Sensitive hypertrophic/possible keloid 10 months after breast aug. Is it normal?

1/3 of my scar on right breast (incision was made just outside of natural crease) has either recently or always been, I'm not sure, hypertrophic/keloid. I'm not sure if that part of my scar just never decreased in size since surgery or recently became abnormal. Regardless yesterday I had on a bathing suite so I'm thinking a strain on the scar is what is causing my pain/sensitivity. Is this normal for a scar to become suddenly sensitive? What are other warning signs I should look for?

Doctor Answers 8

Incision sensitivity

It might be possible that your scar was irritated by your bathing suit.  If concerned. see your surgeon in person.

New York Plastic Surgeon
4.1 out of 5 stars 24 reviews

Sensitive hypertrophic/possible keloid 10 months after breast aug. Is it normal?

Thank you for your question and I am sorry to hear of your scar concerns.  Without a photograph it is difficult to offer definite advice but there are treatment options to improve your scar pain/sensitivity as well as its appearance.  Attached below is a link with useful information.  I would recommend reaching out to your plastic surgeon for an in-person evaluation. Once the quality of your incision line is known then the appropriate treatment can be instituted.  Hope this helps. 

Nelson Castillo, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 38 reviews

Have it rechecked

Stretching a scar can cause it to be irritated.
Have you doctor check it to see if the scar can be improved or revised.

Sensitive hypertrophic/possible keloid 10 months after breast aug.

At 10 months after surgery your scar is most likely hypertrophic or thickened as opposed to being a true keloid. This can happen for many reasons but can easily be corrected. 

Scars continue to heal for approximately 1 year so you may still benefit by steroid injections and massage at this time.   If this does not help settle the scar then a simple scar revision would be the next step.

I recommend seeing your surgeon for an examination.   

Good luck.

Check in with your surgeon

Your scar is likely hypertropic and not a keloid.  Thick or hypertrophic scars usually develop when there is a genetic predisposition and or undue tension on the scar.  Treatment involves several options including injections with catabolic steroids and topical agents.  It is best to check in with your surgeon to develop a treatment plan. 

Sensitive hypertrophic/possible keloid 10 months after breast aug. Is it normal?

I am sorry to hear about the concerns you have after breast augmentation surgery. Sometimes,  hypertrophic or keloid scarring can occur; these scars can be sensitive, sometimes without a specific "reason". Based on your description, it sounds like you may benefit from scar revision;  hopefully the scar can be changed to a finer line and better placed between the areola and surrounding breast skin. Best wishes.

Painful scar

Generally a scar takes about a year to mature.  The goal would be for the scar to be soft, flat, and blend.  If a scar is becoming hypertrophic, there are some simple things your surgeon could recommend like scar creams, massage, or even steroid shots if it's particularly bad.  If a scar has been pain-free until recently and suddenly becomes painful with a new piece of apparel it most likely the mechanical rubbing of the scar causing the problem.  Changing to different clothing or adding extra padding may help.

Samuel Beran, MD
New York Plastic Surgeon
4.8 out of 5 stars 4 reviews



You may have hypertrophic scarring. There are ways that your Plastic Surgeon can help treat this. I recommend that you speak with them and ask to be examined in person.

All the best

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.