6 months post surgery, I am unhappy with my results and left with large keloid scars. What is your advice?

Hi RKbreastaug2018,

For scars, I close all of my incisions in 5 layers and do not use absorbable sutures because they cause inflammation and worse scarring. I tape all of my incisions in the office visits once a week for six weeks after surgery to improve the appearance. After taping, I start my patients on a scar gel therapy for 3 months that they have to put on their incisions twice daily.

I understand you are concerned with the appearance of your scars. As your scars heal, it should flatten out. Always follow your surgeon's post operative care instructions when it comes to scar management to avoid any complications like infection and for faster healing and recovery.

If you are concerned, you should visit your plastic surgeon for assessment. and to discuss your concerns, as different surgeons have different approaches in scar management.

 Daniel Barrett, MD, MHA, MS

Certified, American Board of Plastic Surgery

Member, American Society of Plastic Surgery

Member, American Society of Aesthetic Plastic Surgery

I would suggest going back to your surgeon and discuss treatment for your scarring. You might need Kenalog injections and topical products for scarring like Mederma. if your surgeon does not treat keloids, find someone who does.