Does it have to do with the patient's genetics or doctor's skills or both? How can this be prevented? How do you guarantee that the scar will be a thin, white, barely noticeable white line. Thanks!
What Are the Chances of Unfavorable/noticeable Scarring in Breast Augmentation?
Doctor Answers (13)
Breast augmentation scars very rarely a cause of dissatisfaction.
1) It is very, very rare for a breast augmentation patient to be unhappy because of the scar. Different from a breast lift, for example, where the scar is noticeable and there is a trade off involved.
2) Technical points: A) Keep the scar very short. B) Make it inconspicuous (usually in the fold or at the border of the nipple, sometimes in the armpit). C) Do not bruise the edges of the wound during surgery. D) Close the wound in three layers. E) Keep the scar taped for a month. F) Apply BioCorneum scar gel twice a day after that.
Scars after breast augmentaton
Scars are influenced by many factors. Some include genetics, your skin tone, surgeon technique, and tension on a scar. There is no perfect solution to guarantee that your scar will turn out perfectly in your eyes. The best idea to help you is to talk with your surgeon about your concerns to get advice based on your situation. After surgery you can try fade creams or silicone sheeting to help as well. Good luck!
Scars after breast implants
Meticulous technique, small stitch size, and good scar therapy after a breast augmentation are things that I do with my breast augmentation patients to help get the most inconspicuous scar possible.
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Breast augmentation scars
I think that most unfavorable scarring related to breast augmenetation is genetics. Sure, if a wound has secondary healing because of infection or what not, it probably will not heal well. Sometimes stretching of the tissue can lead to unfavorable scarring,and then a scar revision can be helpful. If the scar is too light over time especially when using a periareola incision, local tattooing may help.
There are no guarantees in life
We do our best. The quality of the scar is up to your body. I like the circumareolar scar, it is usually the best, but if you form keloids, or hypertrophic scars, it wont look so good.
Breast Aug scars?
Breast Implants can be placed through 5 different approaches: arm-pit, nipple, crease under the breast, belly button or groin (with a tummy tuck). The scars are only 1 inch in length with saline implants and they virtually disappear in 99% of patients. Those occassional exceptions to the rule require addittional treatments but always can be eventually resolved. Experienced plastic surgeons do have more skill with the variations in skin types but the size & shape of the resulting breast is the single most important thing. Don't hinder your surgeon by insisting on something other than what he or she reccomends. Every surgeon knows what works best in his or her hands. Go with the reccomendation to get the best result.
Dr Foster Lake Tahoe Plastic Surgery
Breast augmentation and scars
"Thin, white, barely noticeable" scar is quite possible!
Unfortunately, you are right about a patient's genetics also being a factor. Fortunately, only about 5% of patients have excessive scar production genes (hypertrophic or keloidal scar tendency). The other 95% or so have the potential for a great scar, but only IF the surgeon does a technically precise and exact closure with the proper suture materials!
Most plastic surgeons have had complete training in General Surgery, ENT Surgery, Orthopedic Surgery, or Urology (all acceptable pathways to enter plastic surgical training) by the time they start their plastic surgery fellowships. Some of these eventual plastic surgeons never believed it important to improve their suture choices or surgical closure techniques, but the vast majority learned that more delicate tissue handling, finer sutures, more precise skin-skin closure in layers designed to relieve tension on the surface, and better wound care resulted in better scars for their patients.
Some feel that "God heals them one way or another" and that speed is more critical (time is money) than taking a few minutes more to do a superior job!
So, even if you are blessed with genetics that are not only in the majority, but capable of truly minimal scar formation, it still depends on the attitude AND actual performance of the surgical closure by the plastic surgeon of your choice. Look at lots of photos; understand that full scar maturation takes an average of 7 months (6-12 is normal for most), and listen as your surgeon describes what he or she thinks is important about your proposed surgical procedure. If it sounds like "just another day" in the OR rather than the most important thing s/he is doing for you, then perhaps you need to have a few more consultations with other ABPS-certified plastic surgeons, and find one who takes pride in his or her attention to detail! Best wishes! Dr. Tholen
Favorable scars with breast augmentation
Every patient scars slightly differently and there is certainly a genetic factor to good and bad scarring. But some scarring can be improved with surgical technique and post operative care. There are never guarantees when it comes to scarring, but that does not mean that every attempt to optimize your chances of a good scar should not be made. Bad scars are often a result of tension. Surgical techniques can definitely reduce tension as can post operative dressings (i.e. steri strips). And even more importantly, the pre-operative planning of the location of the scar is crucial. If the breast crease incision is to be used, the incision should be placed a certain distance below the existing breast crease that varies slightly with the size of the implant and the rest of the breast anatomy. Even a poorly healed scar that is well located in the breast crease is not as bothersome as a good scar that is visible on the bottom portion of the breast.
What are the Chances of a Unfacorable Scar after Breast Augmentation
After perforiming approximately 1,000 breast augmentation cases I have found that unfavorable scarring after Breast Augmentation is very rare but more likely to occur in the following individuals:
- Women of color
- Oriental women
- Runners (under breast scar constantly irritated by abrasion of bra during running)
I treat those patients at high risk for developing excessive scarring in the following ways:
- A topical steroid
- Silicone sheeting over the scar during work outs
- I don't operate on smokers
- Steroid injections into the scars