How Long Before Incision from Breast Augmentation Heals?

I recently had a revision done through crease incision for one side of my breast. Because I have very very thin skin, I am concerned about the breast implant breaking layers of skin. What suggestions / ideas do you have to keep the pressure of the implant off the incision until it heals?

I am wearing a support bra although it can be uncomfortable because the band is at where the incision is. Normally, how long will it take for the incision to completely heal and seal? Your opinion would very much be appreciated. Thank you.

Doctor Answers 25

Re: Incision Healing Time for Breast Revision

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Good question.

Fast Answer: Incisions take 24-48 hours to “seal”; time until completely healed is 4-6 weeks.

Detailed Answer: This answer depends on what you meant by healed. If you are asking when the incision is sealed that is about 24 hours. This is why it is safe for you to take a shower the day following surgery. If you are asking time until totally healed and the incision has significant strength, then it takes about 4-6 weeks. This is why you can typically go back to upper body lifting at 4-6 weeks. If you are asking when the incision will be strong enough so that you don’t have to worry about your revision opening up, then I would safe after 1 week.

I hope that helps! Best of Luck!

Healing after breast augmentation reivision

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Implant extrusion is very rare after breast augmentation.  Incisions are usually closed in couple layers of sutures.  Unless your skin is really thin without much breast tissue, implants should not extrude.  The incision will be "healed"  within a week; however, scar will continue to remodel and gain strength for next 6- 12 months.

Few weeks to several months

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It could take 6 month for the wound to gain near maximum intensity. However, in 3-6 weeks your wound should reach a stable stage. The remodeling of the scar will continue to occur until full healing. Wearing support bra with no underwire is a good way to avoid too much pressure on the incision.hope that helps!

Complete healing is relative

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Usually the incision is healed enough to allow one to remove sutures and get the incision wet within a few days. However, the strength of the scar is a dynamic issue and changes as time passes. There is also modification of the collagen as the scar matures. Most patients should be able to resume active exercise within 3 weeks or so but you should be mindful of irritation to the scar. Your surgeon should be able to guide your specific case as he knows the anatomy of your revision and the size of your implants.

Robin T.W. Yuan, MD
Beverly Hills Plastic Surgeon

Initial healing on its way by 1 week, most deep healing is done within 4-6 weeks

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Every incision through the layers of skin needs some time to heal. The superficial healing is done within a week, but the deeper healing may take 4-6 weeks. During this period of time, don't worry -- your implant should not break the skin. Sometimes a very large and heavy implant can cause the incision to stretch slightly as it heals, however. Wearing a support bra is helpful. I would avoid an underwire bra as this will irritate your incision. If the band hits your incision and this is painful, you can put a small piece of gauze or cotton at that site to take some of the pressure off the incision. Within a month after surgery this should become much more comfortable. Good luck!

Wound Healing Following Breast Augmentation

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                  Wound healing is a dynamic process that in many cases lasts for more than a year. Most wounds regain the majority of their tensile strength in about six weeks, but continue to remodel for at least a year.

                  Although you’re concerned about thin skin and implant extrusion, this would be an unusual complication unless you had other associated problems such as infection. Surgeons close these wounds in multiple layers and the deeper tissue is closed as well. The use of a support bra would take pressure off the closure and provide added support. 

Incision heals quickly, scar matures slower

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Your incision is completely heled within two weeks, but the scar can undergo changes for up to a year.  If your bra is putting pressure on the incision, consider finding one whenre the elastic is lower on the chest and you can also place a piece of guaze over the incision to relieve some of the pressure.

Breast Implant Extrusion and Incision Disruption

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Breast implant revision can involve incising a previous incision site. In your particular case, extrusion of the implant through the incision site can be prevented by meticulous layered closure of the underlying muscle and soft tissue. Extrusion is rare, but can occur with severely atrophied breast parenchyma.

Incision healing time

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Hi imadvice, Your incision should be sealed within a few days and healed within a few weeks. However, your scar will take up to a year to fully mature. Factors that determine poor healing are smoking and underlying health issues like autoimmune disease. Next, you should not be concerned the implant will come through the incision. There are layers of sutures and the implant should be placed so that this is not even possible. Lastly, you should be wearing a comfortable, but supportive bra that closes in the front and doesn't put any pressure on your incisions. I would speak to your surgeon and they can best advise you of an appropriate garment. Good luck to you!

Time for Wounds to Heal

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This has been well researched over the years. The wound becomes waterproof in 4 days. Initially wound strength comes entirely from the sutures but as healing progresses the strength of the scar tissue that forms to heal the wound increases. Initially that strength is very low but in a few days it begins to increase rapidly until about six weeks. At this point the wound strength has reached 80% of its final wound strength. The strength of the wound continues to increase from this point but at a much slower rate. The final wound strength is achieved over the next 4-6 months. The resultant scar will then remodel/mature and continue to improve over the remaining course of a year. It may then continue a very slow remodeling process for several years.

Healing scars and UV radiation do not mix. UV radiation will cause a scar to become thicker, redder and more noticeable. Do not expose a scar less than a year old to tanning booths or sunlight. Use sunblock when outside if the scar cannot be covered. Silicone scar treatment ARE effective in decreasing scar formation and scar visibility. They must however be used twice daily fro very long periods of time to be most effective.

Alexander G. Nein, MD, MS, FACS
Nashville Plastic Surgeon

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.