What To Do About Scar Tissue After Breast Augmentation/implant on One Side? (photo)

I am an out of town patient, so I have not seen my plastic surgeon since surgery coming up 7 weeks healing now. My quesion is I think that I have some scar tissue build up in my right breast, but none in my left breast. My doctor has me massaging and I just recently went back to work so I a mmoving my arms more. My right breast is tender, so do I keep massaging?? I heard it was bad?? Also my areola on same breast is not as centered, will that change?? What do I do now at 7 weeks? Thank you!

Doctor Answers 6

Scar tissue

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Seven weeks is a little too early to say whether this will be a problem or if it is just a little difference which will improve as a bit more settling takes place over the next several weeks.  I agree with massage and I have my patients massage although there is no scientific evidence to support the fact that it will reduce or eliminate the possibility of encapsulation.  

I would keep in touch with you plastic surgeon.  I often have my out of town patients end me photos so I can keep track of how they are progressing.

Thank you for the question and best of luck.

Fort Myers Plastic Surgeon
4.8 out of 5 stars 69 reviews

What to do about scar tissue after breast augmentation/implant on one side?

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It is common for scars to fully mature for up to a year. In the meantime, there are a few things that may help to ameliorate your incision/scar. The most proven (as well as cheapest) modality is simple scar massage. Applying pressure and massaging the well-healed scar has been shown to improve the appearance as it breaks up the scar tissue, hopefully producing the finest scar as possible. Other things that have been shown to add some benefit, albeit controversial, are silicone sheets, hydration, and topical steroids. In addition, avoidance of direct sunlight to the incision will significantly help the appearance as they tend to discolor with UV light during the healing process.

If unsightly scars are still present after approximately a year's time, other things that your surgeon may consider are intralesional steroid injections, laser, or just surgical revision of the scar itself. It appears as if you had a breast lift at the same time? Depending on the time from the procedure, some of these modalities or laser therapy may help. However, scar revision may certainly be entertained, which could be performed at the same time as any revisionary procedure, if you are unhappy with the result.

Hope that this helps! Best wishes!

Lewis Albert Andres, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 28 reviews

Early Capsular Contracture

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It is hard to tell this early whether you have a capsular contracture.   I would recommend a followup exam with your plastic surgeon to evaluate this.  .  Capsular Contracture is one of the main risks of breast augmentation.   Classic signs are:

1.  hardness/tightness of the implant
2.  change in implant position (typically migrates towards the collarbone)
3.  increased pain and stiffness on the associated side.
Based on your description, you should see a board certified plastic surgeon for evaluation of capsular contracture.    If present, I would recommend a capsulectomy (removal of scar tissue) and implant exchange. 
Factors to consider:
1.  If your implants are above your muscle, you may want to consider switching to underneath the muscle, which lessens the risk of capsular contracture.
2.  If your implants are above the muscle and you desire to keep them there, you may benefit from the use of a textured implant.
Dr. Gill

Paul S. Gill, MD
Houston Plastic Surgeon
4.8 out of 5 stars 94 reviews

Breast implant issues

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It is best to address your concerns in person with your surgeon.  There is always some asymmetry between the two breasts.  As for tightness, one may feel tighter.  If you are concerned about a capsular contracture, and exam would be necessary.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

What To Do About Scar Tissue After Breast Augmentation/implant on One Side?

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Photos posted are slightly helpful. Best to be seen in person by a boarded PS in your area, if you can not see the original surgeon. But I would continue massages and possible external ultrasound therapy. Also a before photo might should your asymmetry if it was present. Follow up please. 

7 weeks after breast augmentation

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One can only tell so much from history and photos, without being able to do an examination.  That said, your photos seem to demonstrate appropriate, symmetrical implant position.  The soft tissue envelope seems to be a little tight - probably due to this early point post-op and small firm breasts pre-op.  I recommend that you continue with implant massage as directed, send your surgeon the same photos you posted, and try to get in for a follow-up visit.  I suspect this will all get better with time if you simply stick with the program.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.