Can You Recommend a Good Scar Treatment/Cream for Post Op Breast Augmentation?

I'm 3wks post op from breast augmentation with an inframmary incision. My surgeon said I should use a scar cream but the 1 she offers is quite pricey, I forget the name. Can you recommend a good one? Have been looking into ScarGuardMD but have read mixed reviews leaving me unsure about spending the $$ on it. Tried Mederma & that was awful, it made my incision site stick to my bra and I had to peel my bra off which I'm sure caused more harm than good. I was told to use one with silicone in it.

Doctor Answers (12)

Scar treatment after breast augmentation?

+8

Biodermis, Cimeosil, Scarguard, Hybrisil, and others market topical silicone applied via tube, and a variety of adhesive silicone sheeting products may also be helpful.  If the scar is directly in the inframammary crease, it will not show when healed.  If above the crease and there is tension on the healing wound, tape may indeed be a better option than silicone.  If below the crease, massage against your ribs, topical silicone, and if hypertrophic, corticosteroid injections may be helpful.


San Diego Plastic Surgeon
5.0 out of 5 stars 38 reviews

Breast Implant Scars

+8

The Aesthetic Surgery Journal published an article several years ago on the effectiveness of silicone sheeting versus creams versus herbal treatments for scars.  The solid, silicone gel sheeting came out on top, by far.  We use Biodermis, but you can go on line and search for silicone gel sheeting for scars.  Despite claims that additives to the sheeting improve results, there is no evidence to support this.  It is the pressure of the sheet that flattens and fades the scar.  So I would purchase the least expensive product.  All the best, "Dr. Joe"

Joe Gryskiewicz, MD, FACS
Minneapolis Plastic Surgeon
4.5 out of 5 stars 29 reviews

Post-operative scar care.

+5

I have all my breast and body surgery patients tape their incisions for about 3 months, then do a scar check and if the scars are flat and white, the patient can stop taping.  If the scars are still pink and/or raised, they continue taping for another couple of months.  I think this accelerates the process of scar maturation.  I don't think the type of tape matters.  If a patient is sensitive to one type, I have then try another type.  If all tape is an issue, I have them use a silicone based scar cream like Mederma. 

I tell my patients not to put vitamin E on the scars until they are mature.  Putting vitamin E on a immature scar can cause weakening and widening of the scar. 

Lisa L. Sowder, MD
Seattle Plastic Surgeon
5.0 out of 5 stars 40 reviews

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Silicone sheeting

+5

Post operative scar management is important for all plastic surgery.  I have tried many products over the years and the best i have found is silicone sheeting.  The is cut to size and placed over the scar and used for about 2 month. It cost about 50 dollars or so.  You can order it from my office.

Miguel Delgado, Jr., MD
San Francisco Plastic Surgeon
4.5 out of 5 stars 28 reviews

Incision treatment after breast augmentation

+4

I am not a big fan of the creasm, because nonw have been shown to work that effectively. Maybe if you have a problem scar, a silicone based cream or really silicone sheeting is best.  I usualy have my patients keep steri-strips or paper tape on their incisions for about 6 weeks.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 15 reviews

Silicone Containing Products Best For Scar Prevention

+4

The most important consideration in scarring is simply the type of scar an individual tends to form.  I recommend silicone-containing creams, gels, or strips to my patients as I feel these products have the most to offer.  ScarGuard is one of several of these products.  Remember these tend to improve rather than prevent scars.

John Whitt, MD
Louisville Plastic Surgeon
5.0 out of 5 stars 2 reviews

Improving breast augmentation scars

+3

Breast augmentation scars can benefit from early intervention, including Melaquin PM to reduce PIH, prolonged silicone or steri strip adhesives, and fractional laser. 

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
5.0 out of 5 stars 46 reviews

Scar treatment/cream for breast augmentation

+3

With regard to post op scar treatment, In our office, we usually recommend ScarGuard along with a moisturisizing cream with sunblock from Obagi.  If cost is a significant factor, you can use an over-the-counter 1% hydrocortizone cream such as Cortaid along with a good moisturizer.  When using sunblocks look for one with an SPF of 30 or higher.  Best Wishes.

Vincent D. Lepore, MD
San Jose Plastic Surgeon
5.0 out of 5 stars 16 reviews

Can You Recommend a Good Scar Treatment/Cream for Post Op Breast Aug?Answer:

+2

I think the massage is probably more important than the type of cream but so far, I like the ScarGuard...I think the silicone based products may have an advantage but I tell my patients to massage!

John J. Corey, MD
Phoenix Plastic Surgeon
4.5 out of 5 stars 15 reviews

Scars after plastic surgery

+2

In general time is the best treatment for surgical scars. Most scars will soften and fade within 6 months to a year. At my practice in Austin, Texas I often reccomend Scar Away for patients who really want to do everything possible to heal quickly. This product can be purchased at wallgreens for about $20 a box. The strips can be cut to fit your scar and can be reused until the sticky backing stops sticking. Scar away has silicone in it which is really the only type of scar treatment I have seen work. You need to have the strips on for 12 or more hours a day and it can take a few months to see results. Best of luck, Dr Kerr

Mahlon Kerr, MD, FACS
Austin Plastic Surgeon
5.0 out of 5 stars 68 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.