What is the best way to care for scars after a breast lift and augmentation in African American patients?

Dear PBawdyy,
I understand your concern. It is best that you consult your plastic surgeon regarding post operative care and management (i.e including massage techniques and timing) specific to your case. Your surgeon knows your condition well and has preferences on when and what to use for faster healing and recovery. Post operative care and management depends on the type of surgery performed and the technique used during surgery among other factors.It is best, however, that you follow your plastic surgeon's advice on post operative care management for a smooth and faster healing and recovery.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Caring for scars after a breast lift and augmentation, especially in African American patients, requires attention to healing, pigmentation, and prevention of hyperpigmentation or keloid formation. Here are some key steps:
1. Follow Post-Op Care Instructions
• Ensure strict adherence to the surgeon's specific post-operative care plan, including wearing any prescribed compression garments and keeping the incisions clean and dry.
• Attend follow-up appointments to monitor healing progress.
2. Scar Treatment and Moisturization
• Moisturizing the skin: Keeping the skin hydrated is crucial for healing. Use gentle, fragrance-free moisturizers to prevent the formation of dry, flaky skin around the incision.
• Silicone-based products: After the incisions have fully healed (typically 2–3 weeks), silicone sheets or gels can be used. These help reduce the visibility of scars by promoting collagen remodeling and reducing hypertrophic scars (raised scars).
3. Sun Protection
• Use sunscreen (SPF 30 or higher) on the scars for at least six months after surgery to prevent discoloration from sun exposure.
• Avoid direct sun exposure to the surgical area, especially during peak hours.
4. Massage Therapy
• After the incisions have healed, gently massaging the area (with the surgeon’s approval) can improve circulation and soften the scar tissue. This can also help prevent the formation of tight or rigid scar tissue.
5. Topical Treatments for Hyperpigmentation
• Hydroquinone or other skin-lightening agents can be used cautiously to reduce hyperpigmentation (with the guidance of a dermatologist). However, they should not be applied until the incisions are fully healed to avoid irritation.
• Vitamin C serums may help lighten dark spots and promote skin regeneration, but consult with a doctor to ensure it’s safe after surgery.
6. Avoiding Keloid Formation
• In cases where a patient is prone to keloids, a doctor may recommend treatments such as:
o Steroid injections: To prevent or treat early signs of keloid formation.
o Pressure garments: Wearing specialized garments that apply pressure to the incision areas may help prevent keloids.
o Laser therapy: Some doctors recommend laser treatments after healing to flatten scars and reduce discoloration.
7. Patience and Time
• Scars will continue to mature for up to 12–18 months. Their appearance will evolve over time, becoming softer and less noticeable. Be patient during the healing process and monitor the scars for changes.
It's crucial to work closely with a skilled plastic surgeon familiar with skin types, as they can guide you in selecting the right products and techniques tailored to your specific needs.