Can Steroid Injections Help Hard Scar Lump in Breast Augmentation?

Question

I have mild contracture of right breast implant and can feel a small spot where scar tissue is hard, was wondering if steroid injection could reduce the scar tissue as I do not want to have another surgery. The lump is due to a revision which I was told can cause excess scarring. The contracture was worse, but used singulair and massage for over two months with good results, only one area still firm. Thanks

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

Martin Jugenburg, MD · Answer

Be careful when injecting  a breast with an implant in it to avoid poking the implant and causing a rupture.  Sometime small lumps may be scar tissue, inflamed nodes, or even the implant itself.  An ultrasound could be used to determine what exactly the lump is.

Joseph Mele, MD · Answer

Steroid injections are often used to soften and flatten thick scars. This can be done to reduce the appearance of hypertrophic scars and keloids in the skin. Steroid injections are not performed for capsular contracture because injections near the breast implants may puncturing the implant. The best thing to do is follow-up with your plastic surgeon.

Peter E. Johnson, MD · Answer

Any discussion of breast lumps after augmentation should prompt a discussion as to cause and for any lump the correct diaagnosis is a must. If the lump really is scar steriods may not help though they are effective for scars on the skin. Steriods have been tried for capsular contracture with unintended results as often the lower capsule will weaken and the implant will bottom out.

Mahmood Kara, MD - Account Suspended · Answer

Hello. Thank you for your inquiry.

It is important to have an in-person medical assessment regarding this issue as it is difficult to determine virtually. Continue to update your doctor in the matter and follow their post-op protocol.

Please note that this response does not substitute patient-doctor relationship. We welcome any and all patients seeking advice to come in for a complimentary consultation available for limited time only.

During the COVID-19, we are offering complimentary online consultations as well as in-office consultation with social distancing and masks. Procedure done in-hospital private surgical facility while taking covid-19 precautions. We utilize UV-light to clean the air of viruses and bacteria during our consultations and surgery. We invite you to come in to discuss your options more thoroughly. Please send us an email at info@drkaraplasticsurgery.com with the subject line: "Attention Meagan" and we will be happy to coordinate your appointment!

M.Kara,MD,FRCSC (27+ years experience) - Specializing in 24 hour recovery/ out to dinner breast augmentation in-hospital private surgical facility for your added safety and peace of mind

Can Steroid Injections Help Hard Scar Lump in Breast Augmentation?

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Answer: Steriods for scar lumps after breast augmentation

Answer: Steriods for scar lumps after breast augmentation

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Can Steroid Injections Help Hard Scar Lump in Breast Augmentation?

Answers (5)

Answer: Steriods for scar lumps after breast augmentation

Answer: Steriods for scar lumps after breast augmentation

Answer: Recommendation

Answer: Recommendation

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Everything you need to know about Breast Implants

Our mission is to create a world where every investment in modern beauty is Worth It.