I’m 1 month PO breast lift with implant. Now that the scabs have come off my nipple is very discolored. Did I do something wrong to make them heal this way? Will this improve as the scars heal or this permanent?
Answer: Recommend doing a scar revision on this 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
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Answer: Recommend doing a scar revision on this 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
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January 6, 2019
Answer: Post Op Scar Management Hi carl972, 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 and lighten. Loss of pigmentation or hyperpigmentation may also be experienced but will resolve over time. 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. Your surgeon can also advice you of new innovations that can help with managing and improving the appearance of scars like lasers and other scar treatment modalities. Daniel Barrett, MD, MHA, MS Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgery Member, American Society of Aesthetic Plastic Surgery
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January 6, 2019
Answer: Post Op Scar Management Hi carl972, 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 and lighten. Loss of pigmentation or hyperpigmentation may also be experienced but will resolve over time. 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. Your surgeon can also advice you of new innovations that can help with managing and improving the appearance of scars like lasers and other scar treatment modalities. Daniel Barrett, MD, MHA, MS Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgery Member, American Society of Aesthetic Plastic Surgery
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January 4, 2019
Answer: Breast pigmentation It is not uncommon to have decreased pigmentation in areas post surgery (more noticeable with darker skin patients). They usually repigment over 4-6 months. Follow up with your surgeon.Best of luck.Dr T
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January 4, 2019
Answer: Breast pigmentation It is not uncommon to have decreased pigmentation in areas post surgery (more noticeable with darker skin patients). They usually repigment over 4-6 months. Follow up with your surgeon.Best of luck.Dr T
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January 4, 2019
Answer: Pigmentation Have you spoken to your surgeon about this? This is the natural course of healing. It is more noticeable in people of color because of the juxtaposition of darker skin/melanin content. You'll slowly see your own pigment come in. It will take months. I advise you to keep in close contact with your surgeon and to attend your postoperative visits. S/he should be more than happy and able to answer this type of question at those visits which are included in the fee you paid.
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January 4, 2019
Answer: Pigmentation Have you spoken to your surgeon about this? This is the natural course of healing. It is more noticeable in people of color because of the juxtaposition of darker skin/melanin content. You'll slowly see your own pigment come in. It will take months. I advise you to keep in close contact with your surgeon and to attend your postoperative visits. S/he should be more than happy and able to answer this type of question at those visits which are included in the fee you paid.
Helpful 1 person found this helpful