Scarring After Breast Lift. What is Normal?

Hello. I had a BA/BL 4 weeks ago. I had a lolipop incision (not a full vertical to the crease) I have very fair skin. My steri strips just fell off today. There appears to be little to no scarring. Do scars tend to get raised and red over time or could this possibly be the result? It looks amazing and just want to be prepared if it will change. My csection scars healed well but were definately more red and raised one month post op. thank you for any comments.

Doctor Answers (11)

Scarring after Breast Augmentation/Lifting?

+2

Congratulations on having had a successful breast augmentation/lifting operation. You may find that the scars “worsen” in appearance during the next 4 to 6 weeks. In my experience, scars tend to look their worse 2 months after surgery (generally speaking);  after that time period scars tend to improve in appearance.

I would suggest close follow-up with your plastic surgeon.  Use products such as silicone gel or sheeting if he/she recommends them.

Best wishes.


San Diego Plastic Surgeon
5.0 out of 5 stars 719 reviews

Scarring after breast lift - what is normal?

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Hello! Thank you for the question! It is common for scars to fully mature for up to a year. In the meantime, there are a few things that may help to ameliorate your incision/scar. The most proven (as well as cheapest) modality is simple scar massage. Applying pressure and massaging the well-healed scar has been shown to improve the appearance as it breaks up the scar tissue, hopefully producing the finest scar as possible. Other things that have been shown to add some benefit, albeit controversial, are silicone sheets, hydration, and topical steroids. These can usually be started at approximately 3-4 weeks postop and when incisions healed. In addition, avoidance of direct sunlight to the incision will significantly help the appearance as they tend to discolor with UV light during the healing process. Scars will never disappear, but attempt is made to make the finest scar in a concealed location. 

If unsightly scars are still present after approximately a year's time, other things that your surgeon may consider are intralesional steroid injections, laser, or just surgical revision of the scar itself.

Hope that this helps! Best wishes!

Lewis Albert Andres, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 12 reviews

Scarring After Breast Augmentation and Breast Lift

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Congratulations, your scars sound like they're healing beautifully! Redness and a raised texture for scars is normal during the three to six months following your surgery, but both traits begin to subside during the healing process. To prevent worsening of their appearance, make sure you continue to care for them as your surgeon advises and keep them out of direct sunlight. UV exposure can make them more visible.

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 57 reviews

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Minimal scars 4 weeks after breast augmentation with lift is a very good sign

+1

Thank you for your question. Typically at 4-6 weeks after breast augmentation and breast lifts scars are pink and can even in some cases be red. The fact that your scars are healing so well is a very good sign and implies that you may continue to have excellent scars.

As you resume normal activity you may see some pinkness or redness develop but your plastic surgeon can advise on appropriate scar management.For scars that do become red raised and itchy, we have found the 1540 fractional erbium non-ablative laser very helpful to reduce these scars to a normal appearance.

Brooke R. Seckel, MD, FACS
Boston Plastic Surgeon
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Scars Healing Process After Breast Augmentation

+1

Dear Nancial,

 

Every patient is different with a specific skin type and ability to recover. Also, the post-surgical ambulation will play a major role in your recovery.

Nonetheless, it is often common that scars will become red and a bit puffy at about 2-3 months post-surgery to subside again with time.

It is important that you keep your scars covered when you are exposed to sunlight so they will not darken and become bold permanently.

I recommend that you keep on applying the scar guarding cream your surgeon prescribed.

 

Thank you for your question and the best of wishes to you.

Dr. Sajjadian

Ali Sajjadian, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 117 reviews

Scars after lift/aug

+1

Hi, yes the scars will change over the next few months. they will go from barely noticeable to pink or red and slightly raised over the first 10-12 weeks before they start fading slowly over the course of several months. this is kind of the usual course but everyone is different and depending on skin type, patients can heal at different paces. the use of recommended scar creams with silicone and other ingredients can also be helpful during the first few months.

Antoine A. Hallak, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 3 reviews

Scar Maturation

+1

Scars are at their WORST at 2-3 months. They then mature and improve over the next 6-12 months. If at 2 months, your scars are good, then you will have a great result!

Perhaps I shouldn't let the cat out of the bag, but scarring - good or bad - is mainly due to the patient's own healing response rather than surgical skill in closing the wound.

J. Brian Boyd, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 3 reviews

Breast scars

+1

At 4 weeks, the scars being flat is a good thing.  But, they may become red and raised over the next several weeks but usually settle down.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 17 reviews

Breast lift scars

+1
Sounds like a best case scenario! I agree with the caution, when scarring reaches the inflammatory phase, 4-6 weeks postop, the scars may look worse so be aware and keep in touch with your plastic surgeon for followup.

Robert L. Kraft, MD
New York Plastic Surgeon
5.0 out of 5 stars 11 reviews

Scarring After Breast Lift. What is Normal?

+1

Everybody's healing process is different.  You many want to use a scar therapy cream with steriods just to ensure you don't get raised scars later.  You can do research on the internet to find out more about these products.

Stuart B. Kincaid, MD, FACS
San Diego Plastic Surgeon
4.5 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.