How to Treat Keloid or Hypertrophic Scarring in Incision Scars

Typically scars improve with time, and take about a year to get to their final situation.  They typically look their "angriest" between 1 and 4 months.

Scar massage helps.  Silicone scar products help.  Sometimes a little Kenalog injection is useful.  Sometimes IPL is helpful if the scar is very red in color.

Speak with your surgeon about your concerns.  

Good day! Three months is too soon for scars to be flat because your surgical incision sites will go through a maturation
process. For the first few months they will be red and possibly raised and/or
firm. As the scar matures, after 6-12 months, it becomes soft, pale, flat, and
much less noticeable. Some people are prone to keloids, which is an abnormal scar that becomes prominent. If you or a blood relative has a tendency to
keloid formation, please inform the doctor. Do not hesitate to contact your doctor regarding your concern and other aftercare solutions for your scar. Best of luck! #RealSelf100

Unfortunately, scarring is a
part of any surgical procedure.Whenever
possible, plastic surgeons place scars where they are well hidden by anatomic
structures.When breast augmentation is
performed, every effort is made to hide the incision.For this reason, they’re often placed in the
armpit, at the border of the areola with surrounding structures, or in the
inframammary fold region.It’s normal for scars to be red, raised, hard, and bumpy
three months following surgery. Over the
course of time, this should improve significantly. Scars generally take about 12 to 18 months to
reach maximum improvement. In six
months, the redness should be significantly improved.In the meantime, this keloid can be treated with massage
and the use of topical agents.In some
cases, silastic sheeting can be used and rarely, steroid injections may be
helpful as well.If scarring fails to
improve with these steps, a scar revision or skin resurfacing procedure may be
necessary.It’s important to maintain good communication with your
plastic surgeon.It’s still very early
in the post-operative period and significant improvement will probably
occur.Be patient,you may ultimately be very happy with your
result.

You may want to consider the injection of steroids into the incisions to help with healing.  Pressure and massage are also very good.

I treat my scars with silicone and steroids but a half mm scar is likely a knot.  Keep massaging it as you have been and it will likely go away.

We often treat keloid or hypertrophic incision scars with steroid injections.  One or more injections may be necessary.  Massaging the scar is also a good idea.  It is always best to keep your doctor well informed.  Stay out of direct sunlight. 

Time tends to improve the appearance of scars. You will find that the scars will improve in appearance even after a year has gone by.
 
Sometimes the use of silicone-based products. In the event of unfavorable scarring steroid injection may be helpful. The use of superficial radiation treatment is possible for symptomatic scars.  Sometimes scar revision surgery and careful scar management afterwards may be helpful. Despite anecdotal reports I have not seen significant improvement with laser treatment of scars.

Best wishes.

Scar is very individual, and usu sally the inframammary scar will do very well. At three months I would avoid over treating the area, and steroid may be overkill. Stick with massage. Your bra will apply pressure over the area which helps as well, and time should solve all.

Best of luck,

petrejohnsonmd

It sounds like you have hypertrophic breast scars and from your description is improving. As for t he one area of concern I would run it by your surgeon after he/she sees it.

Scars take upwards of one year to reach their final state. At 3 months, your scars are in the relative early phase and typically go through changes in their thickness as well as color. Your plastic surgeon was correct in advising scar massage which takes advantage of one of the main modalities in scar treatment: namely pressure therapy. Other things that may help are silicone based scar treatments which come in adhesive sheets or creams.

Other than that, I would not recommend any further treatment at this moment as the scar will settle with time.

Hope that helps and good luck!