Are my scars normal? Do I risk a keloid? 8 months post BA (Photos)

Question

Hello, I did the operation on 5th of september 2017 and now we are in April 2018. I would like to know if my scars look normal. I know it’s not. I used for a couple of months a silicone gel as i have a keloid prone skin. Do i need to do something for my scars? Do i risk a keloid or already have it? I can’t understand how did the scar extend this much as it’s supposed to be a fine white line. I also want to know what are these small white dots in the middle of the nipple. Thank you very much.

Paul M. Parker, MD, FACS · Answer

It looks as if your scars have spread along with loss of pigment in that portion of the areola. They do not appear to be at risk for forming keloids. Discuss their appearance with your surgeon including options to try to improve how they look.

Ahmed Ali-Khan, FRCS (Plast) · Answer

Hi thank you for your question. From the appearance of the photos you look as though you have hypertrophic rather than keloid scarring. This means the scar is stretched but not necessarily abnormal or being produced to excess.
If everything is stable and the appearance has not changed for some time I would approach your surgeon about the possibility of revising the scar.
Best wishes.

Chad Robbins, MD · Answer

Hello and thank you for your question and photo's.  Your scars are a bit hypertrophied but not keloids.  They widened during healing so I would just return to your PS and ask him or her if there's anything that can be revised.

Oladiran Afolabi-Brown, MD · Answer

It looks as if the scars around your areolae have spread, but remain flat. It looks like hypertrophic  scars that can easily turn into Keloids; not sure if you have had some treatments. I will suggest topical steroids. Although it is not indicated now, but you may want to avoid steroid injection around that area because your Breasts can absorb the steroids and make your breast skin thinner and lighter.

Eric YK Li, MD · Answer

Based on the photos, you appear to have hypertrophic scars involving you areolas.  There is still time for your scars to mature so I would encourage patience at this time, as hypertrophic scars can still improve (flatten, soften) up to 1 year.  Regarding the white dots, I am not sure what caused these but perhaps you had small wounds in those areas as well?  Hope this helps!

Payam Jarrah-Nejad, MD, FACS - Account Suspended · Answer

It appears you have hypertrophic scars. There are injections for treatment which I recommend discussing with your surgeon.  Scars may be revised once they are matured at one year if needed.

Are my scars normal? Do I risk a keloid? 8 months post BA (Photos)

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