What is the best scar treatment cream/oil for my breast reduction scars? (Photo)
Doctor Answers 8
What is the best scar treatment cream/oil for my breast reduction scars?
Time tends to improve the appearance of scars. You will find that the scars will improve in appearance even after a year has gone by. Your plastic surgeon will likely have his/her recommendations for you.
Sometimes the use of silicone-based products (gel or sheeting) are helpful. In the event of unfavorable scarring steroid injection may be helpful. Sometimes scar revision surgery and careful scar management afterwards may be helpful.
Bio-oil for scar reduction.
Certain topical pharmaceuticals in weaker formulations, as well as non-pharmaceuticals such as Vitamin E oil, various bio-oils, tea tree oils, etc. show nice before and after photographs, but the hard science is lacking as far as statistically-significant scar-reducing benefits (or we would all be using them).
Though I cannot show hard science in my own regimen, I recommend use of topical scar recovery gel twice daily starting one week post-op, Vitamin E oil massage of the scars starting at 3 weeks post-op, and silicone scar sheets or pads at 4 weeks if there seems to be any sign of hypertrophy. Skin irritation and inflammation increases scarring, so scar pads have to be used carefully and judiciously to avoid irritation. Ultraviolet (sun or tanning beds [BAD]) should be avoided for 6-12 months or until scars have faded completely. No magic here, and probably just my own personal "garlic necklace" to ward off bad scars, but it seems to work for my patients most of the time. And yes, I still have a few bad scars no matter how accurately I close the incisions, or how tiny the sutures, or how delicate the tissue handling!
Your breasts look as if you have residual areolar pigment in the vertical limbs of your inverted-T scar beneath your new smaller areolas, so if that is the case, this will not fade regardless of what you do. The rest of your scars look pretty good, and time, more than anything else, will give you the best result, such as my patient in the web reference below, whose scars in the after photo are at 7 weeks post-op. Best wishes! Dr. Tholen
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Breast scar management
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
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
Best scar cream for breast reduction
Treatment for Scars
I also have patients tan the areas to be operated on before surgery and after the two month tape treatment. This has the effect of minimizing the scar ( if the patient tans well, of course ).
Post operative scar treatment.
From your photos, it looks like your healing is right on schedule!