Best Treatment/Prevention for Scarring After Breast Reduction? (photo)

22yr old, going from 30F to a full B/small C cup, hoping to relieve some chronic pain, and gain confidence. Is there anything in my diet I should make sure I include in the months leading up to/ right after surgery? Supplements I should take or specific vitamins I should get more of to help the healing process? I have read about Rose hip oil, shea butter, Silocone sheets, Bio Oil, Mederma, ScarGuard, Aloe Vera, Vaseline, Honey, etc. After the surgery what is best to help diminish scars the best?

Doctor Answers 4

Best Breast Scar Treatment

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Silicone sheeting can improve your scarring but there are other ways to further improve them as well. Best Scar Management is important to minimize or completely hide from view, the telltale signs of your surgery—namely, scars. Both you and your surgeon want you to have the most minimal scarring possible. There are many possible causes for scars that are enlarged or not healing well. Unsightly scars are most commonly due to genetics, underlying medical conditions, or improper scar/wound care. The last part is very important and patients can make a noticeable difference in their scars’ appearance by following best scar management practices. Here are some important tips to consider in the link below:

Scar management

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I generally recommend starting scar massage therapy approximately 4-6 weeks after your surgery.  There is published evidence supporting the report of Silicone topical therapy to help soften and fade scars.   However, we still don't know exactly why silicone helps.  There are ample theories.  I really believe its the mechanical massaging motion that really helps with scars.   Remember, it can take 6-12 months for your scars to mature and fade.  

Best wishes,

Dr. Basu

Houston, TX


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Breast reduction surgery is one of the highest patient satisfaction procedures in plastic surgery! Some patients even feel relief of back and neck pain as they wake up from surgery due to the reduction in breast weight. I certainly hope you have this experience as well. In terms of scarring, the most important aspect is to keep the breast supported during the first 3-6 months of healing with a supportive bra. This will prevent the scars from widening due to tension. Additionally, massage and silicone scar sheets are the best methods to help flatten scars. As far as vitamins/supplements are concerned, eating a healthy, well balanced diet and taking a multivitamin is your safest option pre and post-operatively. Many supplements have ingredients within them that can cause bleeding during surgery and thus it is safer to avoid all of them other than a multivitamin for approximately a week to 10 days before and after surgery. Good luck! 


R. Michael Koch, MD
Tarrytown Plastic Surgeon

Scar treatment after breast reduction surgery

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Some of our breast reduction patients are the happiest that we have in the practice. These are the women with significant bra strapping, back and neck pain. If you are going to reduce the size of the breast significantly, you most likely will have scars. Scars are permanent. They end to fade over time. We have our patients keep the scars away from UV light, and use scar cream. We have a scar cream in our office that we like. We can talk about scar revision, but usually wait at least a year. Usually the health of the patient and how they take care of the scars has much more to do with the outcome than age. Please see a board certified plastic surgeon.

Jeffrey J. Roth, MD, FACS
Las Vegas Plastic Surgeon
4.6 out of 5 stars 17 reviews

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.