Can You Recommend a Good Scar Treatment/Cream for Post Op Breast Augmentation?

I'm 3wks post op from breast augmentation with an inframmary incision. My surgeon said I should use a scar cream but the 1 she offers is quite pricey, I forget the name. Can you recommend a good one? Have been looking into ScarGuardMD but have read mixed reviews leaving me unsure about spending the $$ on it. Tried Mederma & that was awful, it made my incision site stick to my bra and I had to peel my bra off which I'm sure caused more harm than good. I was told to use one with silicone in it.

Doctor Answers 22

Scar treatment after breast augmentation?

Biodermis, Cimeosil, Scarguard, Hybrisil, and others market topical silicone applied via tube, and a variety of adhesive silicone sheeting products may also be helpful.  If the scar is directly in the inframammary crease, it will not show when healed.  If above the crease and there is tension on the healing wound, tape may indeed be a better option than silicone.  If below the crease, massage against your ribs, topical silicone, and if hypertrophic, corticosteroid injections may be helpful.

San Diego Plastic Surgeon
5.0 out of 5 stars 46 reviews

Breast Implant Scars

The Aesthetic Surgery Journal published an article several years ago on the effectiveness of silicone sheeting versus creams versus herbal treatments for scars.  The solid, silicone gel sheeting came out on top, by far.  We use Biodermis, but you can go on line and search for silicone gel sheeting for scars.  Despite claims that additives to the sheeting improve results, there is no evidence to support this.  It is the pressure of the sheet that flattens and fades the scar.  So I would purchase the least expensive product.  All the best, "Dr. Joe"

Joe Gryskiewicz, MD, FACS
Minneapolis Plastic Surgeon
5.0 out of 5 stars 265 reviews

Post-operative scar care.

I have all my breast and body surgery patients tape their incisions for about 3 months, then do a scar check and if the scars are flat and white, the patient can stop taping.  If the scars are still pink and/or raised, they continue taping for another couple of months.  I think this accelerates the process of scar maturation.  I don't think the type of tape matters.  If a patient is sensitive to one type, I have then try another type.  If all tape is an issue, I have them use a silicone based scar cream like Mederma. 

I tell my patients not to put vitamin E on the scars until they are mature.  Putting vitamin E on a immature scar can cause weakening and widening of the scar. 

Lisa Lynn Sowder, MD
Seattle Plastic Surgeon
5.0 out of 5 stars 72 reviews

Scars after plastic surgery

In general time is the best treatment for surgical scars. Most scars will soften and fade within 6 months to a year. At my practice in Austin, Texas I often reccomend Scar Away for patients who really want to do everything possible to heal quickly. This product can be purchased at wallgreens for about $20 a box. The strips can be cut to fit your scar and can be reused until the sticky backing stops sticking. Scar away has silicone in it which is really the only type of scar treatment I have seen work. You need to have the strips on for 12 or more hours a day and it can take a few months to see results. Best of luck, Dr Kerr

Mahlon Kerr, MD, FACS
Austin Plastic Surgeon
4.9 out of 5 stars 214 reviews

Silicone Containing Products Best For Scar Prevention

The most important consideration in scarring is simply the type of scar an individual tends to form.  I recommend silicone-containing creams, gels, or strips to my patients as I feel these products have the most to offer.  ScarGuard is one of several of these products.  Remember these tend to improve rather than prevent scars.

John Whitt, MD (retired)
Louisville Plastic Surgeon
5.0 out of 5 stars 2 reviews

Can You Recommend a Good Scar Treatment/Cream for Post Op Breast Augmentation?

As a brandname I would suggest dermatix si ultra gel and Activ m silicone sheet. And you need to know how you do it. Please see below a brief note for that.
In a month or so you can start:
- making gentle massage, but very gentle, so that not to break a deep stitch, that will dissolve in time.
- using a Topical Skin Solution (the best ones containes silicone solutions)
- using Bleaching creams.
- avoid under-wire bras or tight fitting bras, which can cause irritation;
- avoid sun exposure, as direct sun exposure on a new incision will cause inflammation and redness;
- eat healthy; antioxidant containing foods plus supplemental Vitamin C will support wound healing;
- see your plastic surgeon at least onse in a month to evaluate the progress of your scar.
Hope this will help..

Ercan Karacaoglu, MD
Turkey Plastic Surgeon
5.0 out of 5 stars 22 reviews

Improving breast augmentation scars with Plato's Scar Serum

Breast augmentation scars can benefit from early intervention, including Melarase AM and Melarase PM to reduce PIH, prolonged silicone or steri strip adhesives, and fractional laser. If the scars are thick, you may consider Plato's Scar Serum massaged in your scar twice daily. 

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
4.8 out of 5 stars 94 reviews

Silicone sheeting

Post operative scar management is important for all plastic surgery.  I have tried many products over the years and the best i have found is silicone sheeting.  The is cut to size and placed over the scar and used for about 2 month. It cost about 50 dollars or so.  You can order it from my office.

Miguel Delgado, MD
San Francisco Plastic Surgeon
4.8 out of 5 stars 73 reviews

Can You Recommend a Good Scar Treatment/Cream for Post Op Breast Aug?Answer:

I think the massage is probably more important than the type of cream but so far, I like the ScarGuard...I think the silicone based products may have an advantage but I tell my patients to massage!

John J. Corey, MD
Phoenix Plastic Surgeon
4.6 out of 5 stars 41 reviews

Scar care after tummy tuck

Thank you for your post. In tummy tuck and other lift/tightening surgeries, tension is the enemy. The scar is healing gradually over 12 weeks or so, and until it is strong, it is the weakest link. As there is a great deal of tension in tummy tucks, body lifts, breast lifts, etc., the scar is at high risk of 'stretching' or widening. Silicone sheeting, although having the ability to make a scar flat, does nothing to prevent stretching of the scar. Creams or steroids or lasers also do not have the ability to prevent stretching of the scar. Those are used if scar is thick or dark, but not to reduce the wideness of the scar, which is the main problem. Massage also does not help keep the scar thin, and can actually worsen the scar in the first 12 weeks because you are actually adding tension to the scar. Massage is for softening a hard or thick scar, but if used early, will hasten the scar widening. Only tension reduction has the ability to keep the scar as thin as possible. You may notice in a lot of tummy tuck scars that the center portion of the scar is the widest with the sides toward the hips being the thinnest. This is because the maximum tension is at the center, and least amount on the sides. Embrace removes a lot of the tension by putting more tension on the skin on either side of the incision and drawing the incision together. It is expensive though at about $100 per week for 12 weeks. When patients do not want to spend the money for embrace, I tape the incision trying to remove as much tension as possible for 12 weeks and recommend no stretching back and to sit most of the time, keeping tension off the scar.
Best wishes,
Pablo Prichard, MD

Pablo Prichard, MD
Phoenix Plastic Surgeon
5.0 out of 5 stars 45 reviews

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.