Removing scar below crease after breast augmentation?

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!

Removing scar below crease after breast augmentation?

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7 answers to “Removing scar below crease after...”

A: Breast augmentation scar can be repositioned

By Ricardo Rodriguez, MD - Baltimore Plastic Surgeon

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... more

A: Discuss your concerns with your plastic surgeon

By Stephen A. Goldstein, MD - Denver 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... more

A: Implant position may help

By Michael S. Beckenstein, MD - Birmingham Plastic Surgeon

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.

A: May need to lower the crease of the right breast

By Jeffrey Zwiren, MD - Atlanta Plastic Surgeon

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... more

A: There are several options

By David Shafer, MD - Manhattan Plastic Surgeon

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... more

A: Reasonable scar...

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

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... more

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

By George J. Beraka, MD - Manhattan Plastic Surgeon

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.

Comments

Dido
4 posts
10 Apr 2009

Thank you all very much for the responses -I wasn't aware of them since I got no notification on my email (so I posed another question, slightly different). In general I am happy with my implants (although I wish the surgeon had not disuaded me from using tear-drop implants, I am certain they would have been a better, more natural-looking choice and recommend it to everyone reading here); the two implants are in the same position and I'd be pretty reluctant to go through yet another surgery (in which case probably both implants would have to be repositioned). That is why I was hoping that a laser treatment would be helpfull - but I fear possible risks to the implant from the heat developed by the laser.

Dido
4 posts
10 Apr 2009

Let me only add that I am not satisfied with using cosmetic cover-up though, since that would leave me quite self-conscious and that is not what I wanted to achieve by plastic surgery, iykwim :-).

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