How Soon Should I Start Using Scar Treatment After Breast Augmentation?

I'm almost 2 weeks post-op with the incision in the fold and my doctor says to wait till 4 weeks to start using scar treatment. Isn't it better to start sooner to have them healed faster?

Doctor Answers 20

Scar treatment should in general start sooner rather than later

If you had a plastic surgeon perform your breast augmentation properly, the incision should be small and well hidden.  It sounds like he/she wants you to allow the incision to heal before trying to manipulate the appearance of it.  This is because it takes the body approximately 6 weeks to achieve peak strength in terms of scar/collagen formation.

If your scar is becoming hypertrophic or wide there are many treatments available but few are typically successful.  At this point only slilicone sheets have been documented to work.  everything else is a crap shoot.  Later on other options may be helpful.

If your scar is discolored or red then you should wait and let the scar mature and likely fade to normal.  There are creams out there that may help reduce the time it takes to help it fade but not by much.

These are general options, you should see your plastic surgeon and tell him about your specific complaints about the scar to see what you should ultimately do.

Freehold Plastic Surgeon
5.0 out of 5 stars 17 reviews

Scar massage therapy/treatment

Follow the instructions of your plastic surgeon.  I concur with your PS.  I generally recommend initiation of scar massage therapy starting at 4-6 weeks after surgery.  Best of luck. Dr. Basu Houston, TX

C. Bob Basu, MD, FACS
Houston Plastic Surgeon
4.7 out of 5 stars 211 reviews

When to start scar creams after breast surgery

Your Surgeon probably is giving you the best information for your particular surgery. In general I tend to start after 2-3 weeks with scar treatments.

Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 157 reviews

Scar treatment after breast augmentation

Every surgeon will have their individual protocols regarding wound management. Ultimately, they will want you to have the neatest and least visible scar once it has fully healed and faded (6-12 months).
I would therefore listen to your surgeon regarding what they believe is appropriate for you.

The general guidelines we provide patients in our clinic are as follows:
- At the one week post-op appointment your dressings will be removed and your wound inspected.
- All wounds are closed using three layers of internal dissolving sutures so no stitches need to be removed.
- At this one week stage dressings (steri-strips) are re-applied to the wounds and these stay in place for a further two weeks.
- At the three week stage the steri-strips are then removed and no further dressings are applied. At this stage the wounds are generally very dry and healing nicely. This is when we have our patients commence scar massage and treatments with silicone gels to optimise the quality of the scars.

So basically for the first 3 weeks your wounds are completely covered so no topical scar gels/creams can be used until this stage.

Eddy Dona, MBBS, FRACS
Sydney Plastic Surgeon
5.0 out of 5 stars 81 reviews

Breast scar management

Thank you for your question. Breast incisions can be managed using a multimodal approach:
1) Scar massage - starting as soon as the surgical dressings come off and the incisions are sealed
2) Silicone sheets or scar gels for about six months to year as soon as the glue/tape is off
3) Embrace - a tension reducing dressing for the first 2 months
4) Fractionated lasers to help blend the scar into the background - done as a series, starting about 4 weeks after surgery and repeated every four weeks for six months.
5) Sunscreen to prevent the scars from darkening

Young R. Cho, MD, PhD
Houston Plastic Surgeon
4.8 out of 5 stars 38 reviews

When should I begin using ScaRxtape for my scars?

I have recommended ScaRxtape for my patients after injury or surgery. It is simple to use, inexpensive and works as well as other more expensive creams. I have patients put it on starting about two weeks after surgery and wear it for several months. It usually stays on through showers for about a week.

Edward J. Domanskis, MD
Newport Beach Plastic Surgeon
4.4 out of 5 stars 27 reviews

Listen to your surgeon

Usually, I recommend patients start their scar treatments (silicone sheeting and silicone gels) only after the steristrips fall off and the incisions are no longer crusty or scabby. This means that it's more your progression rather than how many weeks have passed. However, you should really listen to your surgeon since they're most familiar with your situation.

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 179 reviews

Scar Treatment After Breast Augmentation

Every surgeon has their own treatment regimen for incisions following surgery. I use sutures that dissolve beneath the skin over time with adhesive steri-strips over the incision. These strips are removed 1-2 weeks after surgery. At that time, I recommended topical scar treatment with Kelocote scar gel and Vitamin E oil. I feel this treatment can reduce the scar. This treatment should be individualized based on the patient's skin sensitivity and plastic surgeon's preference.   

Charles A. Messa III, MD, FACS
Miami Plastic Surgeon
4.9 out of 5 stars 105 reviews

Too soon can cause problems

You want to make sure your incisions are totally closed before you start applying scar treatments. If you do it too soon, you risk infecting or opening up the incisions. Listen to your surgeon.

Ronald Levine, MD
Toronto Plastic Surgeon
4.6 out of 5 stars 24 reviews

Scar Treatment After Breast Augmentation

Thank you for your question. Typically, I recommend patients to start using scar treatments 2 weeks after surgery. However, it is always best to follow the instructions from your certified plastic surgeon as they're guided by your specific surgery.

Best Wishes! 

Morgan E. Norris, III, MD, FACS
Houston Plastic Surgeon
4.6 out of 5 stars 26 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.