What to do about hypertrophic scars? (photos)

I got breast implants 4 months ago and I got two huge hypertrophic scars. I'm almost sure they're not keloids since I've had them before in the same place (I already had breast implants but needed to replace them). I've been using kelocote but not seeing many improvements. Would it be unwise to dermaroll the scars to increase the absorption or would it make it worse? What else can I do? It's so embarrassing cause they look long, raised and red :( Thank you

Doctor Answers 2

Hypertrophic scars vs keloids

Thanks for the great question and the photos. So the difference between hypertrophic scars and keloids are that hypertrophic scars stay within the previous incision while keloids may expand beyond where your incisions were. In my opinion, if you're 4 months after surgery and have red, raised scars, you need to go back and see your surgeon for some steroid injections. It may take a few treatments before the scars and less raised and red, but steroids are definitely able to help. Best of luck!

~Dr. Sieber

Bay Area General Surgeon
5.0 out of 5 stars 34 reviews

#scarrevision #breastrevision #breastimplants


Its difficult to tell without an exam but sometimes hypertrophic scars can be due to poor closure techniques from your surgeon or it could be the way you heal. May of us form thick scars for no reason.  There are quite a few options for treatment but the gold standard and what I do in my practice is to excise the scar and close in several layers without using absorbable sutures. I then tape for 6 weeks with new tape every week followed by a 3 month course of biocorneum and steroid injections as needed.

I hope this was helpful.

Daniel Barrett, MD, MHA, MS
Certified, American Board of Plastic Surgery 
Member, Am. Society of Plastic Surgery

Daniel Barrett, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 65 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.