Breast reduction scar widening. Any suggestions?

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

Thank you for your pictures.  Unfortunately, there is little that can be done about stopping your scars from widening.  Once your scar is mature (1 yr), a scar revision can be contemplated.  Best wishes.

I usually have patients use silicone sheeting to manage breast reduction incisions. Since there's so much total incision length, it's tough to be good about topical agents. With sheeting, you don't really have to think about it because it just stays stuck on the skin and works around the clock. One of the major advantages to silicone sheeting is that it is wide, so it can actually help reduce tension on the incision which can help reduce widening.

Scar widening may occur as a process of healing for some individuals that can be genetically related in terms of how you heal, or could reflect tension of the wound closure. Sometimes scar revision can help once the tissues have softened a bit. Long terms use of products at this point will maybe only help keep the scar flat. Best to follow with your surgeon.

I would ask your PS for advice regarding scar management - massage - bra/support etc. The scar should contract and fade over time. There are different treatments for raised scars / red scars but there isn't really a good treatment to reduce widened scars. Everything will improve over the coming 6-12 months and I would not consider any form a scar revision currently.