1 year post op-breast lift, can something be done for anchor scar in midline? (Photos)

Question

I'm concerned with the technique used for a breast reduction and lift completed last September. Originally the scar wasn't in the crease and my surgeon revised this a few months later. The technique used extended the anchor scar well into my midline. I don't necessarily want any revision again but is there something that can be done about the scarring? There appears to be a fold and It's very visible from a swimsuit or low cut blouse.

Raffy Karamanoukian, MD, FACS · Answer

Plastic surgery scars require attention after surgery so that they remain cosmetically-appealing and barely noticeable. In our office, we use a protocol for scars that minimizes their activity in the 6-8 weeks after surgery. If you have late plastic surgery scars, you may also require laser and RF therapy to help reduce the longterm effects of the scarring. Keloids, hypertrophic scars, widened scars, red scars, and hyperpigmented scars all require scar modulation with topical creams followed by lasers and RF therapy. Topical skincare should be directed to a specific need, whether for pigmentation or hypertrophy and our office can guide you through the process to obtain the correct Plato’s Scar cream or Melarase cream for hypertrophy and discoloration. In terms of lasers, we would employ the vbeam laser for redness, Venus Viva RF, PRP microneedling, chemical peels, and Morpheus 8, fractional erbium, or fractional co2. All of these have their individual benefits. Most of all, we recommend you visit a solid plastic surgeon who understands surgical scar revision, laser therapy, and RF therapy for scars. 
 
Best, 
Dr. Karamanoukian
Realself100 Surgeon

Alan Gonzalez, MD, FACS · Answer

Hello @Persistent6482 thank you for your question. Incisions are made based on specialist expertise and technique to obtain the best aesthetic result. There are 3 types of scars for a breast lift. During a breast reduction with prosthesis change, we make a periareolar incision to reposition the prosthesis pocket or the plane in which the prosthesis is situated. This will give the best esthetic result.The other incision that I always make is an L-shaped one. It's the one I always do, because the L-shaped scar allows the patient to have a scar-free cleavage. I have been performing the technique for 21 years and it is a technique that works perfectly in breast lift, breast reduction and reconstruction.I never use the anchor scar, because for me the best aesthetic result comes from the L shape scar. For more information and recommendations, it is prudent to consult with one or several board certified plastic surgeons. Best wishes! Alan Gonzalez MD, FACS.

Daniel Barrett, MD · Answer

Dear Persistent6482,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Camille Cash, MD · Answer

I encourage you to visit with a board certified plastic surgeon for an evaluation.  It appears the scar is well healed.  You may be able to get some improvement in the bunching of the skin with a further scar revision.

Scott C. Lindsay, DO · Answer

Thanks for your question! There are several good treatments for scars. I would suggest trying microneedling or scar gel with good science behind it. Check with your plastic surgeon to see if he/she has any recommendations. Good luck!

Douglas Taranow, DO, FACOS · Answer

Yours is a very common issue seen in larger breasts both with and without reduction scars.  The heavier breasts tend to pull on the medial Sternal skin and cause this issue.  there are several possible fixes including liposuction or scar revision (depending on the cause).
Best wishes.
Dr. Taranow

Jose A. Munoz, MD - Account Suspended · Answer

Hi and welcome to our forum!From your first two photos, I note surgical scarring approaching midline in the skin fold beneath the breasts. In the third photo, I note a degree of webbing between the breasts. Scar revision is an option, although not extremely successful as one is replacing one scar with another. A multiple z-plasty scar release may improve the webbing.Visit a board certified plastic surgeon for in-person evaluation and discussion.Best wishes...

1 year post op-breast lift, can something be done for anchor scar in midline? (Photos)

Answers (7)

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