I had my breast augmentation surgery 13 months ago and my scars are still red and slightly uncomfortable when I wear underwire bras or tight fitting bikinis. I thought they would be healed by now but I still get itchy sometimes and my scars are very red with what appears to be some type of skin bubble. What can I do?
August 30, 2017
Answer: #breastScars The scar looks more hypertrophic than keloid but is biologically active given how red and itchy it is. Your options are surgical vs. non-surgical. If you go the non-surgical route you are looking at multiple fractional CO2 and flashlamp laser treatments over months as well as topical and/or injected steroid. If you go the surgical route you are looking at a simple excision followed by a regimen to prevent recurrence including months of medicated taping and possible laser treatments depending how you respond. Some doctors inject 5-FU or liquid nitrogen but that could be highly problematic if it kills the skin and exposes the implant. Just cutting it out is not an option because that is associated with a high risk of recurrence and if it recurs it will be much harder to treat the next time around. This is not a quick easy treatment in the hands of any surgeon.I hope you realize that this format of posting questions and receiving answers lacks the face to face direct communication required for you to make an informed decision regarding your surgery.My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship in order to know if this assessment is valid.
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August 30, 2017
Answer: #breastScars The scar looks more hypertrophic than keloid but is biologically active given how red and itchy it is. Your options are surgical vs. non-surgical. If you go the non-surgical route you are looking at multiple fractional CO2 and flashlamp laser treatments over months as well as topical and/or injected steroid. If you go the surgical route you are looking at a simple excision followed by a regimen to prevent recurrence including months of medicated taping and possible laser treatments depending how you respond. Some doctors inject 5-FU or liquid nitrogen but that could be highly problematic if it kills the skin and exposes the implant. Just cutting it out is not an option because that is associated with a high risk of recurrence and if it recurs it will be much harder to treat the next time around. This is not a quick easy treatment in the hands of any surgeon.I hope you realize that this format of posting questions and receiving answers lacks the face to face direct communication required for you to make an informed decision regarding your surgery.My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship in order to know if this assessment is valid.
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August 29, 2017
Answer: Hypertrophic scarring after breast augmentation The photo shows a very hypertrophic scar. There are a variety of things that can help make the scar better, such as steriod injected into the scar, topical silicone sheeting, and/or topical steroid tape. Sometimes a combination of all of the options works best. Normally, laser is also an option to resurface and minimize a scar, but I don't think it would be as helpful in your situation now that the scar has become so raised. If conservative measures fail, scar revision is also an option, with using something like Embrace immediately after.
Helpful
August 29, 2017
Answer: Hypertrophic scarring after breast augmentation The photo shows a very hypertrophic scar. There are a variety of things that can help make the scar better, such as steriod injected into the scar, topical silicone sheeting, and/or topical steroid tape. Sometimes a combination of all of the options works best. Normally, laser is also an option to resurface and minimize a scar, but I don't think it would be as helpful in your situation now that the scar has become so raised. If conservative measures fail, scar revision is also an option, with using something like Embrace immediately after.
Helpful
