Would microneedeling for a five-year-old breast lift scar work? (Photos)

Question

I had a breast lift about five years ago. Because I didn't want the sutures to be palpable, I asked my PS to not use permanent sutures. Unfortunately, that resulted in the areola stretching, and dusk are not being too favorable. Well I wish my areolas were smaller, my main concern is the scar. At this point, five years later, I don't expect at the Ariel as will continue to stretch. Would I be a good candidate for micro-needling in order to fade the scars? Thank you.

Raffy Karamanoukian, MD, FACS · Answer

Plastic surgery scars require attention after surgery so that they remain cosmetically-appealing and barely noticeable. In our office, we use a protocol for scars that minimizes their activity in the 6-8 weeks after surgery. If you have late plastic surgery scars, you may also require laser and RF therapy to help reduce the longterm effects of the scarring. Keloids, hypertrophic scars, widened scars, red scars, and hyperpigmented scars all require scar modulation with topical creams followed by lasers and RF therapy. Topical skincare should be directed to a specific need, whether for pigmentation or hypertrophy and our office can guide you through the process to obtain the correct Plato’s Scar cream or Melarase cream for hypertrophy and discoloration. In terms of lasers, we would employ the vbeam laser for redness, Venus Viva RF, PRP microneedling, chemical peels, and Morpheus 8, fractional erbium, or fractional co2. All of these have their individual benefits. Most of all, we recommend you visit a solid plastic surgeon who understands surgical scar revision, laser therapy, and RF therapy for scars. 
 
Best, 
Dr. Karamanoukian
Realself100 Surgeon

Jason Emer, MD · Answer

This can be improved with a combination approach of microneedling/prp and lasers. I recommend getting a formal evaluation with a scarring expert. Best, Dr. Emer

Pramit Malhotra, MD · Answer

I would suggest a discussion with your surgeon about revising your scar in clinic.  I do use a permanent suture in your type of case though.

Steven Swengel, MD · Answer

Hello thank you for sharing your pictures and questions. Microneedling is an excellent choice of treatment to produce controlled injury and help scars improve. Usually scars require multiple procedures and combination treatments. I would suggest that you go see a board certified physician and see what options they give you. We use microneedling at Refined Dermatology all the time for scars and stretch scars with great results. Hope this helps, Dr. S.

Davin Lim, MBBS, FACD - Account Suspended · Answer

Agree, I would ask the surgeon who performed the procedure about methods to reduce this scar. Fractional lasers, microneedling together with cosmetic tattooing can help. All the best, Dr Davin S. Lim. Brisbane. Australia.

Would microneedeling for a five-year-old breast lift scar work? (Photos)

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