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Ugly Scar After Breast Augmentation

asked 1 year ago by Katherine36 in The Netherlands
Latest answer by Steven Wallach, MD
Question viewed 2,056 times
Tags: options, scar

7 weeks ago I had my breast augmentation surgery and my scar on the left breast (only left) totally disfigured my breast. Is there any chance to improve the scar and have a normal breast again ? My doctor says I should wait for 1 year, but there is very little chance the scar will look nice.There is nothing he can do now to improve it. Has anyone seen a scar like that and can recommend something to me ? I'm in desparate situation and I cry every time when I look at my scar.

14 answers to Ugly Scar After Breast Augmentation

Depressed and Prominent Scar after Breast Implants

Hi Katherine36 I'm obviously very sorry about the way the scar on the left breast has healed. It looks like it's otherwise a very nice result. I'm interested as to why this might have happened; did you have bleeding or a local infection post-operatively? Were there any obvious problems with the way the left breast healed? Those, however, are just academic questions. I think there is a very good chance you can get a better appearance but I agree... more

Alan Engler, MD
New York Plastic Surgeon

Bad scar after breast augment

For now I would suggest that you do everything possible to help this scar heal as quickly and as well as possible: Scar massage with Mederma or another scar cream twice daily Avoid sun or UV exposure on the scar while it is healing I would not suggest surgical revision until the scar has had more time to mature. Every patient is different, but this will take between 3 to 12 months after surgery.

Mark Preston, MD
Columbus Plastic Surgeon

Scar revision after breast augmentation

Waiting some time before performing a scar revision is reasonable. That period of time depends on any other events that may have occurred during your healing process. If there have been no other healing issues such as infection, then a scar revision can be performed in 1-2 months. This period of time will allow some settling of your implants (which appear to be in a good position). The scar revision can likely be performed in the office under local anesthesia. more

Naveen Setty, MD
Plano Plastic Surgeon

Early scar revision after breast augmentation.

It appears that the closure was done poorly in your case. The different levels of the tissue should be brought together in layers to allow for proper healing without indentation. Although this will improve some, the defect is substantial. Waiting 3-6 months is appropriate, however I recommend seeking a second opinion if your surgeon is unwilling to repair before 1 year.

David Bogue, MD
Boca Raton Plastic Surgeon

Breast augmentation scarring

There is not enough detailed information in your post to answer the question posed. Did you have any infection? Did the suture line come apart? Is the implant under or above the muscle? It is obvious that the skin scar has attached itself to deeper layers of tissue and that is causing it to indent and distort the nipple complex. From the photo alone we cannot tell if there has been any loss of areola tissue. It is obvious that a revision is required to separate the different layers of tissue... more

Aaron Stone, MD
Los Angeles Plastic Surgeon

Unsightly scar

For the immediate time being, I believe you should give the process of healing sometime, at least 1 more month. By that time, a good capsule will be formed around your implant. This will allow a more superficial rearrangement of your tissues through release of your scar to improve it. Good luck.

Vishnu Rumalla, MD
Dallas Plastic Surgeon

tarrantplasticsurgery.com

Treatment of poor scars after breast augmentation

Patients infrequently have unsightly scars after breast augmentation. Most poor scars will usually improve during the first year after surgery. The body remodels scars which tends to make them less red, softer, flatter, and more difficult to see. It is generally best to wait a minimum of one year before undergoing a scar revision. However, in some severe cases, an early scar revision is appropriate. You might consider asking your surgeon to refer you to one... more

Kelly Gallego, MD
Sioux City Plastic Surgeon

Solving an ugly scar after breast augmentation

The scar on the breast which has caused the nipple to retract down is simply poorly done. The surgeon caught the tissue below the nipple with the suture and pulled it under. The closure can be opened and repaired with a much better result. Your surgeon is right in that often the closure will flatten over time, but it is rather inconsiderate to make you wait. Best of luck, peterejohnsonmd

Peter E. Johnson, MD
Chicago Plastic Surgeon

www.peterejohnsonmd.com

#breastaugmentation, #beauty, #breastsurgery, #scar, BBA

Dear Katherine36 in The Netherlands, Thank you for your question. It appears that the wound on the left breast is retracted- this may be due to the closing technique or because the tissue and shape of the left breast is different from the right breast. At this time massage of the would is most important- this will lessen the retraction and help relax the scar tissue. Please follow up with you surgeon. It would not be unreasonable to reassess and possibly... more

Trevor M. Born, MD
Toronto Plastic Surgeon

Unfavorable scar of breast

I am sorry that you have an unfavorable result of your left breast. But I think that waiting for swelling to go down and inflammation to abate would be helpful before attempting a scar revision. I would wait at least a total of 4-6 months. It will be much easier to manipulate the tissues at that point.

Steven Wallach, MD
Manhattan Plastic Surgeon

Breast augmentation scar

I actually sometimes will perform early scar revisions if I am confident the result will not improve. Although the result is unsettling, a small procedure under local anesthesia in clinic should be able to correct your problem.

Pramit Malhotra, MD
Ann Arbor Plastic Surgeon

Breast augmentation

I am sorry that you have this result. Fortunately, this can be solved with a scar revision. I don't believe that you need to wait a whole year for this. Over the next few weeks that scar will improve. Perhaps waiting 3-4 months will be enough. Good luck.

Shahin Javaheri, MD
San Francisco Plastic Surgeon

Scar after breast augmentation

Given the appearance of your left sided closure, I'd recommend an immediate revision. I agree with Dr. Johnson that the closure with that type of retraction is likely related to placement of the sutures. As far as waiting, it would likely improve over time, but not to the point where you (or your surgeon) would be happy with it, and I see no point in having to wait when a revision is almost certainly in order.

Derek Lou, MD
Houston Plastic Surgeon

Scars do improve with time but you may want to get another opinion

Your scar is very unusual for this point in your recovery from a first time breast augmentation. Even with revisional surgery the distortion present would still be considered unusual. Waiting for the scar to mature and soften is likely the best option even though it is understandable to want to do something sooner. Your original surgeon should be able to tell if an earlier intervention is warranted. Getting another opinion from a credentialed Plastic Surgeon would at least give... more