What is the best treatment for scars after a Breast Lift?

In addition to keeping the scars protected from the sun (as tanning can permanently darken them), you can try using silicone sheeting and silicone gel. These can be applied once the steristrips have fallen off. However, you should ask your surgeon for their advice.

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

#BestScarManagementForBreastLift is important to minimize or completely hide from view, the telltale signs of your surgery—namely, scars. Both you and your surgeon want you to have the most minimal scarring possible. There are many possible causes for scars that are enlarged or not healing well. Unsightly scars are most commonly due to genetics, underlying medical conditions, or improper scar/wound care. The last part is very important and patients can make a noticeable difference in their scars’ appearance by following best scar management practices. Here are some simple tips in the below link:

Hello, Thank you for your question.As you are healing from your surgery you will be able to apply various modalities that help obtain the best improvement in your scars.Keep in mind that much of how one heals is pre-programmed by one's genetics.  However, with that said, I believe that with the right amount of attention to healing one can play an active role to get well healed scars.I recommend to our patients after the initial three to four weeks when the wound is more stable, a combination of silicone gel sheeting, direct scar massage, sun protection, good nutrition, and no smoking exposure.  Over the initial 7 to 9 months healing scars are most amenable to manipulation and softening- this is often referred to as the "remodeling phase" of healing.  This is the period, that if attended to daily, one should achieve optimal healing.I hope this helps.Thank you,S.P. Maggi, MD, FACSAustin Plastic Surgery Center

I don't think that there is any good evidence that one method or therapy is better than any other. Much of your scarring will depend upon your genetics and the tension that the tissues are under due to the technique of your procedure. I personally have my patients apply paper tape to the incisions for the first 4-6 weeks. I think that massage can also help scars soften and mature. The effectiveness of scar creams, gels, sheets, oils, etc. is uncertain. 

Hello! Thank you for the question! 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. Lasers may also be an option for the appearance of your scars.  If still no result, consideration for lasers, steroids, or scar revision may be entertained.  Best wishes!

Surgeons often have their personal recommendations and preferences, honed based on their reading of the literature and years of experience.  The principal in managing any scar is to do:1. reduce tension of the skin across that incision - this can be done with tape2. apply topical materials that have been shown to reduce scarring - silicone is the one with strongest evidence.Both goals can be accomplished by using a silicone tape dressing to tape across the scar.  This should be carried out for several months after the surgery, until the scar is in its near final shape.

There are multiple options for scar treatments, so be sure to consult with your plastic surgeon to get their opinion. Silicone sheets and/or silicone gel are relatively easy to use and cost-effective options to help reduce the look of scarring after a breast lift. Consistent massaging of the scar has also been known to help. If these methods aren’t working for you, a laser treatment may be a possibility if your doctor deems you a candidate.
Remember that scars can take up to a year to present in their final form, so continue to massage and use silicone treatments as you check your progress.

Scar creams,gels, silicone sheeting ALL work well. IPL could help. Best to follow only your doctors advise.... 

You should consult with your surgeon about this important question.There are many approaches to scar management after surgery. A highly scientifically validated approach is the Embrace dressing system. Laser treatments can also be useful.In addition, silicone treatments such as silicone sheeting or silicone gel have been traditionally used.Best wishes.