Underarm scars 2.5 years post breast augmentation - what else can I do? (photos)

Question

I am 40 years old, and had a revision done 2 1/2 years ago. Surgeon use the same incision and this is how my scars look. Surgeon has shrugged off my concerns and I have received several second opinions, including a derm doc. I did two sessions of micro needling, and they still look dark and are sunken in. I have now started silicone therapy. What else can I do? One surgeon suggested laser therapy, but is is costly and I already spent $1k in microneedling.

Raffy Karamanoukian, MD, FACS · Answer

Plastic surgery scars require attention after surgery so that they remain cosmetically-appealing and barely noticeable. In our office, we use a protocol for scars that minimizes their activity in the 6-8 weeks after surgery. If you have late plastic surgery scars, you may also require laser and RF therapy to help reduce the longterm effects of the scarring. Keloids, hypertrophic scars, widened scars, red scars, and hyperpigmented scars all require scar modulation with topical creams followed by lasers and RF therapy. Topical skincare should be directed to a specific need, whether for pigmentation or hypertrophy and our office can guide you through the process to obtain the correct Plato’s Scar cream or Melarase cream for hypertrophy and discoloration. In terms of lasers, we would employ the vbeam laser for redness, Venus Viva RF, PRP microneedling, chemical peels, and Morpheus 8, fractional erbium, or fractional co2. All of these have their individual benefits. Most of all, we recommend you visit a solid plastic surgeon who understands surgical scar revision, laser therapy, and RF therapy for scars. 
 
Best, 
Dr. Karamanoukian
Realself100 Surgeon

Jeff Rapaport, MD · Answer

You have two issues, depression and hypopigmentation of your scars. For the depression,  subscision with PRP or filler ( including  micro droplet silicone) will help. For the hypopigmentation,  Eximer laser , light therapy or Fraxel laser are usually successful.
Find a scar expert.
Jeff Rapaport MD FAAD 
Realself Hall of Fame

Connie Hiers, MD, FACS · Answer

For the area that lacks pigment, you can have cosmetic, not artistic tattooing to bring in more color.

Underarm scars 2.5 years post breast augmentation - what else can I do? (photos)

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