Discuss your concerns with your plastic surgeon

Stephen A. Goldstein, MD answers: Removing scar below crease after breast augmentation?

I had a breast augmentation surgery nearly a year ago; in general, I am happy I did it, although there are things I would change now (e.g. I would choose the 'teardrop shape', as I originally planned, rather than round implants that the doctor persuaded me to take). What I hate is how the scar below my right breast appears to have 'slided' below the crease (it seemed to happen gradually, and settled there a month or two after the surgery).

My other scar is also visible but it has stayed in the crease so I do not mind that, as I am aware that it fades with time; this one, however, is really visible, as it is half an inch below the crease, and is making me self-conscious. Is there a way to help with this? (I did use cosmetics - 6 weeks after surgery, I started Dermatix cream as suggested by my doctor. After that, I used silicone sheets, and now I am using StriVectrin cream since I read that people had good experience with it in scar reduction.)

Would laser be the solution here? If so, could the heat that the laser develops represent a danger for the implant? I am thankful for all answers, as this is really beginning to bother me!


Stephen A. Goldstein, MD
8 months ago

I would recommend that you return to your treating plastic surgeon to discuss your concerns. Unfortunately, you did not provide frontal view pictures, so it is hard to give specific recommendations. If the implant on the affected side appears to be at a higher level than the opposite side, then you may see improvement with the position of the scar by lowering that implant. A scar revision may be performed at the same time.

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