What should I do to ensure the t section wounds/scars from mastopexy heal beautifully? (photos)

As scars mature over months to a year, the quality of the scar usually improves. There is no one best therapy for scars. Silicone sheets, Mederma, and Biocorneum are reasonable and popular options. I recommend that the scar therapy begin after the scars have healed and there are no open areas, which usually takes 4 to 6 weeks. Conservative treatment for a year is the best advice, because the scar will become less pigmented.  Then you can evaluate whether a scar revision or resurfacing would be helpful.Kenneth Hughes, MD, ABPS Board Certified Plastic Surgeon
Los Angeles, CA

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

Hello,Tea tree oil/jojoba oil have not proven effective for scars. Silicone products reduce scar redness only. You have hypo- and hyperpigmentation, and a very wide scar. My recommendation is to wait another 6 months and consider surgical scar revision. 

Dear Darshan1,
I understand you are concerned with the appearance of your scars. As your scars heal, it should flatten out and lighten. Loss of pigmentation or hyperpigmentation may also be experienced but will resolve over time. Always follow your surgeon's post operative care instructions when it comes to scar management to avoid any complications like infection and for faster healing and recovery.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

I would suggest micro-needling, possibly another revision, and silicone sheets or products like Mederma or Scar Guard.

Hello, and thank you for your question. (Keep in mind that an in-person consultation is necessary for the best advice.) It takes about 12 months for a scar to fully mature. Use of silicone gel/dressings, scar massage, and daily sunscreen during that time has been shown to improve the overall appearance of surgical scars. Best of luck!
Matthew A. DelMauro, M.D.

Congratulations on your mastopexy! I am sorry to hear that you had a complicated healing course. Some hyperpigmentation early on after healing is expected and normal.  Generally, there will be fading of the discoloration as the late stages of healing and scarring subside. Unfortunately, this is a slow process, and medicine and science has not yet reached a definitive solution. Silicone is probably the most reliable scar remedy, particularly in helping to refuce thickening. Vitamin E oil (thought to be effective due to its anti-inflammatory effects) is perhaps the most time-honored. Aa healing and scarring are intricate, compex chemical processes, it would stand to reason that chemical manipulation would be the key to optimal and/or minimal scarring. However, studies remain mixed regarding the efficacy of various scar therapies. It has been established that a slightly moist environment results in improved healing and more favorable scarring. Some (or most) of the effect of silicone or topical treatments may be due to their hydration/anti-desiccation properties.Tea tree oil is known more for antimicrobial properties. Jojoba oil contains Vitamin E, and may have some scarring benefit. Other essential oils that have shown some scar-improvement promise are rosehips, lavender, frankencense, and helichrysum oils. Of note, silicone requires a dry surface to adhere, so a combination of oil and silicone requires precise placement of a limited amount of oil and a larger silicone sheet. Once the scar has stabilized more, laser therapy may also be considered, especially if discoloration remains an issue. Well wishes, Dr. Ghafoori