I got a breast reduction and I have T scar with delay wound healing. I want it to heal faster, what can I put on it? (photos)

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

Some patients will experience some delayed healing where the two incisions meet under the breast after a breast reduction. Keeping the area moist with Bacitracin ointment and applying non-stick gauze daily is how we treat this. It can take several days, and sometimes a couple weeks for this to heal. The good news:  it will go on to heal, and everything will end up looking just fine. Definitely keep in contact with your plastic surgeon, as sometimes there is a suture in this area that needs to be removed as it can also impede healing. Thanks for sharing!

The most common complication following traditional breast reduction with "T" incisions is delayed wound healing at the incision junction.  This is a temporary problem that will heal with conservative wound care. This may take 6 weeks or longer to heal.  Patience is a virtue as more invasive attempts to help this heal can cause more complications.  Generally, there is not an infection and patients do not require oral or intravenous antibiotics.  Topical antibiotics may be indicated, although some physicians would just prefer petrolatum based ointments.  It would be beneficial to return to your board certified plastic surgeon for followup and complete instructions on management of this wound.