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How to Treat Keloid or Hypertrophic Scarring in Incision Scars

asked 1 year ago by Anon T in Australia
Latest answer by Tom J. Pousti, MD
Question viewed 544 times
Tags: hypertrophic, keloid scar, raised, scar

I had a breast implant removal about 3 months ago.Since then my infra mammary scars have become slightly raised, hard and adhered to the underlying tissues but limited to the scar boundaries. My PS advised me to massage them daily 2-3 times a day which I have been doing for the past month.It seems to have improved however I have noticed a very small nodule that has developed within one of the scars (very small only 0.5mm).Do I need any further treatment and will this worsten or resolve w time?

12 answers to How to Treat Keloid or Hypertrophic Scarring in Incision Scars

Hypertrophic incision scar

Typically scars improve with time, and take about a year to get to their final situation. They typically look their "angriest" between 1 and 4 months. Scar massage helps. Silicone scar products help. Sometimes a little Kenalog injection is useful. Sometimes IPL is helpful if the scar is very red in color. Speak with your surgeon about your concerns.

Thomas Fiala, MD
Altamonte Springs Plastic Surgeon

Scar Management after Breast Implant Removal?

Time tends to improve the appearance of scars. You will find that the scars will improve in appearance even after a year has gone by. Sometimes the use of silicone-based products. In the event of unfavorable scarring steroid injection may be helpful. The use of superficial radiation treatment is possible for symptomatic scars. Sometimes scar revision surgery and careful scar management afterwards may be helpful. Despite anecdotal reports I have not seen significant... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

Keloid at the incision site from breast surgery

You may want to consider the injection of steroids into the incisions to help with healing. Pressure and massage are also very good.

Jeffrey E. Schreiber, MD
Baltimore Plastic Surgeon

Thick scar after breast implant removal

Scar is very individual, and usu sally the inframammary scar will do very well. At three months I would avoid over treating the area, and steroid may be overkill. Stick with massage. Your bra will apply pressure over the area which helps as well, and time should solve all. Best of luck, petrejohnsonmd

Peter E. Johnson, MD
Chicago Plastic Surgeon

Scar

I treat my scars with silicone and steroids but a half mm scar is likely a knot. Keep massaging it as you have been and it will likely go away.

Ricardo A. Meade, MD
Dallas Plastic Surgeon

Scars and breast surgery

It sounds like you have hypertrophic breast scars and from your description is improving. As for t he one area of concern I would run it by your surgeon after he/she sees it.

Steven Wallach, MD
Manhattan Plastic Surgeon

Thick Scars After Breast Surgery

Scars take upwards of one year to reach their final state. At 3 months, your scars are in the relative early phase and typically go through changes in their thickness as well as color. Your plastic surgeon was correct in advising scar massage which takes advantage of one of the main modalities in scar treatment: namely pressure therapy. Other things that may help are silicone based scar treatments which come in adhesive sheets or creams. Other than that, I would not recommend any... more

Babak Dadvand, MD
Los Angeles Plastic Surgeon

The treatment for recent scars

is to do nothing for about 9 months. The reason is that it takes this long for scars to mature. After nine months, scars will soften and flaten. If your scar remains or progresses in an unacceptable manner, an injection of triamcinalone 40 mgm/1 cc should be considered. See your local plastic surgeon and discuss this with him.

Gary H. Manchester, MD
San Diego Plastic Surgeon

www.manchesterclinic.com

Scars

Scars that cause only cosmetic problems to the patient should be allowed time to declare that they are not going to improve, and if no improvement then a revision surgery can be planned. Scars that by their nature cause deformity, such as the semicircle scar (Causes trap Door Deformity), should be operated on as soon as the patient is ready for revision. Such scars may require a revision with Z-PlASTY, to break the semi circle and the swelling it causes. Depressed scars, and scars with... more

Samir Shureih, MD
Baltimore Plastic Surgeon

Scars

Thick scars (hypertrophic) and keloids occur on occasion with any surgery. Silicone gel sheeting can help (can be ordered on line). Massaging can also help. Eventually, all hypertrophic scars will decrease in size with time. The problem with steroid injections is that the scar may widen and become depressed leading to an unattractive scar.

Shahin Javaheri, MD
San Francisco Plastic Surgeon

Hypertrophic scarring and keliod treated with steriods.

We often treat keloid or hypertrophic incision scars with steroid injections. One or more injections may be necessary. Massaging the scar is also a good idea. It is always best to keep your doctor well informed. Stay out of direct sunlight.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Treating Keloid or Hypertrophic Scarring in Incision Scars

Scars normally are the worst around 2-3 months, because the collagen that has been laid down in the wound hasn't had a chance to mature and soften yet. This is part of the normal wound healing/scar formation process. However, if the scar is unusually thick or red, it is possible that you are getting a hypertrophic scar. By the way, people often refer to these as keloids, which is not usually the case. Keloids are similar, but continue to grow beyond the wound... more