the information found on RealSelf.com, including that provided by professionals in the Questions & Answers area, is a general educational aid. The Questions and Answers contain opinions and views created by community members. RealSelf.com is not responsible for the accuracy of any information posted by community members. Do not rely on this information as a substitute for personal medical or healthcare advice, or for diagnosis or treatment purposes.