What can help my scar fade? (Photo)

Question

I got a BA 1 year ago and I feel like my scars didn't heal how I wanted them to. My scars usually heal to a pale white color but these are still pinkish/purple. I am currently using silicone scar tape on them. I am wondering if there's anything else I can do or use at home to help them turn more white

Harold J. Kaplan, MD · Answer

Hello awesome.  If the area does not have any firm tissue (ropey band of scar tissue) and is completely soft skin throughout, then a Vbeam pulsed dye laser can help.  The Vbeam helps to remove redness by closing small blood vessels near the surface of the skin.  And yes, the goal would be a tone even with the surrounding skin or lighter as you mentioned.

Anna Chacon, MD, FAAD · Answer

Thank you for sharing your experience and photo. It’s understandable to want your scars to fade as much as possible after breast augmentation, and you’re not alone—scar healing can vary quite a bit from person to person.

At one year post-surgery, it’s still normal for scars to appear pink or purple, especially in areas with more tension or in individuals whose scars tend to mature more slowly. Many scars continue to fade and improve in color and texture for up to 18–24 months, and sometimes even longer.

You’re already using silicone scar tape, which is one of the most effective at-home treatments for improving scar appearance. Here are a few additional tips that may help:

Sun protection: Consistently protect your scars from sun exposure by covering them or using a high-SPF sunscreen. UV exposure can prolong redness and delay fading.
Gentle massage: If your incisions are fully healed, gentle daily massage may help soften and flatten the scars over time.
Other topical options: Some people try onion extract gels (like Mederma) or vitamin E, but the evidence for these is less robust than for silicone-based products.
Patience: Time is a key factor—most scars continue to fade and improve for up to two years or more after surgery.

If your scars remain pink or raised after 18–24 months, there are in-office treatments such as vascular lasers that can further help with persistent redness.

You’re on the right track with your current regimen, and further improvement is likely with continued care and time. If you have ongoing concerns as your scars mature, there are additional options to explore with your provider.

Chet Mays, MD · Answer

Thank you for your inquiry! Scar creams and silicone scar sheets work great for helping scars fade. The next level would be consulting with an Aesthetician to explore laser options.

Raffy Karamanoukian, MD, FACS · Answer

Our treatments use combination therapy to improve the epidermis and dermis. We see atrophic and hypertrophic scars, as well as scars that have hypo and hyperpigmentation. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to discuss the best treatment options for your type of skin. .

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Jeffrey H. Spiegel, MD · Answer

The scars are faded but are a bit stretched.  I would suggest something like microneedling or even better, Morpheus 8, a few times to improve the scars.

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