Breast lift scar very visible (even in clothes). Why may this have happened? (Photo)

The quality of scars after breast lift, depends on both patient and surgeon related factors. The appearance of the scar in the medial right breast suggests that this was a hypertrophic or keloid scar in the immediate postoperative period. This is not uncommon and has a significantly increased tendency to form in the medial portion of the scar closer to the sternum and laterally towards the side of the chest.

Dear Hellojello21,
I understand your concern. However, without a proper assessment, it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

The scars from a breast reduction, and in particular those under the breast can be tricky. The area in which you have a longer scar is notorius for an area with slightly excess skin when performing a breast reduction or lift. Many times when trying to remove excess skin in order to get a good contour, the scar may extend slightly longer than you or the surgeon may want. I would pursue PDL lasers or other scar treatment to decrease the appearance of the scar.

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

This is unfortunately a common are that makes a thick scar. It can be on one side or both. You can ask your original surgeon for scar treatment with steroid injections or silicone sheeting. A scar revision could reproduce the same scarring or even worse.

Generally speaking, the way scars heal depends on many factors, including post-operative care and how your body reacts to scarring. You may benefit from scar revision surgery to reduce the appearance of your scars.

Usually the asymmetry of scars (and outcomes) from breast lift and breast reduction starts with asymmetric breasts. I would see if you can review your before pictures with your surgeon to get a better understanding and then consider revising the scar. From what I can see, I think you can improve your scar position and appearance and location. Best Wishes!!

Possible reasons why your scars are not symmetrical is that you may have started out with asymmetric breasts to begin with. The measurements done on one side may have had to be different than the ones done on the other side. Also, the possibility that your surgeon wanted to create the best breast contour and this is resulted in a longer scar. Best wishes.

Your overall result is excellent. A minor scar revision should improve it considerably. The other scars look good

Each person heals differently, Treatment for keloid scar is possible. If you don't like the look or feel of a keloid, talk to your doctor about flattening or removing it. Even with treatment, a keloid can last for several years or come back. The navel will swell in the first few days after the procedure. The scar is normal and the scar itself will be hard at first but will soften over time. There are risk factors for keloid, such as age, having dark or black skin, or having families with previous history. Here a couple of
Treatments for keloids, Cream with corticosteroids. Injected medication. Freezing of the scar. Laser treatment. Radiotherapy. Surgical removal.

For dark scars, fortunately, there are treatments available, such as depigmentation creams, dermatological procedures, and laser therapy options, that can help reduce pigmentation and improve the appearance of hyper-pigmented scars. Look for a good specialist.

I hope this help, good luck!