I did a breast aumentation. The doctor did a very bad job! I regret every single minute that I went to him. The damage is done. Is anything that I can do to remove the scars on my breast? He left a T - really bad scar on my breast? Is there any procedure, surgery or anything to remove the scar in my breast? Please help me.
How Can I Get Rid of Bad Scars from Breast Augmentation?
Doctor Answers 27
Bad Scars after Breast Augmentation Can Be Improved with Laser and or Revision
Thank you for your question. I am very sorry to hear of your experience.
If your scars are new and pink or red then IPL (Intense Pulsed Light) or Non ablative Erbium Laser Treatments can help improve them.
If the scars are mature-over a year or two old-then surgical revision may be necessary.
Usually these scars can be improved. Of course see your doctor and ask what can be done. If you do not get the answers that you are looking for seek a second opinion with a Board Certified Plastic Surgeon who is experienced in Breast Surgery.
There are many things you can do to assist with scar...
There are many things you can do to assist with scar maturation such as massage, lotions like emu oil, and IPL treatments. Even left to their own devices, the scars will generally improve over 1-2 years and get even better over a longer time period.
It sounds as though your relationship with your doctor was suboptimal and that may be causing you to be extra critical of scars that are actually normal. Perhaps seeing another doctor for an evaluation would be wise and could put your mind at ease about your own situation.
Scar characteristics are important
What is a bad scar? This means different things to different patients. It is important to look at the characteristics of the scar:size, width, height, color, texture, location, contour. Each characteristic is judged separately and treatment is customized. Unfortunately, scars cannot be erased, just modified. In general, it is usual practice to give the body time to have the scar process go through its many phases. This may take six to twenty-four months.
It is usually a mistake, or even unnecessary, to prematurely "treat" a scar. Redness will often resolve. Thickness will abate. Texture will soften. I have seen over-treatment of scars that lead to additional problems or at least more expense without benefit. There are a myriad of potential treatments (scar revision, Z- or w-plasties, silicone gel or sheeting, steroid injections, laser treatments, pressure therapies) but some carry significant side-effects or costs, promise results that are unpredictable, or may not address the specific sharacteristic you want to influence. Be patient and work carefully with a reputatble plastic surgeon. Do not jump into treatments before considering the risks and benefits.
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Help with Breast Scars
I am so sorry you had that experience. It sounds as if you also had a lift (thus the T-scar).
If it is still early, less than a year, scar creams can help. Examples of scar creams are Scar Guard and Kelokote and they are available without a prescriptions.
If it has been longer than a year, bad scars may sometimes need to be revised with surgery. Seeing a plastic surgeon can help determine if that is an option.
Bad scars from breast augmentation
Breast scar management
1) Scar massage - starting as soon as the surgical dressings come off and the incisions are sealed
2) Silicone sheets or scar gels for about six months to year
3) Embrace - a tension reducing dressing for the first 2 months
4) Fractionated lasers to help blend the scar into the background - done as a series, starting about 4 weeks after surgery and repeated every four weeks for six months.
5) Sunscreen to prevent the scars from darkening
Scar Management tips:
- Minimize tension on the scar. Steri-Strips and/or surgical tape are often placed in non-hair bearing areas at the time of surgery to minimize tension and keep pressure over the scar. This minimizes the stress that can pull the scar apart (dehiscence) creating a wound and delaying healing time, and can make the scar wider, or more “ropy”. In the first few weeks after surgery, I recommend the use of Embrace Scar Therapy which is an adherent silicone sheeting pre-stretched when applied so as to offload tension on the scar.
- Keep your incision site/scar clean to prevent infection. Follow your surgeon’s wound care instructions to the letter with out modification. Never apply different products then recommended without first discussing them with your surgeon. This is especially important during the first few weeks. If there are any signs of infection, contact your surgeon’s office right away and/or see your doctor or his nurse immediately. Typical signs of infection may include redness outside the immediate incision site, asymmetric swelling, and drainage, of pus, fever, chills, and “feeling sick”.
- Protect your scars from the sun. Staying out of the sun is the best advice. Minimal exposure to sunlight is prevents hyperpigmentation (permanently turning brown) and other problems that can make the scar more noticeable. Sunscreen, at least 30 SPF and an overlying make camouflage make up additionally protects the scar from the suns harmful rays. This advice is especially important the first year following your surgery.
- Use specific scar maturation products recommended by your surgeon. Patients seem to have their own opinions on this touting everything from Pure Vit E, Coco butter, to Aloe Vera, etc but most have minimal benefit other than keeping the scar hydrated. Although hydration is important there are better, scientifically studied products with greater efficacy. Most of the scientific articles written about this subject indicate that topical silicone gel or silicone sheets work the best. The best product available in my opinion is the Embrace Scar Therapy System by Neodyne BioSciences, Inc. available in many surgeons’ offices. Essentially this is an adherent silicone sheeting pre-stretched when applied so as to offload tension on the scar. For areas that are not applicable for this product (e.g. smaller areas or on the face), I prefer BioCorneum or Kelo-Cote products There are a lot of products to choose from, but silicone should be one of the key ingredients. Although Mederma, an onion extract derivative active ingredient rather than mainly silicone based may help, primarily silicone based products are better and many also contain other ingredients that may be synergistic (hydrocortisone or other steroid, Vitamin E, Sunscreen, etc).. If the reader has problems obtaining these they can call my office. Patient compliance is also critical – use often and according to directions or it will not work optimally. NEVER apply products without first discussing them with your surgeon.
- Monitor to make sure your scar is progressing optimally. Keep your scheduled follow-up appointments with your surgeon to verify that your scars are maturing as expected. Occasionally if indicated you may need a topical steroid preparation or even a series of injections (5-FU and/or Steroids) or laser treatments to treat or prevent scar hypertrophy or keloid formation (red raised scars), or other topical medicines to treat post inflammatory hyperpigmentation (brown scars) with prescription creams and possible laser treatments.
How can I get rid of bad scars from breast augmentation?
If unsightly scars are still present after approximately a year's time, other things that your surgeon may consider are intralesional steroid injections, laser, or just surgical revision of the scar itself. It appears as if you had a breast lift at the same time? Depending on the time from the procedure, some of these modalities or laser therapy may help. However, scar revision may certainly be entertained, which could be performed at the same time as any revisionary procedure, if you are unhappy with the result.
Hope that this helps! Best wishes!
Scars after surgery
If you haven't been back to see your surgeon to let him of your concerns, I would start there. If you are uncomfortable returning to your surgeon or have seen him without results, I would recommend seeing a different plastic surgeon to discuss your options (laser treatment or scar revision). Good luck.
Incision Placement and Scarring Following Breast Augmentation
It’s important to realize that wound healing is a dynamic process and that you may not see your final result for at least a year following surgery. We frequently see wounds that are unattractive in the initial phases of wound healing, but ultimately look good with the passage of time.
It’s also important to understand that there’s no way to perform surgery without an incision and this means scarring. Plastic surgeons can hide or minimize scars, but no one can actually remove them. Scarring is dependent upon multiple factors. The patients wound healing biology is just as important as the surgeon’s technical skill. This means that scarring doesn’t necessarily mean bad surgery, but may be related to the patients wound healing characteristics.
In the early post-operative period, massage, topical agents and sun avoidance can all be utilized to minimize scarring. Occasionally, treatment with lasers may also be helpful. If scarring persists for longer than a year, surgical revision may be necessary.
It’s important to have an honest discussion with your surgeon about scarring. In some cases, where trust is an issue, a second opinion may be helpful.
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.