My Breast Augmentation Scars Are 1 Inch and 1/4 Inch Away from the Crease. Is This Normal?

Your scars are a little hypertrophic and the right one is a littel further from the fold. In my experience all augmentation scars in this area migrate away from the fold after surgery even if you make the incision right in the fold. Your scars and the breast result are within the realm of expected results from this type of surgery. The only additional thing you might do is have your surgeon inject the scars with a very small amount of kenalog and/or prescribe medicated tape. That will flatten and soften the scars.

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.

Plastic surgery scars require attention after surgery so that they remain cosmetically-appealing and barely noticeable. In our office, we use a protocol for scars that minimizes their activity in the 6-8 weeks after surgery. If you have late plastic surgery scars, you may also require laser and RF therapy to help reduce the longterm effects of the scarring. Keloids, hypertrophic scars, widened scars, red scars, and hyperpigmented scars all require scar modulation with topical creams followed by lasers and RF therapy. Topical skincare should be directed to a specific need, whether for pigmentation or hypertrophy and our office can guide you through the process to obtain the correct Plato’s Scar cream or Melarase cream for hypertrophy and discoloration. In terms of lasers, we would employ the vbeam laser for redness, Venus Viva RF, PRP microneedling, chemical peels, and Morpheus 8, fractional erbium, or fractional co2. All of these have their individual benefits. Most of all, we recommend you visit a solid plastic surgeon who understands surgical scar revision, laser therapy, and RF therapy for scars.

Best,
Dr. Karamanoukian
Realself100 Surgeon

The ideal inframammary incision placement is the subject of some debate. Although placement at the level of the inframammary fold would appear to make sense, this location has several potential problems. In some cases, these incisions can be irritated by the constant rubbing of underwire bras. In other cases, these incisions can be visible when women wear swimsuits that don't cover the fold area.In addition, decisions are sometimes made in the operating room to lower the inframammary fold. This occasionally results in a slightly higher incision. In most cases, these incisions heal nicely and the scars are almost imperceptible.At this point, you appear to have hypertrophic scars that should get better with time. A variety of maneuvers can be utilized to facilitate this process including silicone strips, topical scar agents and massage. It's not unusual for scars that look bad four months after surgery to be almost imperceptible twelve months following surgery.For these reasons, it's important to carefully discuss this issue with your plastic surgeon. Your surgeon should be able to formulate a treatment plan that, hopefully, minimizes your scarring.

Thank you for your question.  It is normal for the incision to be near the fold, but not exactly in it.  Depending on the size of the implant, the breast fold may lower. To decrease the appearance of the scars, breast incisions can be managed using a multimodal approach:
1) Scar massage - starting as soon as the surgical dressings come off and the incisions are sealed
2) Silicone sheets or scar gels for about six months to year
3) Embrace - a tension reducing dressing for the first 2 months
4) Fractionated lasers to help blend the scar into the background - done as a series, starting about 4 weeks after surgery and repeated every four weeks for six months.
5) Sunscreen to prevent the scars from darkening

Inframammary incisions are sometimes asymmetric after breast implants because you may have had some pre-operative asymmetry.

Most likely your right breast fold was higher than the left and when the fold was lowered (which is normal) to match the other side the incision appears to be higher on that right side.