Areolar scars after a breast augmentation are under tension which tends to make scars larger, the body will do this to overcome these forces and help heal after surgery. Silicone sheets have been clinically verified to help with these scars. Silicone containing scar gels and creams are also used. Generally, the best time to address scar hypertrophy is between one month and 6 months after surgery. In my experience, larger scars improve little after this time (except color as this will fade for a year or more). Close follow-up with your surgeon for a year post op is often practiced to address these issues as they occur.
Thank you for your question. Breast incisions can be managed using a multimodal approach:1) Scar massage - starting as soon as the surgical dressings come off and the incisions are sealed2) Silicone sheets or scar gels for about six months to year3) Embrace - a tension reducing dressing for the first 2 months4) 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
With any surgery, there is always a trade off when you decide to go through a breast augmentation- you are left with a scar. There are multiple things that can help reduce the appearance of the scar. The first thing we recommend is silicone scar gel that is applied 2 weeks after your surgery, or once the incisions have healed. Any product that has silicone in the ingredients will help with your areola scars. We also strongly recommend that you get in the habit of applying sunscreen to the scars. UV rays can cause the scar to turn dark, especially for women with fair skin. You may feel that your scars are slightly raised and/or "bumpy" after surgery. Doing a light massage on the scar will help flatten it over time. Scar maturation can take up to a full year and sometimes longer, so its important that you start getting in the habit of scar care early to get the best outcome!
