Are my Peri-areola scars bad(too wide, thick)? 6 months post op. Did my PS do a bad job? (photos)
Doctor Answers 5
It is difficult to tell what exactly is going on with your scars as the photo lighting is not great. Your scars look slightly thicker than normal. This can happen for a variety of reasons and typically there is no identifiable cause. It may be able to be improved upon with laser and of course surgical scar revision is always an option.
Scarring is unpredictable
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Scars start with an inflammatory process, which causes redness around the incision in the first few days. Then, over the next 12 weeks (3 months) the body lays down collagen, which is the thick scar tissue that helps a wound to heal. This is laid down in a very disorganised manner, causing scars to look thick, red, firm, and unsightly. Scars typically look their absolute worst at about the 12 week mark for this reason. After 12 weeks, the collagen starts to re-organise itself so that it is more normal and cross-linked. This process happens for just over a year and during that time, scars tend to fade, become thinner, less ropy or firm, and generally improve.
Things that can help facilitate scar healing include massage, silicone sheets, and good sun protection.
A scar that is hidden at the periareolar region is usually considered a good scar because there is already a colour change at that location, so the eye doesn't immediately notice the scar.
I would speak to your physician about massage and silicone strips. You still have time for the scar to settle. While you can always have scars revised, a revision never makes them shorter and you will always have a scar. The goal of a revision is to improve the appearance of a scar that has not healed well. You have both time and options before entertaining that approach. Good luck!