How to Reduce Very Dark Breast Lift Scars?

You are correct in thinking that your ethnicity may influence the quality of post surgical scars. Historical risk factors for unfavorable scars include:1) Race (Asian, Latin, African);2) Age. Scars are not static entities and will continue to improve throughout your entire lifetime. Younger and darker complected individuals will typically heal with an exaggerated response to wounding, that is, the scars may be deep pink, thick, rubbery and itchy or tender. The scars around your nipples are not very noticeable because they blend with the color of the areola. By contrast, the vertical scars are visible because of the color difference. Scar management is a multi-million dollar business, including the use of silicone gel sheeting, creams and lotions (Mederma, Scar-Fade, BioOil, etc.). I generally recommend BioOil because it is readily available, affordable and well tolerated by patients. I also advise my patients that "scar remodeling", that is your body will breakdown and resynthesize the scar with the net result that the scar eventually becomes flatter, whiter and less symptomatic. However there isn't a set interval for all comers. On average, a younger, more olive skinned patient will take longer for this improvement to occur, compared to an older, fair skinned patient. I wouldn't recommend either surgical scar revision or laser therapy because the former option would start the healing process over again. Scientists and physicians are not unanimous on which laser is optimal for scar treatment. You might ask your doc what (s)/he thinks of Tri-Luma, which is a combination of tretinoin (Retin-A), hydroquinone (bleaching cream), and a very dilute concentration of steroid. I occasionally recommend this cream for darker complected patients for the gradual fading of red discoloration around surgical scars. Be patient and good luck.