Terrible 7 Cm Scars for Only 300 Cc Breast Aug. What Are My Options? (photo)

Hello,one question from Europe.I had breast augmentation 5 yrs ago,Mentor textured round silicone implants,high profile,300 cc, under the breasts.My PS said here scars won't be visible.But they are horrible,7 cm long and like a worm!I don't want to take off my clothes,i can't look at them,i fell disgusting and no more like a woman!After 5 yrs i still cry.What can i do,go to laser treatment or do you recommend scar revision?I want very unnoticeable scars,like a small fine thin line,can i fix that?

Doctor Answers 9

Options for scar improvement?

Hello! Thank you for the question! Consideration for scar revision is reasonable for you. 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.

Hope that this helps! Best wishes!

Scottsdale Plastic Surgeon
5.0 out of 5 stars 26 reviews

Breast Enhancement Surgery

I would suggest a scar revision as the implant likely placed tension on the incision as it is a weight on the incision and sometimes it causes hypertrophic scar

Ryan Neinstein, MD, FRCSC
New York Plastic Surgeon
4.9 out of 5 stars 75 reviews

Inframammary Breast Augmentation Scars

Your scars are completely healed after 5 yrs and you have every right to expect better scars after breast aug. The scars are too long for the operation performed but that is untreatable. The scars do seem to be appropriately placed in the inframammary crease. A more detailed history can sometimes give a hint as to why the scars are slightly hypertrophic. If there is a reason that can be corrected, a scar revision may be indicated, otherwise it may be best to leave well enough alone.

Paul S. Howard, MD, FACS
Hoover Plastic Surgeon
5.0 out of 5 stars 7 reviews

Scar Repair 5 Years After Breast Augmentation Surgery

Dear Girl31,


I am sorry that you are bothered with your scars.

At 5 years after your surgery, I doubt injecting corticosteroids could help. Laser treatments have their risks such as skin burns.

I believe a surgical revision of the scar could be your best. Without physical examination, it is hard to be definitive about giving you a solid surgical advise.


Best of luck to you and thank you for your inquiry and photos.

Dr. Sajjadian

Ali Sajjadian, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 196 reviews

Scars after breast augmentation

Some patients scars are more prominent than others, but the majority do very well. More information would be needed, but a scar revision may be possible to improve them.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Breast augmentation scar question

My opinion is to cut out old scar and then after surgery use techniques to try to make sure the new scar matures with a better result. Always a small risk of a bad scar. Good Luck!

Gregory T. Lynam, MD
Richmond Plastic Surgeon
4.9 out of 5 stars 59 reviews

Terrible 7 Cm Scars for Only 300 Cc Breast Aug. What Are My Options?

I do not agree with the previous experts in that after 5 years your scars are acceptable and ANY non invasive therapy would be a waste of time and money. As for a scar re3vision I would only consider after an in person examination to see if I felt I could improve the result. 

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 174 reviews

Long thick scars after breast enlargement in Europe.

There are options available to you, even at this late date (5 years after surgery) to improve your scars. Thickened, hypertrophic scars, fortunately, are uncommon with breast augmentations.

  • A dermatologist can attempt to inject steroids into the scar to flatten it out; discuss the risks with him (or her).
  • You can have both bad scars excised and re-sewn (scar revision). Firstly, you should find out what type of absorbable suture was used to close the skin when you had your breast implants placed.  I would suggest that a different suture be used for your revision.
  • Gel strips on you redone scars worn as instructed by your plastic surgeon can contribute to a happier outcome for you....

Best Regards

Douglas J. Raskin, MD
Colorado Springs Plastic Surgeon
4.9 out of 5 stars 63 reviews

Scar s after breast augmentation

Thank you for the question. Usually after 2 years scars mature and any residual scaring after that is likely to be permanent. After five years you have options but the results are limited. Non surgical option may help such as scar products or even laser therapy.you may see some improvement, but I doubt it will be significant. Surgical scar revision may help, but you are replacing a scar with another one. 

I would advise you to see a dermatologist and get their advice. 

Moneer Jaibaji, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 15 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.