Scar / Depigmented Areola after Gyno Surgery (Photo)

Question

I had surgery (gyne) 8mo ago. Areola had scabs and left whitish depigmented spots (see pic). I've also attached pics of 3-month ago. The scar area experienced a color change (seems to be worsening in appearance) Is it advisable to wait for further healing?

Raffy Karamanoukian, MD, FACS · Answer

Our treatments use combination therapy to improve the epidermis and dermis. We see atrophic and hypertrophic scars, as well as scars that have hypo and hyperpigmentation. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to discuss the best treatment options for your type of skin. .

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Ajaya Kashyap, MD · Answer

Thank you for your query. Depigmented scars are not uncommon when the incision is made at the edge of the areola. You should wait for a few more months, and if after that the scars do not improve in appearance, you should discuss this with your Plastic surgeon who may recommend a scar revision. All the best!

John Reilly, MD, FACS · Answer

Hello,
The area of your concern is the location of the incision and therefore the scar. Yours seems to be undergoing some changes, increasing its color. If it is elevated you can use over the counter silicone pad scar therapies. If it remains wide or has dense color you can speak to your plastic surgeon about a future revision where, in the office, the scar can be revised and hopefully providing a different result next time. The reasons for that can be discussed with your surgeons. Best of luck.

Daniel Barrett, MD · Answer

Dear Awesome11652,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Randal Haworth, MD, FACS · Answer

It’s important in your case to consult with your surgeon for a proper assessment.

They can evaluate the current state, discuss your concerns, and provide guidance on whether waiting for further healing or seeking additional intervention is advisable.

Best of luck !

Heather Vande Ven, DO · Answer

Scar or depigmentation of the areola after gynecomastia surgery is not uncommon. Gynecomastia surgery, also known as male breast reduction surgery, aims to reduce excess breast tissue in men. The surgery may involve removing glandular tissue, excess fat, and in some cases, excess skin.During the procedure, incisions are typically made around the areola or in the natural creases of the chest to minimize visible scarring. However, as with any surgical procedure, some scarring is inevitable. In addition, changes in pigmentation or depigmentation of the areola can occur as a result of the surgery.Factors that can contribute to scar formation or changes in pigmentation include:1. Surgical technique: The skill and technique of the plastic surgeon can influence the appearance of scars and changes in pigmentation. Experienced surgeons aim to minimize scarring and preserve the natural appearance of the areola as much as possible.2. Skin type: Individuals with darker skin tones may be more prone to changes in pigmentation, including hyperpigmentation (darkening) or hypopigmentation (lightening) of the skin, following surgery.3. Healing process: Each individual heals differently, and factors such as genetics, overall health, and adherence to post-operative care instructions can affect the healing process and the appearance of scars.4. Sun exposure: Exposure to sunlight can exacerbate changes in pigmentation and make scars more noticeable. It's essential to protect the surgical site from sun exposure during the healing process.5. Scar management: Proper wound care and scar management techniques recommended by your plastic surgeon can help minimize the appearance of scars and promote optimal healing.If you are concerned about the appearance of scars or changes in pigmentation following gynecomastia surgery, it's essential to follow up with your plastic surgeon. They can assess the healing progress, provide guidance on scar management techniques, and address any concerns you may have. In some cases, additional treatments such as scar revision surgery or laser therapy may be recommended to improve the appearance of scars.