Scar Tissue After a Breast Lift. I want to know is there is anything that I can do to make my breast soft?

Hi,it's been a month after my implants removal and breastlift surgery. It has been a very rocky road with my right breast. I had necrosis of the nipple but thank God I did not loose my nipple. I don't smoke however, the poor circulation could've been from a biopsy that was done above my nipple before my breast lift surgery. I have develop a lot of scar tissue surrounding my areola and the incision line that's going down. I wanted to know is there is anything that I can do to make my breast soft?

Doctor Answers 6

Softening of breast after surgery.

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Thank you for your question. Congrats on the surgery. It may take months for the breasts to soften, and they may never soften to the pre-surgical state. In addition, the greater the implant to breast tissue ratio, the more the implant will affect the longterm firmness (or softness) of the breast. I would exercise patience and see how things change with every few weeks that pass by.  In addition, I would discuss with your plastic surgeon if they feel post-scar therapy (e.g. silicone gel sheets) or massage may be helpful to accelerate things.

Breast Lift

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It is common to have scar that is hard immediately after surgery. If you are concern the scar may be harder than usual, there are a few things that you can start. The first and most simple thing is to massage your scar, the pressure on the scar can improve the appearance as it breaks up the scar tissue. You can also add silicone sheets and gel. The sheet is more effective but the gel is more convenient. You should also avoid sun and UV light exposure as the exposure may produce hyperpigmentation. If you tried all these modalities and the scar is still very prominent, your surgeon may try steroid injection, laser and eventually scar revision.

Colin Hong, MD
Toronto Plastic Surgeon
4.6 out of 5 stars 40 reviews

Scar tissue after a breast lift. I want to know if there is anything that I can do to make my breast soft?

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Hello! Thank you for your question. It is common for scars to fully mature for up to a year. In the meantime, there are a few things that may help to ameliorate your incision/scar. The most proven (as well as cheapest) modality is simple scar massage. Applying pressure and massaging the well-healed scar has been shown to improve the appearance as it breaks up the scar tissue, hopefully producing the finest scar as possible. Other things that have been shown to add some benefit are silicone sheets, hydration, and topical steroids. In addition, avoidance of direct sunlight to the incision will significantly help the appearance as they tend to discolor with UV light during the healing process.

If unsightly scars are still present after approximately a year's time, other things that your surgeon may consider are intralesional steroid injections, laser, or just surgical revision of the scar itself.

Hope that this helps! Best wishes for a wonderful result!

Lewis Albert Andres, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 28 reviews

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Treatment for breast scarring after implant removal

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The scar capsule which forms around all breast implants will generally resolve on it own with time unless the implant had been there a long time and you had a sever capsule with calcification's.  Unlike most other scar capsules, these extreme capsule scar do near to be excised.

The scars on your skin and nipple will also largely improve on their own over time of several months.  Occasionally, these scar may be revised to improve their appearance.

Scar massage and various treatments with vitamin E, and other products may help, but there are no good scientific studies that prove their effectiveness.

Fredrick A. Valauri, MD
New York Plastic Surgeon

Time, then revision if necessary

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Yes, it is good news that your nipple survived.  At one month, your scar tissue is very immature.  It will soften considerably.  I'm not sure that massage or silicone make a difference.  Time is what makes a difference.  If it has been at least 6 months and you are unhappy with your scarring, consideration may be given to a scar revision.  This is not unusual after breast lift surgery and may be possible to do under local anesthetic at minimal cost.

Eric Swanson, MD
Kansas City Plastic Surgeon
4.7 out of 5 stars 62 reviews

Massage, time, maybe silicone for scar appearance

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If your wounds have all healed, I would recommend commencement of gentle deep massage of the scarred areas.  Massage helps guide your body to soften scars and aids in normalizing the differential stretch and glide of skin, fat, breast, deep muscles.  Time plays a huge factor in the healing process requiring duration up to a year for the breast to soften.  If the external scars are immature and unpleasant, silicone gel application may aid in its maturation.  Might be worthwhile having a frank discussion with your surgeon.  Good luck.

Chen Lee, MD
Montreal Plastic Surgeon
5.0 out of 5 stars 21 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.