Why Did my Nipple Scar Form a Discoloration and Dryness?

I got my surgery about 4 months ago through my aerola. Everything seems okay but around my scar it has formed a discoloration and is dry. Well it go away?

Doctor Answers 9

Breast Augmentation Scar

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Scars that are red and raised mean that they're new, and this is normal during the three to six months after your surgery. This will eventually. You should protect your incision from direct sunlight to prevent permanently darkening the scar. If it is dry, you should apply a non-irritating moisturizer to it. With proper care, your scar will eventually become thin and silvery. This can take a year. Silicone gels and strips have also been found to help scars mature properly. Your surgeon may use the same incision placement, however please ask to make sure.


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Discoloration and dryness is common with scars. Please try moisturizing the scar first. If this doesn't help there are several option that don't include revision. If a revision is necessary then I use a product called embrace. 

Discoloration of Scar 4 months after Breast Augmentation

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    Scars typically improve over the course of a year, and pigmentation changes may occur during healing. These usually improve.

Hyperpigmentation of the scar with periareolar approach is common.

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The areola often has a large amount of melanocytes that respond to trauma (breast augmentation) by producing excess pigment.  The dry skin is due to the increased epidermal production.  Both should subside over time.

Nipple scar issue

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You did not mention what type of breast surgery that you had and when it took place?  Some hypopigmentation can occur when the skin heals. The color may return. If not, it possibly can be tattooed to blend the color.

Concerns after Breast Augmentation Surgery?

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Always  best to check with your own plastic surgeon about these types of concerns after surgery. Online consultants will not be able to provide you with meaningful diagnosis, treatment recommendations, or reassurance.

 Best wishes.


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Without an exam it’s very hard to determine what can be going on. You need to see your PS review your concerns.


Stuart B. Kincaid, MD, FACS (in memoriam)
Beverly Hills Plastic Surgeon

Scar --Discoloration and Dryness

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Hard to know what this is without a photo, or at least an idea of the color, and a note about whether it is in the scar alone or around the scar that this is occurring.

It is certainly safe to at least try a moisturizer in the area. Glad to hear that everything else is going well.

Thanks, best wishes. 

Jourdan Gottlieb, MD
Seattle Plastic Surgeon

Temporary vs long term skin discoloration

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Thank you for the question.  Discoloration of a surgical incision at the areola border can take many forms.  There are hypopigmented (lighter) as well as hyperpigmented (darker) discolorations possible.  These can be temporary and resolve on their own as well as permanent or long term.  Upload some photos for more accurate advice.  Often, the color is a transient part of the healing process and improvement is seen with time.

All the best,

Dr Remus Repta

Remus Repta, MD
Scottsdale Plastic Surgeon
4.9 out of 5 stars 170 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.