Divots and noticeable scarring - what would your recommend at this point? (Photo)

Question

It's been two years since I had my reduction and after several scar revisions they still don't look good. There are divots and dark discoloration all along where the incisions were made. What would you recommend at this point?

Christine Fisher, MD, FACS · Answer

Hi NY. I am so sorry about your complications.  I’m sure that your healing journey hasn’t been easy.  I would address your concerns in multiple ways.  Fat grafting can be done to improve the contour irregularities.  In this procedure, we remove fat from a different area of your body, purify it and reinject carefully into these areas.  I would also recommend a scar revision for the widened and scars with aggressive scar management with silicone scar therapy soon postop.  Microneedling can also be done to treat scars. Finally the color of the scarring can be addressed with light therapy, IPL or BBL.  A skilled aesthetic provider can help with this.  Since your journey has already been hard, I highly encourage you to seek out a board-certified plastic surgeon specializing in surgery of the breast and body to hear your concerns and come up with a plan to reach our goals.  I wish you the best!

Scott C. Lindsay, DO · Answer

Thanks for your question! I would suggest getting a second or third opinion. Freeing up some scar tissue and possibly adding fat could help with the divots. Good luck!

Raffy Karamanoukian, MD, FACS · Answer

Our treatments use combination therapy to improve the epidermis and dermis.  We see atrophic and hypertrophic scars, as well as scars that have hypo and hyperpigmentation. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to discuss the best treatment options for your type of skin. .

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Irena Karanetz, MD · Answer

Hi,

Thank you for the question.

Based on your photos, it does appear that your have unfavorable scarring and contour irregularities in the lower portion of the breasts following your breast reduction surgery.

There is a breast reduction revision technique that can help correct unfavorable scarring by removing the old scars and creating new finger scars without contour deformity.

I suggest that you seek an in person consultation with a Board-Certified Plastic Surgeon specializing in Breast Reduction and Breast Revision surgeries to further discuss  your options, specific techniques, concerns and expectations.  Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results.

I hope this helps.
Best regards, Dr. Karanetz
 
Dr. Irena Karanetz
Breast Fellowship-Trained
Board Certified Plastic Surgeon

Camille Cash, MD · Answer

I'm sorry to hear of the issues you've experienced from your breast reduction.  It is best to give scars a year to mature and settle after the original surgery or any revision.  I encourage you to meet with a few board certified plastic surgeons to listen to opinions.  Another revision will be needed in order to improve your results.

Divots and noticeable scarring - what would your recommend at this point? (Photo)

Answers (9)

Answer: Divots and noticeable scarring - what would your recommend at this point?

Answer: Divots and noticeable scarring - what would your recommend at this point?

Answer: Scarring

Answer: Scarring

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Divots and noticeable scarring - what would your recommend at this point? (Photo)

Answers (9)

Answer: Divots and noticeable scarring - what would your recommend at this point?

Answer: Divots and noticeable scarring - what would your recommend at this point?

Answer: Scarring

Answer: Scarring

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Recommended reading

Everything you need to know about Breast Reduction

Our mission is to create a world where every investment in modern beauty is Worth It.