Scar revision around nipples. What would help smooth out the scars around the nipples? (photos)

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

Hi Chino.  If the concern you are highlighting is with the raised bumpy area at the outer edge of the areola, then we would likely use a small amount of Kenalog to flatten the scars.  Kenalog is a steroid and it can help resolve the issue by softening and flattening the raised portion of the scar.  It can also help resolce the redness that persists as well because as the scar tissue softens, the redness tends to resolve more quickly.  Click the link below to see before and after photos of another Orange County, CA patient that resolved their hypertrophic and raised scars with Kenalog and pulsed dye lasers.

From your photos, it does appear that you have some degree of hypertrophic scarring around the areolae. You can undergo a revision of the scars under a local anesthetic and also reduce the size as they seem disproportionately large for the breasts. You should see a board-certified plastic surgeon in your area to get a formal opinion through an in-person consultation.