Silicone Sheets Causing Increased Redness of Scar? (photo)

I had a breast lift on 11/27. No opening of incisions, only the spitting of a few stitches. Using bio dermis silicone sheeting for my scars. The first day the scars seem to look a bit lighter. On the 2nd and 3rd day my scars become deeper red and purple. I wear them all day except to shower. I do not have any irritation or pain, just really red cars father wearing the silicone on my breast. I also had a mini tummy tuck and am wearing scar away on that scar 23 hours a day and its perfect!

Doctor Answers 4

Breast lift scars

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The photos are not quite adequate to be certain about this, but I think the vertical scar may have pigment from the original areola. This sometimes occurs when the areolas are very large, and the not enough of the pigmented skin could be removed at the time of surgery, and it winds up along the vertical incision.When that occurs, the darker skin can usually be excised after 6 to 12 months. 

Ask your surgeon about this. If all the other scars are ok, this seems all the more likely.

Thanks for your question, and for the posted photo. Best wishes.

Seattle Plastic Surgeon

Silicone sheet and breast surgery

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The main role for silicone sheets is to keep the incisions hydrated during the remodelling phase of the scar maturation. This allows the underlying cells to work in a more optimized fashion. The brand is less important but compliance usually follows ease of use. Silicone usually has less skin irritation concerns with use compared to adhesives. They can also be re-used.

I would try the silicone on one breast and not the other for a couple days and see if this makes a difference.  If so, then you may try a different brand.

Discolored scars and silicone sheeting

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It takes a LONG time for scars to fully mature following surgery.  Even incisions on different parts of the body heal at different rates.  I tell my patients that it takes about a year to a year and a half for a scar to fully flatten, fade, and mature.  While there are a lot of products on the market that purportedly help create better scars, I personally think that all of them are voodoo.  To me, the fact that there are so many of them out there tells me that none of them is perfect.  If there was one scar cure that really worked, we would all be using it.  Time is the most important factor.  Still, I would not discourage you from using any of these scar cures.  If you think that the silicone sheeting is making your breast scars more discolored then I would suggest that you stop using the sheets on your breast scars for a few days/weeks and see if that makes them any better.

Edwin C. Pound, III, MD
Atlanta Plastic Surgeon
4.6 out of 5 stars 26 reviews

Silicone Sheets Causing Redness of Scar

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   If the silicone sheets are increasing the redness of the scar, you may have an allergy to this.  Continued monitoring will be required.

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.