It's been nearly 12 months since op, my scars a clearly visable while I'm standing & also even more so when laying down. Did I have a dodgy surgeon, did he stitch me up wrong? Were my implants to big? Did I do something wrong? Can this be corrected with strips or would have to go bigger in order to hide them. I seem to be the only person I know with a breast augmentation with scars this extensive, but we all used the same surgeon so what's the problem. Went from A-D cup 400cc implants .
April 20, 2014
Answer: Why are my breast augmentation incision scars so visible & thick? (photo) Hello! Thank you for the question! The typical incision used for breast augmentation are: inframammary (in the fold beneath your breast), periareolar (at the border of the areola), axillary (within the armpit crease), and TUBA (through the umbilicus). Incision placement will do a lot with your preference, surgeon comfort level with that approach, and the type of implant - silicone implants will be difficult to place within certain access incisions. Breast augmentation scars are well concealed and are very discrete. They should not be visible within clothing, and likely hidden without clothing. If your concern is the visibility without garments, you should consider remote access incisions such as in the armpit. However, these other incisions heal very well on the breast and often times inconspicuous. It is common for scars to fully mature for up to a year. In the meantime, there are a few things that may help to ameliorate your incision/scar. The most proven (as well as cheapest) modality is simple scar massage. Applying pressure and massaging the well-healed scar has been shown to improve the appearance as it breaks up the scar tissue, hopefully producing the finest scar as possible. Other things that have been shown to add some benefit, albeit controversial, are silicone sheets, hydration, and topical steroids. In addition, avoidance of direct sunlight to the incision will significantly help the appearance as they tend to discolor with UV light during the healing process. At 12 months postop now, other things that you may consider are intralesional steroid injections, laser, or just surgical revision of the scar itself.Consult with a plastic surgeon your goals, concerns, and expectations. Certainly incisions should be considered, but should not limit your overall result by hindering visualization and access to your surgeon, and what produces the best results in his/her hands.Hope that this helps! Best wishes!
Helpful
April 20, 2014
Answer: Why are my breast augmentation incision scars so visible & thick? (photo) Hello! Thank you for the question! The typical incision used for breast augmentation are: inframammary (in the fold beneath your breast), periareolar (at the border of the areola), axillary (within the armpit crease), and TUBA (through the umbilicus). Incision placement will do a lot with your preference, surgeon comfort level with that approach, and the type of implant - silicone implants will be difficult to place within certain access incisions. Breast augmentation scars are well concealed and are very discrete. They should not be visible within clothing, and likely hidden without clothing. If your concern is the visibility without garments, you should consider remote access incisions such as in the armpit. However, these other incisions heal very well on the breast and often times inconspicuous. It is common for scars to fully mature for up to a year. In the meantime, there are a few things that may help to ameliorate your incision/scar. The most proven (as well as cheapest) modality is simple scar massage. Applying pressure and massaging the well-healed scar has been shown to improve the appearance as it breaks up the scar tissue, hopefully producing the finest scar as possible. Other things that have been shown to add some benefit, albeit controversial, are silicone sheets, hydration, and topical steroids. In addition, avoidance of direct sunlight to the incision will significantly help the appearance as they tend to discolor with UV light during the healing process. At 12 months postop now, other things that you may consider are intralesional steroid injections, laser, or just surgical revision of the scar itself.Consult with a plastic surgeon your goals, concerns, and expectations. Certainly incisions should be considered, but should not limit your overall result by hindering visualization and access to your surgeon, and what produces the best results in his/her hands.Hope that this helps! Best wishes!
Helpful
March 1, 2014
Answer: Poor Breast Augmentation Scar Thank you for your pictures. Your scars are wide and have increased pigmentation. There length seems a bit excessive also. This could be due to poor technique and/or excessive tension on the incisions. Surgical removal of the scar can improve this but this lengthens the final incision as well.Earl Stephenson, Jr, MD,DDS, FACS
Helpful
March 1, 2014
Answer: Poor Breast Augmentation Scar Thank you for your pictures. Your scars are wide and have increased pigmentation. There length seems a bit excessive also. This could be due to poor technique and/or excessive tension on the incisions. Surgical removal of the scar can improve this but this lengthens the final incision as well.Earl Stephenson, Jr, MD,DDS, FACS
Helpful