18 months post op and surgery scar is red, raised and painful - could this be an infection? (photos)

Thank you for your questions and pictures. From the look of it and without examining you this does not necessarily look like an infection but more so looks like it is probably a keloid scar. However, you are very right to make an appt with your PS for an in-person exam and rule out infection. If it is indeed a keloid, then this can likely be resolved with an injection of Kenalog steroid mixed with 5-FU.

Hello c520! It appears that your scar has become hypertrophic meaning that you have developed excess collagen. This can make them red, firm and itchy. It can be uncomfortable if your bra is also rubbing you there. Steroid injections are generally the first line of therapy to help reduce the scar. I would discuss with your surgeon. I hope this helps!

Hello
A hypertrophic scar has developed. I recommend the use of laser treatment and silicone sheets. Typically, the swelling and redness decrease, and they can even completely disappear.