How Can I Reduce Areola Scars from Breast Augmentation?
- Asked by keseide1 in NY
- 5 years ago
Top 4 tips to reduce areolar scars after breast implants
Scars will always fade with time. There are several steps after surgery to speed up the rate of improvement. Here are a list of 5 top tips for scar improvement:
- Massage scars until they soften
- Apply silicone sheets (available in pharmacies)
- Avoid direct sun exposure and use sunscreen
- Apply lightening creams
If all else fails, talk to your plastic surgeon about revising the scar. That is a relatively simple and quick procedure.
Scars are Permanent
There is no way to remove scars (other than replacing them with other scars).
There are several treatments with scientific evidence that make small improvements in normal healing scars.
1. Scar massage
2. Silicone sheeting
3. Topicals like Mederma
Timing of the use of these treatments is important and using something like Mederma too early can cause wound healing problems.
Remember, it won't remove the scar but it will make them less noticeable.
For atypical scars (keloids and hyertrophic scars there are additional treatments like steroid injections which carry separate risks but may be of some benefit).
I hope this helps.
Steven Williams, MD
Improving areola scars
Surgical scars should heal well with a fine line scar if:
1) there is relatively little tension on the closure,
2) it is performed with good technique, and
3) there is no post op infection or other problems.
To improve your scars they can be revised if they have matured. When the revision is performed if there is likely to be tension on the closure a purse-string incision can be made and a permanent suture can be used to keep the tension off of the incision.
All the best,
Web reference: http://aaaplasticsurgery.com
Recent Breast Augmentation Reviews
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Areola Scars from Breast Augmentation
An areola incision is not my preferred incision for a breast augmentation because they can be more perceptible and they are inconsistent for healing. If you are considering an areola incision, several things should be noted. If you have large , distinct areolas then it may be easy to perform an incision around that area, but remember that the chance of nipple sensory loss is about 15% in this area versus 5-7% from an inframammary fold incision which can be hidden in the fold. Certainly, in patients of color I do not recommend areola incisions as they do not heal, in my experience, as well as other incisions such as inframammary fold incisions.
- Scars will fade with time. Scars require 18 months to mature and get worse (at 6-9 months), before they get better (18 months).
- Use scar therapy creams as recommended on the label. Scar therapy is most effective in the first 6 months after surgery.
- Bleaching cream could be helpful if you are developing dark pigmentation
- Avoid ANY tanning rays/ultra-violet for 6 months, after surgery
- Laser treatments of scars may be a useful adjunct (ask your surgeon)
Can't be done
Scars are permanent but do improve with time, massage, and sometimes IPL laser treatments. Occasionally, a scar revision can be done to make them look less conspicuous but scar revision is not scar removal.
First realize that scars always get better in time, sometimes up to two years. I also recommend silicone gel sheeting.
Proactive scar management
Every person heals differently and will improve over the next 3 to 6 months. Some patients require up to one year to fully mature. A nice scar starts in the operation room. The incision must be placed in the right position, sutured keeping the tension off of the skin itself. Also it has been show that keeping the incision taped for the first three weeks keeps some of the early tension off of the scar. Then from the end of the third week to the end of the third month it helps to use a topical product with silicone.
Reduce Areolar Scars
Start with massaging your scars and using compressive gel sheets. It's important to give the scars time to fade. Scars will fade significantly within a year, and that would be a good time to reevaluate. If you still have concerns at that time scar revision may be necessary.
Nonsurgical Options Like Mechanical Massage & Topical Agents May Help; Surgical Options Like Scar Revision May Also Help
Scarring is inevitable after any surgical procedure. When breast augmentation is performed, every effort is made to hide the scars where they won’t be noticeable. Incisions are typically hidden in the armpit, beneath the fold of the breast and at the junction between the areola and the surrounding skin.
Unfortunately, in rare cases, adverse scarring can occasionally occur. This is usually due to wound healing biology and is frequently seen in patients with darker pigmentations.
It’s important to remember that wound healing continues for over a year after a surgical procedure. During this phase of wound healing, there are several maneuvers that can be performed to minimize scarring. These include mechanical massage, the use of silastic sheeting and topical agents such as mederma. Even when these methods are used, scarring may still be a problem.
If scars have failed to improve after they have reached maturity, scar revision may be an option. If you’re concerned about scarring, you should consult with your plastic surgeon. Your surgeon will be able to recommend an appropriate course of action.
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.