Is this rash/raised bumps after breast reduction considered normal? (Photo)

Question

I had a breast reduction and lift in 2017 (18F). In 2018 I started getting these raised red bumps on my scars. They come and go every so often but I don’t know if this is considered normal or if anyone has seen anything similar? There is a discomfort from them.

Scott C. Lindsay, DO · Answer

Hello and thank you for your question.
I suggest you reach out to your surgeon to have this looked at since it causes you discomfort. Best of luck!

Daniel Barrett, MD · Answer

Dear Trustworthy669637,
I understand your concern. However, without a proper assessment, it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Jeffrey C. Hamm, MD - Account Suspended · Answer

Hi and welcome to our forum!
From your photos, I note 2 ropy, red, elevated lesions on the skin surface. These lesions have the clinical appearance of adverse scars. 
We must differentiate the difference between hypertrophic scars and keloids.
A hypertrophic scar represents an abnormal response to tissue injury, resulting in deposition of excess collagen. Its prevalence is increased after infection or in wounds under mechanical stress. The scar doesn't grow beyond the boundaries of the original skin injury. They may become chronically irritated.
A keloid is a genetic inherited disease in which scars progressively thicken beyond the boundaries of the original skin injury. They also may become chronically irritated.
There are non-invasive and invasive methods to treat these entities. Hypertrophic scars often spontaneously regress with time, the final scar noted when the redness of inflammation has subsided (usually at 12-18 months). Keloids may become inactive but usually do not regress.
The application of pressure and immobilization of a scar with silicone gel sheeting appears to hasten resolution of the process. Various creams are available, but their efficacy is questionable.
Laser treatments are available with varying degrees of success. 
Injection of corticosteroids directly into the scar may flatten the scar and alleviate symptoms, but may also broaden the scar and cause pigmentary change in the skin locally. For this reason, we usually delay its use for as long as possible.
Surgical scar revision is an option to consider if regression is not noted at 12 months after the procedure. This is often successful in treating hypertrophic scars, but, on the other hand, keloid recurrence is quite common. 
As you are symptomatic and there is interference with your activities of daily living, you may be a candidate for treatment.
Speak about your treatment options with your plastic surgeon.
Best wishes...

Is this rash/raised bumps after breast reduction considered normal? (Photo)

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Is this rash/raised bumps after breast reduction considered normal? (Photo)

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Everything you need to know about Breast Reduction

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