Scar Removal Q&A
69%
WORTH IT RATING
"Worth It Rating" shows the % of consumer reviewers that stated the procedure was "Worth It" or not. See more RealSelf Worth It Ratings or Add Your Review
31 Reviews
Scar Removalbefore & after photos
View Before and Afters

Average Scar Removal Cost: $1,860

Learn about Scar Removal

1,382 people and 359 doctors are talking about Scar Removal

Get Free Email Updates

Breast Aug Scars - 4 Months Post-Op

asked 10 months ago by KL3946 in Miami
Latest answer by Vivek Bansal, MD
Question viewed 872 times
Tags: 4 months post-op, options, silicone scar strips

My scars are hypertrophic and unsightly. I am overall pleased with the breast aug but the scars make me feel like I've swapped one set of issues for another. I am using silicone strips but am not satisfied with the results. My surgeon is sort of dismissive about them and just want me to wait it out. Do most surgeons provide kenalog/cortison shots post-op or is it common to have a surgery and then have to find another doc to take care of the scars? Please post suggestions for my scars.

14 answers to Breast Aug Scars - 4 Months Post-Op

+2

Surgical scarring and scar widening

I cannot see why your plastic surgeon would not or could not take care of the scars after surgery. It is part of the surgery aftercare that you paid for when you paid for surgery and within the realm of plastic surgery. Most prospective patients do not seem to understand that when they are doctor shopping. Surgeons that routinely under charge to get a case from competitors will frequently not be able to deliver the required after care because they are forced to move onto the next patient as... more
Aaron Stone, MD

Los Angeles Plastic Surgeon
+2

Laser treatment for scars

I would consider laser treatment for these scars. In Miami - dermatologist Jill Waibel would be who I would see.
Jason Pozner, MD

Boca Raton Plastic Surgeon
+2

Breast augmentation scar position and tension

I think your scars are well above the infra-mammary fold, and in that position are subject to significant tension from the underlying implant. I think the measures you have taken so far will improve the scar, but will not change the position. Scar massage is also a very effective means of softening scars. Follow up with your plastic surgeon !
Scott Sattler, MD

Bellevue Plastic Surgeon
+2

Hypertrophic scars

The first thing I would recommend is to discuss the scars with your surgeon. There are a number of potential actions. Pressure often with silicone can be used to aid scar maturation and flatten hypertrophic scars.Steroid injection is also a possibility to flatten scars. In general incisions look their worst around one month then slowly mature with time often it can take one year.
Jay M. Pensler, MD

Chicago Plastic Surgeon
+1

Scar Removal

Four months post op is still too soon. I would suggest waiting at least a year or 10 mo. at the soonest to start interventions. If the scars are red, you could start treating them with a laser like the v-beam or an IPL if they are very vascular and this can sometimes reduce the redness, possibly some shrinkage as well. Steroids can be implemented when the surgeon feels the scar is mature enough for that intervention.
Vivek Bansal, MD

Danville Plastic Surgeon
+1

Breast augment scarring

Apart from the placement of the scars, they appear hypertrophic. Scarring takes about a year to settle down. You are doing the right thing by dedicated application of silicone strips. It would be useful to know whether your surgeon sutured the skin level or used a different method of closure. It is my feeling that time invested in an optimal closure is essential because it does influence the visible result of the surgery. Scar injection may improve the scar but patients report that it is... more
Robert L. Kraft, MD

New York Plastic Surgeon
+1

Breast augmentation scars

Your plastic surgeon may be overly dismissive but the reality is that there is little that can be done to improve hypertrophic scars or speed up the maturation process. Pressure can soften scars and speed up maturation but it's unrealistic in this location. Steroid injection will speed up the maturation process but won't change the width, length, position, or color of the scars. I would condemn the idea of laser treatment and scar massage or topical treatments are also wishful... more
Scott L. Replogle, MD

Denver Plastic Surgeon
+1

Scarring After Breast Reduction

There is a great deal of variation in the quality of scarring following breast augmentation or any operative procedure for that matter. The only reliable predictor is previous scar formations. It does appear from your photos that your scars would benefit from injection of steroid (I add another medication to the steroid which I feel improves the result). I personally would charge only your insurance company or my actual cost of supplies for this service, but this will vary... more
John Whitt, MD

Louisville Plastic Surgeon
+1

Breast aug scars

Usually your plastic surgeon would want to follow you for your scars but they may take up to 12 months to mature. Silicone strips are an option for now. Later on kenalog can be used but I would wait at this point. Discuss it with your plastic surgeon.
David Nicholas Csikai, MD

Jacksonville Plastic Surgeon
+1

Several options for scar treatment

There are several options for hypertrophic scars post surgery. It does however take 6 months to one year for complete scar healing. I'm glad to hear you are wearing silicone patches since they are a great option. Manual scar massage is also a good option but typically during the early recovery period (1st 3 months) If between 10-12 months your scars are still raised and thick speak with your plastic surgeon about kenalog injections. He or She should be able... more
Renato Saltz, MD

Salt Lake City Plastic Surgeon
+1

Scars

Scars take six months to a year to folly mature. changes in color and contour as well as positioning are what draw attention to scars. i would continue with the silicone and or mederma. be patient,
Jonathan Saunders, MD

Newark Plastic Surgeon
+1

Breast Aug Scars - 4 Months Post-Op

Best to follow up with your surgeon for advise. From the posted photo it appears as early well healing incisions. Since you have used external modalities I would try injections of very low dose Kenalog, first. Than IPL laser therapy. All these additional treatments are a fee for service.
Darryl J. Blinski, MD

Miami Plastic Surgeon
+1

Unsatisfactory breast scars 4 months post-op--What to do?

First of all, I am glad you like your overall result, since your scar placement is suboptimal and not very symmetrical (the left is more lateral and inferior than the right, so I hope your breast symmetry is good, since your scars are not in the same positions on your breasts). As you and many patients see, breast scars CAN be a significant issue. Your surgeon is the proper person to discuss this with, as your scars are his doing, but he cannot control your genetics of healing. Even... more
Richard H. Tholen, MD, FACS

Minneapolis Plastic Surgeon
+1

Thick wide scars after augmentation

Thank you for the photos. You are four months post surgery and your breasts look like torpedos on your chest. This tells me that your or your surgeon's choice of implants was too large for your breast skin envelope. Your scars are above the inframmmary fold (I'm sure that's not where your surgeon placed it) and this shows that your large implants are sliding down to have more room. As the implants go south, naturally your scars go north. In this position there's more... more
George Marosan, MD

Bellevue Plastic Surgeon

Ask a question