Help with terrible areola scars as a result of breast augmentation! 1 year post op. (photos)

Question

I'm looking for advice on treating these flat scars I have as a result of my breast augmentation procedure (Oct 2016 - 1 year post op) :( Im not sure if the brown ring below the white scar is from my areola (thinking it is - if so... can this area be bleached?)... or any success with medical tattoo/scar revision/skin dye's/etc..? Any specialist referrals for northern CA area? I'm more self conscious now than before getting the augmentation. Please help. Thank you in advance!

Jerome H. Liu, MD · Answer

Thank you for your question and photos! After breast augmentation with peri-areolar incision, the scars are typically well hidden around the areola. However, some patients are more prone to scarring than others. It would be best to consult with your board-certified plastic surgeon regarding a potential scar revision, which is often a simple in-office procedure. After the revision, it would be important to begin a scar therapy, such as bioCorneum, to help give you the best result. Good luck!

Yannis Alexandrides, MD, FACS · Answer

It's unlikely that your nipple will look normal again unfortunately. You will probably require revision surgery. Another possible option could be to have areola tattooing on the area where the scarring is, if you felt comfortable slightly expanding the size of the areola. If so, you could camouflage the scar colour with the brown area of the areola.

Wayne I. Yamahata, MD · Answer

There are many options for improvement of scars including topical treatments, injections, and non invasive procedures such as laser therapy. Based on your photos alone, I suspect that any improvement achieved from these non surgical methods would be insufficient.  At this point I expect that the recommended procedure would be a surgical scar revision. This is something you should discuss with your surgeon after he or she has had the benefit of physically examining the scars.

Gerald Minniti, MD, FACS · Answer

Hello,I've been specializing in revision breast surgery for almost 18 years, and I can be confident telling you that periareolar scars on average are not visually inconspicuous or cosmetically pleasing, despite their reputation for being so. Yes, some are virtually invisible, but THAT is unusual and your scars are NOT unusual.  As for treatment now, scar revision may be your best option, however a full discussion should be had, as there is no perfect answer. Best of luck.

Daniel Barrett, MD · Answer

Dear suttondebbie01,based on your description, it would be best that you visit your plastic surgeon for an in person examination. This way, your surgeon can assess your scars properly and determine the best course of action to address and resolve your concerns.Daniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery  
Member, Am. Society of Plastic Surgery

Martin Jugenburg, MD · Answer

Thank you for your question. I would recommend following up with your plastic surgeon. He/she may have some recommendations.

Curtis Wong, MD · Answer

but it has so now you have consider scar revisions to help diminish its prominence.  Talk with your surgeon first who should also give you the best pricing to have this done.  Areas outside the scar itself can be diminished with tattooing but in my opinion, you would be better off using some kind of foundation if you're out and about topless.  Otherwise your clothing will easily conceal the pigment differences and if your partner is really bothered by it, he doesn't appreciate the whole picture and its a character flaw that should tell you that person is not meant for you.  But a scar revision can help with the stretched out scar so consider that, knowing that there are no guarantees with scar revision.

Keith Denkler, MD · Answer

These scars should be able to be improved with a scar revision surgeryThis would be under local anesthesia.

Benjamin Chu, MD, FACS · Answer

From the photos you do not scar terrible just the scars became wide over time.  This can be diminished by revising the scar and careful layered closure of the incision.  The incisions spread because of inadequate closure and stretching due to the implants.  Taping and or the use of an Embrace dressing can significantly reduce the width of the scar.

Connie Hiers, MD, FACS · Answer

I would suggest going back to your surgeon and discussing your concerns. The wider areas could be revised. The white areas could be improved with cosmetic, not artistic tattooing.

Help with terrible areola scars as a result of breast augmentation! 1 year post op. (photos)

Answers (15)

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