Breast Augumentation Scars Have Become Lumpy and Thick, Why Did This Change?

Thank you for your question. 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 sealed2) Silicone sheets or scar gels for about six months to year3) Embrace - a tension reducing dressing for the first 2 months4) 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 darkeningThe lumpy feel should revert with some of the above.  If you feel, however, that they are only progressing, then visit with your surgeon.  They may consider steroids to help quiet down the scaring process.

As part of the healing process, scars may become a bit thicker in the first 6 weeks before they start to settle down.  That being said, you should be examined by your surgeon to make sure that you do not have the beginnings of a keloid scar formation.  If you do, steroid injections sooner rather than later can make a big difference.  The best way to tell the difference between the two scenarios is to have your surgeon examine you.

This firmness which forms within scars is very normal after surgery, it's called a healing ridge and is due in part to the formation of new collagen and scar tissue. It will soften up over time, but can take several months. You can speed up the process by massaging the scar and/or by using silicone tape directly on the scar.

Best wishes,

Dr.Bruno