Removing Scar Below Crease After Breast Augmentation?

asked 3 years ago by Dido in Vienna, Austria
Latest answer by Otto Joseph Placik, MD
Question viewed 7,113 times

I had a breast augmentation surgery nearly a year ago; in general, I am happy I did it, although there are things I would change now (e.g. I would choose the 'teardrop shape', as I originally planned, rather than round implants that the doctor persuaded me to take). What I hate is how the scar below my right breast appears to have 'slided' below the crease (it seemed to happen gradually, and settled there a month or two after the surgery).

My other scar is also visible but it has stayed in the crease so I do not mind that, as I am aware that it fades with time; this one, however, is really visible, as it is half an inch below the crease, and is making me self-conscious. Is there a way to help with this? (I did use cosmetics - 6 weeks after surgery, I started Dermatix cream as suggested by my doctor. After that, I used silicone sheets, and now I am using StriVectrin cream since I read that people had good experience with it in scar reduction.)

Would laser be the solution here? If so, could the heat that the laser develops represent a danger for the implant? I am thankful for all answers, as this is really beginning to bother me!

10 answers to Removing Scar Below Crease After Breast Augmentation?

Discuss your concerns with your plastic surgeon

I would recommend that you return to your treating plastic surgeon to discuss your concerns. Unfortunately, you did not provide frontal view pictures, so it is hard to give specific recommendations. If the implant on the affected side appears to be at a higher level than the opposite side, then you may see improvement with the position of the scar by lowering that implant. A scar revision may be performed at the same time.

Stephen A. Goldstein, MD
Englewood Plastic Surgeon

Breast implant scar incision to low on chest beneath implant

Unfortunately scars can never be made invisible only improved or concealed. IF your breast implants are in symmetric positions there are no ways to practically raise the scar. However, I suspect you implant capsule has contracted causing the scar to appear relatively lower, In this instance a capsulotomy could lower the scar.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Maybe Scar Revision

From the looks of your scar it is wide and white. If the level of your breasts is OK (meaning lowering the implants is not a good option,) I would cossider a simple scar revision on the side that bothers you. The scars in inframammary breast implant cases frequently have problems probably from rubbing against bra wear over time. Best Regards.

John P. Di Saia, MD
Orange Plastic Surgeon

Scar below breast

It sounds like the breast capsule may have gotten tighter and the implant has ridden up on the chest for the scar to be so low now.

Steven Wallach, MD
Manhattan Plastic Surgeon

Breast augmentation scar can be repositioned

In general, I don't like the crease scar because of positioning issues, occasional hypertrophy, etc. Since starting to use so many more silicon implants, I have used it more often. If the implant is where you like it, leave it alone and don't drop it. Because of what you mention about the implants looking too round for your taste, and the fact that the scar "settled", I believe you had a capsular contracture. As the capsule contracts, the footprint of the implant on the chest... more

Ricardo Rodriguez, MD
Baltimore Plastic Surgeon

Implant position may help

It seems that the implant may be too high from where the incision was placed. If that is the case, lowering the device would make the scar less conspicous.

Michael S. Beckenstein, MD
Birmingham Plastic Surgeon

May need to lower the crease of the right breast

Accurate planning helps to get the scar to lie directly in the crease under the breast. It is possible that your scar was originally in the crease then gradually seemed to drop drop down. The fact is the it may be the implant itself may be ridding up. It would be important to know if the folds under each breast are symmetric and at the same level. If the crease under the right breast is higher than the left then the implant can be lowered. This will get the incision into the correct... more

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon

There are several options

Unfortunately your scar ended up below your fold. Ideally, it should have been right in the fold. Usually, if there is an estimation problem, the scar ends up a little above the fold. At this point, you have several options. First you can have a surgery to lower the implant pocket to allow the breast to rest at the level of the scar. You should also have this done on the other side, but this will put that scar above the fold. Alternatively, you can switch to a higher profile, larger... more

David Shafer, MD
New York Plastic Surgeon

www.ShaferPlasticSurgery.com

Reasonable scar...

Your scar, although the photo is slightly out of focus, does not appear to be hypertrophic but merely hypo-pigmented and slightly wide.If your implant is sitting in the correct position and isn't too high, then I would suggest continuing to use coverup cosmetics. This is the least expensive, lowest risk solution. Any surgical scar revision will increase the length of the scar and cannot guarantee a better quality or more constant improved position. Laser, steroids, or creams will not help... more

Robin T.W. Yuan, MD
Beverly Hills Plastic Surgeon

The implant pocket can be lowered to the level of the scar.

Hi! This is the most effective way to make the scar inconspicuous. The scar will then sit in the fold. Also the scar can be made a little narrower. But of course these steps require another operation.