BA 6 months post op. Will my scars lighten? Am I doing enough to protect them from sun? (photo)

Hello! Thank you for the question!  The typical incision used for breast augmentation are: inframammary (in the fold beneath your breast), periareolar (at the border of the areola), axillary (within the armpit crease), and TUBA (through the umbilicus). Incision placement will do a lot with your preference, surgeon comfort level with that approach, and the type of implant - silicone implants will be difficult to place within certain access incisions. Breast augmentation scars are well concealed and are very discrete. They should not be visible within clothing, and likely hidden without clothing. If your concern is the visibility without garments, you should consider remote access incisions such as in the armpit. However, these other incisions heal very well on the breast and often times inconspicuous. It is common for scars to fully mature for up to a year. In the meantime, there are a few things that may help to ameliorate your incision/scar. The most proven (as well as cheapest) modality is simple scar massage. Applying pressure and massaging the well-healed scar has been shown to improve the appearance as it breaks up the scar tissue, hopefully producing the finest scar as possible. Other things that have been shown to add some benefit, albeit controversial, are silicone sheets, hydration, and topical steroids. In addition, avoidance of direct sunlight to the incision will significantly help the appearance as they tend to discolor with UV light during the healing process.  If unsightly scars are still present after approximately a year's time, other things that your surgeon may consider are intralesional steroid injections, laser, or just surgical revision of the scar itself.Consult with a plastic surgeon your goals, concerns, and expectations. Certainly incisions should be considered, but should not limit your overall result by hindering visualization and access to your surgeon, and what produces the best results in his/her hands.  Hope that this helps! Best wishes for a wonderful result!

Thanks for your question. Applying 50 spf is a great way to prevent further darkening of the immature scar. It often takes up to 12 months for a scar to fully mature and lighten. If the scar remains too dark/ red after one year, you may consider trying laser therapy to further lighten the area. 

Hello,It will take a year or more for scars to fully mature. Sun protection is important. I also recommend that my patients treat their scars with Silicone gel or sheeting which can help lighten and flatten scars. Talk with your Plastic Surgeon about their recommendations.All the best

HEALING AFTER BREAST SURGERY, AUGMENTATION, LIFTS1.    pain is variable2.    it takes 2-3 months for implants to settle and muscles to relax3.    celebrex, motrin, and muscle relaxers can help4.    massage and stretching may help5.    everyone heals differently6.    4-7 days off from work is commonHEALING OF SENSORY NERVES: Tingling, burning or shooting pains, which will disappear with time and should not alarm you, indicate regeneration of the sensory nerves. If these sensations cause pain, repeated, local self-massage helps.ASYMMETRY: The two breasts commonly heal quite differently. One breast may swell more, feel more uncomfortable, or have a different initial shape. After complete healing, they will be more similar and natural. You must have patience, but if this causes concern, ask questions of the doctor or the nursing staff.SHAPE AND CONTOUR: The final shape of your breasts will start to look its best approximately three (3) months after surgery. It takes time for the skin and muscle to stretch and relax around the new implant. The breast will often look higher, firmer, and “less natural” in the first three (3) months. It can take up to a year to see your final result.FOLLOW-UP EXAMS: These are generally done in 1 week, 2 to 3 weeks, 3 to 6 weeks, 3 months, 6 months to 1 year, and 1-2 year intervals. In our office we include all of your follow up appointments in the initial surgical fee.The best thing to do if you are worried about the healing process is to visit your surgeon for a follow-up appointment and have the area examined and make sure that everything is progressing as it should. Good luck.

I would ask your PS about scar management and whether to consider silicone or laser. SPF50 is important in the sun. The scars should continue to mature and fade with time.