Breast augmentation 7 months ago - will the scars ever fade? (photos)

Question

I had tuberous breast. I had a breast lift and aug with 300cc silicone mentor high profile implants 7/2021. I love the size . I do wish my breasts appeared rounded and my Areola were both smaller. I do massage and use silagen every night as directed my surgeon. Will the areola shrink? Will this something I would have to fix surgically with a possible scar revision. Of the breast lift scars?

Raffy Karamanoukian, MD, FACS · Answer

Plastic surgery scars require attention after surgery so that they remain cosmetically-appealing and barely noticeable. In our office, we use a protocol for scars that minimizes their activity in the 6-8 weeks after surgery. If you have late plastic surgery scars, you may also require laser and RF therapy to help reduce the longterm effects of the scarring. Keloids, hypertrophic scars, widened scars, red scars, and hyperpigmented scars all require scar modulation with topical creams followed by lasers and RF therapy. Topical skincare should be directed to a specific need, whether for pigmentation or hypertrophy and our office can guide you through the process to obtain the correct Plato’s Scar cream or Melarase cream for hypertrophy and discoloration. In terms of lasers, we would employ the vbeam laser for redness, Venus Viva RF, PRP microneedling, chemical peels, and Morpheus 8, fractional erbium, or fractional co2. All of these have their individual benefits. Most of all, we recommend you visit a solid plastic surgeon who understands surgical scar revision, laser therapy, and RF therapy for scars. 
 
Best, 
Dr. Karamanoukian
Realself100 Surgeon

Daniel Barrett, MD · Answer

Dear Wantboobies24,
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.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Vishnu Rumalla, MD · Answer

Thanks for your inquiry and excellent pictures, scar are fairly stable at the one year mark.  You can definitely consider discussing a scar revision at that time and reduction of the size of the areola.

Brian K. Reedy, MD · Answer

Thanks for your question! Your scars will continue to mature and fade for 2 years, but my guess is that you will eventually benefit from a revision. I would suggest seeking out an opinion from a board-certified plastic surgeon. Good luck!

Donald R. Revis Jr, MD · Answer

Good morning,
Your areolas won't get any smaller and your scars probably won't get a lot lighter after all this time- I would recommend a surgical scar revision to address both issues, which should certainly be able to be improved!

Camille Cash, MD · Answer

At 7 months post op you will not see much change, if at all to your areola.  You can consider a revision where the areola can be downsized.  Your scars will fade over time.  It takes about a year for them to mature.  If you are unhappy with their appearance you can consider scar revision which can be done in conjunction with the areola reduction.

Brian Widenhouse, MD · Answer

Thanks for your question. Your scars will fade over time. It is too early to consider a scar revision. Keep following your surgeon's instructions, and give it some time. Overall, you appear to have a great result. Sometimes it's helpful to look at your "before" pictures to appreciate how far you've come.
Best of luck!

Connie Hiers, MD, FACS · Answer

Just based on your scarring and results, I doubt you had tubular breasts, but did have a fair amount of sagging. Your areolae could be made smaller with a surgical revision if you want. Scar products now are still helpful until you have healed at around one year mark.

Jose A. Munoz, MD - Account Suspended · Answer

Hi and welcome to our forum!From your photos, I note that the breasts are quite large, there is loss of superior pole volume, there is excessive inferior pole volume, the areolae are enlarged. There is scarring around the areola and at the 3 fold junction at the bottom of the left breast suggesting initial delayed healing after surgery. Correction of a tubular breast requires more extensive surgery than traditional augmentation and lift. The extent of dissection may have compromised the blood supply to the areas involved. The areas revascularize over time. You are currently 7 months post procedure. It often takes 12 months or more for the scars to fully mature and lose their redness and firmness.A secondary mastopexy will lift the breasts, reduce areolar diameter, restore superior pole fullness and allow for scar revision. I would consider smaller implants as well. 15% of cosmetic surgeries benefit from secondary touchup.

Breast augmentation 7 months ago - will the scars ever fade? (photos)

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