What is good incision care for the first month following Breast Augmentation with inframammary incision?

Question

I'm 13 days post op from breast augmentation with inframary incision. How do I best care for my incisions?

William Bruno, MD · Answer

You should consider using a silicone based gel or tape. A good silicone gel which is FDA approved is Biocorneum. Ask your surgeon about it as you can not find it online.Best wishes,Dr.Bruno

Ryan Neinstein, MD, FRCSC · Answer

My preference is surgical tapes for 2 weeks than aggresive silicone cream but everyone is different and every one heals different

Steven Zoellner, MD · Answer

Thanks for your question.  In my practice we cover the fresh incision with surgical paper tape strips and leave in place until the 1 week follow-up appointment.  At this time we remove the tape strips, cleanse the incisions with alcohol and re-apply the tape strips which remain in place for an additional week.  After this second week we have the patient to change the tape strips at home every 4-5 days and cleanse the incision line with soap and water at the time of changing.  I advise to continue with the paper tape strips for up to 6 weeks post surgery unless the patient were to develop a tape irritation.  As always I advise to follow the specific instructions of your plastic surgeon as they know what is best for your situation.

Jourdan Gottlieb, MD · Answer

Most incisions heal very well with no interventions at all. My advice is to follow your own surgeons instructions. That person is the one responsible for your care which includes healing of your incisions.All the best.

Matthew Blanton, MD · Answer

Incision care following surgery is a common question I go over with my patients prior to surgery and after their surgery. It would be wise for you to contact your plastic surgeon to go over their specific regimen. In general incision care after a breast  augmentation is fairly easy especially when it's located along the inframammary fold. If the incision area is completely healed (i.e. no open wounds) then I recommend massaging the scar with whatever lotion you typically use. This will help promote collagen remodeling by applying pressure to the scar and also provide moisture and flexibility to the scar. If the scar will be visible in your bathing suit you'll need to apply sunscreen too. Keep in mind that scar maturation takes almost one year from your surgery date so be patient with the scar result.

Eric Desman, MD · Answer

I generally tell my patients to do pretty much nothing to the incision the first month. At a month, if they want to use a scar cream, they can start. However, each surgeon does things differently. Some colleagues start with scar massage sooner, some later, some not at all. I suggest you ask your surgeon their recommendation and follow their advice.

Brooke R. Seckel, MD, FACS (retired) · Answer

First and foremost you must follow the advice of the plastic surgeon who performed your operation.Gentle massage of your breast implant incision starting about 2 weeks after surgery can be helpful in improving the proper healing of the incision.  Topical applications of silicone liquid such as Scar guard can also be helpful and is used in my practice.If between 3-6 weeks you develop read raised itchy scars please bring them to the attention of your plastic surgeon. These could be hypertrophic scars and require therapeutic interventions such as silicon taping or non-ablative fractional laser resurfacing.

Robert E. Zaworski, MD (retired) · Answer

Every doctor has their own protocol.   There are many good options for scar management.  Follow your Plastic Surgeon's instructions for your best result!

What is good incision care for the first month following Breast Augmentation with inframammary incision?

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