Why are surgeons not prescribing PracaSil-Plus for scars when you have a breast reduction?

Question

My scars are very painful massaging them is almost unbearable and cry the entire time. Surgery date 10/17/2016 He went on vacation 1wk after my and left me without a doctor. Abscessed stitch in both breast for 1 1/2 wks. My breast liquefied where the stitch was. Then he said it was my fault that I caused the incision to open which was a lie. I'm not brave enough to post a picture. The crease where the line from the areola meet on both I have a triangle of nothing but scar tissue and deformed.

Jaime S. Schwartz, MD, FACS · Answer

I appreciate your question.

I perform a liposuction breast lift that removes tissue from the areas you don't want such as near the armpit and the lower portion hanging near your stomach. Once I use this to shape the breast I then remove the skin to tighten the breast and create a better shape with nice cleavage. Since I perform this less invasively the recovery time is faster. The size would depend on the proportion with your body versus going for a cup size. It works very well if there are asymmetries. I can also use the removed fat as a natural breast augmentation by grafting the fat back into the breast to create more projection or into the top to create more cleavage. This procedure can also be combined with an implant if needed or wanted.  It should not affect nipple sensation, mammograms, cancer risk or breast-feeding. If you gain or lose weight, the transferred fat can do the same.I have my own method for relieving tension and getting great scars.

The best way to assess and give true advice would be an in-person exam.  Please see a board-certified plastic surgeon that specializes in aesthetic plastic surgery.

Best of luck!

Dr. Schwartz

Board Certified Plastic Surgeon

#RealSelf100Surgeon

#RealSelfCORESurgeon

Aldo Guerra, MD · Answer

There are many, many, many options for scar management and each surgeon has their own preference. I prefer Embrace Scar Prevention because I have seen it work really well with my own eyes. It is also backed up by scientific studies done at Stanford.

Best wishes and good luck, Dr. ALDO :)

Board Certified Plastic Surgeon

Top 100 Doctor for Realself

Realself Core Physician

Curtis Wong, MD · Answer

by surgeon preferences and beliefs.  I do not routinely recommend scar products and leave it up to my patients.  When they choose to use something, my preference is BioCorneum but there are many other products out there equally as effective.  Stitch abscess are common and easily managed with simply wound care.  And no surgeon should be blaming their patients for outcomes of procedures unless the patient actually did something against advice.  Finally, in America, a surgeon cannot simply leave town without finding someone to cover his/her patients so that part of your story doesn't make sense.  All this being said, you are still healing and the scar will improve with time but you should be voicing your concerns to your surgeon the whole time you are being seen in follow-up.

Why are surgeons not prescribing PracaSil-Plus for scars when you have a breast reduction?

Answers (3)

Recommended reading

Everything you need to know about Breast Reduction

Our mission is to create a world where every investment in modern beauty is Worth It.

Why are surgeons not prescribing PracaSil-Plus for scars when you have a breast reduction?

Answers (3)

Browse related questions

Recommended reading

Everything you need to know about Breast Reduction

Our mission is to create a world where every investment in modern beauty is Worth It.