Can I get rid of keloid scarring after mastopexy? I’m 4 months post op mastopexy and BA. (Photo)

Question

I followed instructions exactly for massaging my scars. I started out with vitamin e oil then switched to maderma oil which I felt worked much better. Very early on I noticed my scars started to swell and expand. At my 3 month appointment my doctor told me this occurred because I wasn’t massaging my scars “hard enough”. He called me in betamethasone with tranilast to apply 3x daily. It’s a very small amount for a not so small price.

Daniel Barrett, MD · Answer

Hi AshelyMcDaniel,
  
For scars, I close all of my incisions in 5 layers and do not use absorbable sutures because they cause inflammation and worse scarring. I tape all of my incisions in the office visits once a week for six weeks after surgery to improve the appearance. After taping, I start my patients on a scar gel therapy for 3 months that they have to put on their incisions twice daily.
  
I understand you are concerned with the appearance of your scars. As your scars heal, it should flatten out and lighten. Loss of pigmentation or hyperpigmentation may also be experienced but will resolve over time. Always follow your surgeon's post operative care instructions when it comes to scar management to avoid any complications like infection and for faster healing and recovery.
  
If you are concerned, you should visit your plastic surgeon for assessment and to discuss your concerns, as different surgeons have different approaches in scar management. Your surgeon can also advice you of new innovations that can help with managing and improving the appearance of scars like lasers and other scar treatment modalities.
  
Daniel Barrett, MD, MHA, MS
  
Certified, American Board of Plastic Surgery
  
Member, American Society of Plastic Surgery
  
Member, American Society of Aesthetic Plastic Surgery

Douglas McGeorge, FRCS(Plast) · Answer

You look to have a hypertrophic, rather than a keloid, scar.Whilst the quality of scar is down to the way you heal, it may be worthwhile considering a revision.  There should be less tension on the wounds this time.Using Solution for Scars on the wound, after revision, has been shown to improve the thickness and redness of the new scar.It would be worthwhile discussing treatment with your surgeon.

Can I get rid of keloid scarring after mastopexy? I’m 4 months post op mastopexy and BA. (Photo)

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