I had a breast reduction & lift 15 months ago. I am very pleased with the way my breast look now except for the scars. The scars seemed to be healing very well after three months until I went to a tanning salon ( I was not told not too). Now the scars appear very red and somewhat raised. I have tried the mederma cream and it has not done anthing to the appearance. What treatment or proceudre should I consider?
How to Get Rid of Red and Raised Breast Reduction Scars?
Doctor Answers (14)
Lots of options to improve the appearance of scars
What you are describing does happen from time to time after breast reduction surgery, but there are a few things that can be done to improve their appearance, including scar massage, silicone ointment or sheets, and steriod injections. There is also the surgical option of a scar revision, but I would wait at least 2 years in your case until you have tried these other, non-surgical treatments, prior to have a scar revision. The non-surgical treatments should help the scars flatten and become less red, but if they are wide scars, then usually the only remaining option will be a surgical revision, which can work very nicely to narrow them.
Sounds like you are very happy overall, and that's what counts!
Web reference: http://www.drsalemy.com
Breast Reduction and Scarring?
Thank you for the question.
Sometimes the use of silicone-based products and/or steroid injection may be helpful. Sometimes scar revision surgery and careful scar management afterwards may be helpful. Despite anecdotal reports otherwise I have not seen significant improvement with laser treatment of scars.
Scar creams don't work for breast reduction scars.
Fifteen months is a long time to have actively healing scars, but it is not out of the question. You probably need more time. A scar revision starts the process over and you might be where you are now 15 months after the revision. Scar creams don't work. Check with your plastic surgeons. Occasionally steriod injections may help but should be done judiciously.
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Scarring after breast reduction
Red and raised scars 15 months after breast reduction are not normal. The tanning bed certainly didn't help, but it shouldn't have made the scars raised. You may have hypertrophic scarring, which may require more than just some lotions or creams to impove. See your plastic surgeon again for scar treatment recommendations.
Scarring after breast reduction
Scarring after breast reduction is typically very mild. If you have read and raised breast reduction scars 15 months after surgery, this needs to be evaluated. Your skin may be having a reaction to the suture that was used for the closure. There are several options for your condition. Arrange an evaluation with a board-certified plastic surgeon so that they may assess your scars. They may recommend a small injection of steroid medication to help settle the scars. They may also recommend a scar revision where the thick red scarves are excise and replaced with thinner scars. If you should decide to proceed with a scar revision, be sure to use silicone sheeting over these new scars to make sure that he'll as smoothly and as flat as possible.
See your surgeon to determine how to fix scars
Without seeing you it is not possible to know what is going on. You could have hypertrophic scarring but without examining you I can not recommend treatment.
Breast reduction scars
Tanning salons are a "NO NO." The scars are usually more sensitive to UV rays and can cause hyperpigmentation as I suppose happened to you. Keep them protected from the Sun or tanning booths.
Red scars can take more time to mature
Healing is an individual thing. Usually scars mature in less than a year, but they can take many years for the reddness and thickness to go away. You need to see your surgeon and let them decide what is the best thing to do.
Raised Red scars from breast reduction
Managment of hypertrophic scars requires that they be distiguished from keloids which continue to grow well beyond the borders of the original incision. It sounds as if you have hypertrophic scars which can grow for a period of 2 years after surgery.
- In the meantime scar management modalities include:
- Pressure therapy
- Silicone gel sheeting: this is incovenient and most people prefer silcone ointment type preparations
- Use of sunblock
- Intralesional steroid (kenalog) injections
In the case of keloid type scars other options include:
- Rarely intralesional 5 FU injections
- Rarely radiation therapy
Mederma, Vitamin E, Aloe Vera, Cocoa Butter, and Lanolin are all popular but have not been shown to truly have any consistent effect on scars.
Hypertrophic scars can do well with combination therapy
Hypertrophic scars need multimodal therapy to try and improve them. I use silicone gel sheeting as a frist line treatment. If this does not seem to be helping then I use a synthetic steroid injection. In addition I use a laser to take out some of the redness. If the scars are on a bra line then I suggest using the pressure from the bra strap as an adjunct.
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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