Breast Augmentation: Q&A

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What's the Best Treatment for Keloid Scar Post-BA? (Photos)

Currently 4 months post-op from BA with incision under breast 2months post-op, the scars started to grow in size (now the thickness and length of fore finger), they're itchy as hell, and are flaking. GP last month said they're keloid (never had before) - prescribed me steroid cream to apply for one week which helped but now I'm just massaging natural Rosehip oil twice daily - should I see a skin specialist for further advice or is there something I can buy online to help e.g. silicone strips?

5 Doctor Answers | Asked by BBoobies in Australia
+2

Thickened Scar Inframammary Fold - How Do I Treat It?

The good news is, you don't have a keloid. A keloid is a scar that goes outside the bounds of the incision, the way that bread moves outside and over the edge of a pan after baking. Your scar is just a scar. It's a little thickened at points, which would then be called a hydrotropic scar, but in no way is it a keloid. Please stop using the steroids as they break down the collagen in the scar and cause the scar to spread, which would definitely be a negative and... more
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Treatment of a Keloid Scar

While a picture is not as good as an in-person evaluation, it appears that your scarring process is actually a hypertrophic scar. Although similarly formed by excessive scarring, hypertrophic scars stay within the confines of the incision while keloids tend to invade the surrounding normal skin. Keloids tend to be very resistant to any treatment used. A hypertrophic scar is much more amenable to treatment. Your first line of treatment should be massage and application of a silicone sheet... more
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Breast augmentation scar

You have a hypertrophic scar with some surrounding hyperpigmentation. It is not a keloid and there is no evidence of skin flaking in the photos. It is impossible to say what the best treatment is based solely on the photos and limited history in your post. I hope you realize that this format of posting questions and receiving answers lacks the face to face direct communication required for you to make an informed decision regarding your surgery. My response to your question/post... more

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+2

Keloid post breast augmentation

Hi there, It's hard to be sure but the second picture looks more like hyperpigmentation than a keloid. I think the scar within the area of hyperpigmentation looks pretty normal. It's hard to give you good advice on this without better pictures. I suggest post some better resolution pictures, and see your plastic surgeon - just call for an appointment, they will be keen to see, advise and treat you as part of normal follow up. If you had the surgery... more
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Keloid

I am having some trouble looking at the photos to see if the scar is just wide or if it is also raised. The reason I raise this is that if it is only wide, the issue is that the scar has too much pigment, and the best treatment may be a bleaching agent, usually 4% hydroquinone. In the US that requires a prescription. If it is elevated, it would be considered a hypertrophic scar, a word sometimes used interchangeably with keloid, and the treatment would be geared to discouraging the... more
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

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