Hard scar or bad scar after breast augmentation
Most patients four years after a breast augmentation who have an unsatisfactory scar will require a revision of the scar.
It is still possible to perform conservative care, but this should be typically done early after the breast augmentation.
Fortunately, scar revisions are usually straightforward and performed under local anesthesia.
Hard scars four years after breast implants not the norm
If scars are hard or uncomfortable four years after breast augmentation we should consider abnormal forms of healing such as hypertrophic or keloid scars. Your situation is not normal healing we see in the majority of individuals with breast implants. You will need to see your surgeon to determine just what is going on and how to approach it.
Best of luck,
Hardness of scar 4 years after breast augmentation is likely hypertrophic scarring.
Without an actual examination or photograph, it is impossible to state with certainty, but this sounds like hypertrophic (or possibly keloidal) scarring. While these are usually uncommon, and are related usually to the genetic healing properties of the specific patient, every plastic surgeon has experience with this type of scarring, and your surgeon can advise you as to the best way of trying to improve these scars. Options can include both surgical and non-surgical treatment.
Breast augmentation scarring
It sounds like you may have a hypertrophic scar. You need to see your surgeon for a scar revision or possible application of medicated tape or scar injections.
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.
Many reasons for this but do require at least photo
There are many potential reasons for this. While not exhaustive, a short list of possible causes includes keloid scar, inclusion cyst, ectopic breast or fat. More precise comments as to your situation might be possible if you are able to upload a photo. Even better would be a visit with your plastic surgeon.
Hardness Around the Incision Site 4 Years Post Breast Augmentation
I have seen this happen particularly in Asian patients with a periareolar scar ("around the nipple"). These patients tend to form an unusual amount of scar tissue under the scar in this area. Surgical removal can be attempted but frequently results in recurrence or even worsening of the scar tissue formation. Cortisone injections can be used but only conservatively and with caution. In some cases I have had good luck fat grafting into these areas.
At 4 yearws post breast surgery your incisions should be relatively soft. If they are not, you should have them evaluated by your surgeon. You may need a scar revision.