Is it normal that my breast lift scars look worst 6 weeks post op than they did right after surgery? (photos)

Question

Breast lift & implant exchange. 6 wks post op. My scars where looking great right up to about 2 weeks ago. One of the scars was barely visible. Now they are all really red. I started using BioCorneum (recommended by my surgeon). During my first breast lift/aug surgery I did develop keloids. I'm afraid that the redness in my scars now could be keloids in the making... Unfortunately my surgeon is not very informative when I ask him questions so your answers really help! Thankyou.

John Paletta, MD · Answer

The simple answer is yes this is quite normal. Scars mature overtime and typically look the most inflamed and angry at about six weeks. They can take  many months to a year, sometimes even up to two years to fully mature.   An options you may consider is to use topical silicone gel sheets.

Emmanuel Mallol Cotes, MD · Answer

Thanks for sharing your concerns with us. With only 6 weeks is too early to talk about final results. The healing process depends in each patient.In my practice, after performing a breast lift with implants exchange I recommend to my patients to limit the movement of the arms for two weeks. After that, you can move your arms taking care and always with common sense. In this regard, it's not advisable to carry heavy weights to prevent the implant out of position, and allow the formation of the physiological capsule around the implant, also to avoid pain and breast swelling.Respectfully,Dr. Emmanuel Mallol Cotes.-

Joshua Lampert, MD, FACS · Answer

Scars usually get more pink or red as wounds heal.  Small blood vessels grow into the scar and make them red.  The blood supply brings in cells and nutrients that allow mature collagen and a softer scar to develop.  Some patients form worse scars and should be evaluated more frequently for scar treatment.  I usually recommend no sun, silicone scar products and massage.  Hypertrophic scars can sometimes be improved with early intervention using laser therapy or steroid injectiond.  Keloids are worse, can be difficult to treat and should be followed closely - sometimes with steroid or chemotherapy injection.  Breast keloids patients are usually not candidates for radiation therapy. See you ABPS plastic surgeon for guidance

Jaime S. Schwartz, MD, FACS · Answer

I appreciate your question.

Yes this is normal as scars go through different stages of healing.  Discuss with your plastic surgeon different treatment options available and see what he she prefers for you  Some examples are silicone gel sheeting, cordran tape, biocorneum.

The best way to assess and give
true advice would be an in-person exam.

Please see a board-certified
plastic surgeon that specializes in aesthetic and restorative breast surgery.

Best of luck!

Dr. Schwartz

John Dean, MD · Answer

Scars are typically their reddest and thickest at 6 weeks after surgery.  These immature scars are thick and strong but must mature into thinner and lighter scars over a period of months.

Tania Medina de Garcia, MD · Answer

Hello honey, thanks for your question and privided pictures, I have to tell you to not worry too much, because it is too soon to appreciate final result, you can use rose moskete oil and put it in your scar making a bit of pressure with your finger.. It will be more clear

Michael J. Brown, MD · Answer

Hi,

Thanks for posting your question. I am happy to try and help you. It is
important to remember that a board certified plastic surgeon will be your best
resource when it comes to an accurate assessment of your situation, and
concerns.

Having said that, different surgeons will use different techniques to close the
wounds. There is no one way to do it. There is no one right way to do it
either. I am sure if you contacted your PS office they will be happy to answer
this with the BEST answer.

Best wishes,

Dr. Michael J. Brown 
Northern Virginia Plastic Surgeon

Steven Wallach, MD · Answer

Commonly at 6-8 weeks scars look their worst with redness and firmness. This often gets better with time but some surgeon recommend post-op scar treatment with silicone sheeting and other materials. Best to ask your surgeon.

Ven Erella, MD · Answer

Thank you for your question. That is normal. Scar maturation can take unto one year. Initially they look pink and raised and as they mature  they lighten up and flat.

Darryl J. Blinski, MD · Answer

Normal scar maturation takes months. You appear on schedule, but always best to have frank discussion with your chosen PS....

Is it normal that my breast lift scars look worst 6 weeks post op than they did right after surgery? (photos)

Answers (15)

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