I have very ugly and painful scarring even 14 months after my surgery. How can I improve the situation? (photos)

Dear Forceful856458,
I understand you are concerned with the appearance of your scars. As your scars heal, it should flatten out and lighten. Loss of pigmentation or hyperpigmentation may also be experienced but will resolve over time. Always follow your surgeon's post operative care instructions when it comes to scar management to avoid any complications like infection and for faster healing and recovery.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Based on your photos, it appears that you likely had a very short nipple to fold distance prior to surgery. When the incision is planned in the natural breast fold in this situation (particularly with an oversized implant), the implant can stretch out the lower pole of the breast tissue and displace the scar and natural breast fold onto the now lower pole of the breast. Essentially, it appears that the incision may have ben planned not low enough and the implant placed was too large. Regardless, this a complex problem that should be evaluated and treated by a very experienced plastic surgeon in complex breast revision surgeries. Your treatment would require scar revision with explantation followed by future implant placement with an appropriate size implant.

You might try micro-needling to improve your scars. I would also wear good supporting bras to avoid letting your implants sag down from the weight.