Are there any procedures that could improve or remove old scar tissue from a bad breast reduction?

Question

The scars are 25 years old as the surgery was done when i was 16 and they reach from my cleavage, under the bra crease and the tissue actually folds in on itself at the side of my breast. I'm in the Toronto area.

Ryan E. Austin, MD · Answer

Sorry to hear that you have been struggling with these scars from your breast reduction in the past. The way that many surgeons do reductions has changed to avoid those scars on the underside of the breast that are very bothersome. While you cannot get rid of scars, if the scars are wide or tethered, it is possible that a scar revision can improve them. You would need to organize a consultation with a plastic surgeon to assess the scars and determine what may be feasible!

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

Daniel Barrett, MD · Answer

Dear Betty221,it is hard to tell for sure without an examination. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Cisco Sanchez-Navarro, MD · Answer

Hello and thank you for your question.  This question is a little difficult to answer without photographs of the scars or an in-person physical exam.  Overall, scar revision can definitely be done.  This may entail cutting out the old scar and revising the "folds."  There are also other possible treatments depending on how bad the scaring is.  These treatments include lasers, microneedling, and PRP amongst other things.  The best thing to do at this point is set up a consultation with a board certified plastic surgeon.  The surgeon will be able to guide you through the best possible options for.  I hope this helps.

Curtis Wong, MD · Answer

so schedule a visit with a local plastic surgeon to see what can be done for you.  I'm positive the major issues you have can be improved considerably with a revision that can often be done in the office under local alone.

Steven Varkony, MD · Answer

Without an in-person
consultation it’s impossible to determine which procedure would be best for
you. We recommend that you schedule a consultation with a surgeon to further
discuss any questions or concerns.

Frederic H. Corbin, MD (license restricted) · Answer

Sorry for your problem and scar revisions may be possible to improve your result.  So go on some complimentary consultations with experts and compare recommendations and become fully informed what might improve your results Dr Corbin

Edward J. Domanskis, MD (in memoriam) · Answer

Yes, your breasts have changed a lot over the years so they can be re-shaped. They are probably flat with no volume. We do many patients from out of town either in my primary office in California or my office in Miami or Nassau, Bahamas and do Skype/Facetime consultations.

Jeffrey C. Hamm, MD - Account Suspended · Answer

Hi and welcome to our forum!
While scarring is inevitable following any surgical procedure, scar appearance can range from a thin barely perceptible line to a thick, red, elevated  mass of collagen. Scar favorability depends upon the scar direction relative to the underlying musculature (incisions are designed to minimize scarring), the presence of infection in the early postoperative period, general state of health at the time of the procedure, circulatory disturbances in the operative area and genetic factors such as keloid predisposition. 
Scar revision may improve scar appearance, especially since the procedure is far less invasive than the original reduction surgery  with less disturbance to the blood supply. Post surgical modalities such as silicone gel sheeting application may control the healing process.
Seek a consultation from a board certified plastic surgeon.
Best wishes...

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