Can breast lift scars be surgically redone if too thick or wide? (Photo)

Question

Hi, Can scars below be surgically redone? How involved is it? Worth it or create same result again? I am 3 months post-op and love my result except the long scars. ( I wanted as much lift as possible, so assume this is why they are so long). Not visible in bathing suit but they look bad when naked. Is it typical for scars to be like this? I have seen other people with very short incisions. Would like an honest opinion on this and should I ask my surgeon to revise the scars and if so, when?

Sheila S. Nazarian, MD · Answer

Yes, scars can be revised, but you are still fairly early in your healing. It can take up to a year for scars to fully resolve. I would advise you to wait until at least 6 months post op and then discuss with your surgeon. My best,
Dr. Sheila Nazarian
@drsheilanazarian on Instagram

Mathew A. Plant, MD, FRCSC · Answer

Scars can be revised but it requires excising all of them and restitching everything. 3 months is a bit too early to consider revision, wait a full year for the scars to mature before going through another operation. Hope that helps!

Gregory Baum, MD · Answer

Based on the photo you provided, you look like you have a very nice early result. Scars are not fully mature for 1 year postop so I would not pursue any scar revision for at least 1 year. There is nothing wrong with the anchor-type scar you have. Sometimes it is the best option compared to a short-scar/vertical breast lift. I don't hesitate to convert the short scar to an anchor pattern if I feel it will provide the best result. Without seeing your preop photos,it's hard to say if the short scar lift would have worked. Be patient with the scars. Time will be your friend. The scars can always be revised to possibly make them flatter/less wide but not shorter. I hope this helps. Best wishes.

John M. Trupiano, MD, FACS · Answer

Thank you for your question.Your wounds appear to be healing normally.There are many factors that affect wound healing and wound appearance. These factors are genetic (predisposition to hypertrophic or keloid scars, hereditary conditions, skin type, age), health conditions (diabetes, vascular disease, immune problems, nutritional status), smoking status, infection, and tension on the wound. Your scars are maturing and will continue to mature a year from your surgery. You can discuss your healing with your Board Certified Plastic Surgeon and whether they recommend topical silicone sheets or film, or hydrocortisone cream. In the future you may also discuss timing of surgical scar revision if it is something you both agree upon.While the width of scars can be improved surgically, generally the length cannot be improved. You mentioned that you were unhappy with the length of your scars compared to other scars that you've seen. There are different types of breast lifts, but I cannot comment on whether you were a candidate for a short or vertical scar mastopexy as I do not know the appearance of your breasts prior to surgery.I hope this is informative. Best of luck!

Steven Wallach, MD · Answer

While yes you can have your breast lift scars revised, it is way too early in the healing process to consider a scar revision. Talk to your surgeon about options for topical treatment.

William B. Rosenblatt, MD · Answer

Scars take up to two years to mature and fade. They really dont look bad. Giuve your body time to heal. Also scars can never be shortened - just made narrower.

Rick Rosen, MD · Answer

There are a number of options available. I would recommend you discuss this with your plastic surgeon.

Arian Mowlavi, MD, FACS (license on probation) · Answer

Poor breast scarring is a common complaint that I see after breast lift surgery. This can be due to your own healing or use of a suboptimal suture. The ideal suture for breast and body incision line closures in my opinion is PDS suture which will remain in place for up to 3 months. This suture is in contrast to Monocryl which only lasts 6 weeks. This difference is critical because your incision line will only have gained 40% of its healing at 6 weeks versus 60 to 80% of its healing at 3 months. Please check your op not to determine which suture was used to determine whether a revision surgery would potentially improve your incision lines.

Can breast lift scars be surgically redone if too thick or wide? (Photo)

Answers (8)

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