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How Can I Reduce Areola Scars from Breast Augmentation?

Doctor Answers (49)

Top 4 tips to reduce areolar scars after breast implants

+6

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.

Los Angeles Plastic Surgeon
5.0 out of 5 stars 43 reviews

Scars are Permanent

+4

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.

They include:

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

San Francisco Plastic Surgeon
4.5 out of 5 stars 20 reviews

Improving areola scars

+2

Hello,

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,

Dr Repta

Web reference: http://aaaplasticsurgery.com

Scottsdale Plastic Surgeon
5.0 out of 5 stars 72 reviews

Areola Scars from Breast Augmentation

+2

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.

Dallas Plastic Surgeon
5.0 out of 5 stars 12 reviews

Fading Scars

+2
  • 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)
Denver Plastic Surgeon
4.0 out of 5 stars 5 reviews

Can't be done

+2

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.

Seattle Plastic Surgeon
5.0 out of 5 stars 44 reviews

Minimize scars

+1
Minimize your scars by avoiding exposure to sunlight, massaging scars, and using silicone sheets/stickies/gel. If the scar starts to become raised or thick make an appointment to see your plastic surgeon - you might require a steroid injection. Scars take a year to mature. If you're a year out and still unhappy, consult with your plastic surgeon to discuss a scar revision. Best of luck.
Los Angeles Plastic Surgeon
4.5 out of 5 stars 57 reviews

Select A Surgeon Properly Trained & Experienced in Breast Augmentation

+1
If you are considering breast augmentation, it is very important to select a plastic surgeon who has extensive training and experience with this procedure.A properly trained and experienced surgeon can help you decide which incision is best for you.

If your procedure is performed through a periareolar incision, then you would likely have a very
fine line scar after surgery.This will be dependent not only on the skill of the surgeon but also on your postoperative recovery.If you develop any type of wound infection in the area or suffer any type of unwanted trauma to the breast the incision may widen.If your postoperative course is unimpeded, you should expect a very fine line scar in this area.

In summary, the best thing you can do is to select the proper surgeon and follow all of the
postoperative instructions.
Omaha Plastic Surgeon
4.5 out of 5 stars 37 reviews

Scar treatment

+1

First realize that scars always get better in time, sometimes up to two years. I also recommend silicone gel sheeting.

Wellesley Plastic Surgeon
4.5 out of 5 stars 9 reviews

Proactive scar management

+1

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.

Atlanta Plastic Surgeon
5.0 out of 5 stars 7 reviews

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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