You are certainly more heavy than what most surgeons and insurance carriers will consider to be ideal for breast reduction surgery. Obesity increases the risks of surgery including wound healing, fat necrosis, nipple necrosis, among others. It also makes it more difficult to achieve the best...
What you mainly need is time and massage, the normal healing period is around one year, after that time you will need a scar revision (most likely) and your surgeon should have tell you that.In the mean time you can use any silicone base scar gel.Be sure you see a board certified plastic surgeon...
Fat necrosis after breast reduction is not uncommon. The time period in which it resolves varies and some times it does not resolve and may require surgical removal if it is painful.Dr. ES