What do you recommend for breast lift scarring going on a year? (Photos)

Good afternoon. Thank you for your question. In my office, we use Silagen scar sheets for all postoperative scars after the 6 week mark. Silagen specifically makes a breast kit for anchor incisions that works to flatten and fade the color of postoperative scars. However, I would certainly reach out to your surgeon that perfomed this procedure to address your dissatisfaction with your scarring as it is well beyond a reasonable aesthetic result. They may be able to offer some sort of revision to improve upon your result. Best of luck.

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

Dear pfraire,
it is hard to tell for sure without an examination. Based on your photos, it looks like you would benefit from laser treatment. Scar revision is another option. If you are considering treatment, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

You might call your surgeon to see if you can get some Hydroquinone to help treat and lighten the darker areas and keep your breast completely away from any sun exposure or sunbeds.

From your photos your best option may be scar revision. I encourage you to visit with a board certified plastic surgeon near you for a consultation. I've included a video that I hope you find helpful.

Unfortunately some patients get scarring. Sounds like you have done a lot of the basic treatments that can be done. I would recommend laser treatments. I would do one treatment every 3 weeks. I would recommend fraxel laser. If you do not get improvement you could consider scar revision.

Solution for Scars will help reduce the redness of the scars for you.
It is available from Amazon in the USA.
Unfortunately you will be left with hyperpigmentation.

It’s essential to consult with a healthcare provider for recommendations. Here are some suggestions in managing breast lift scarring after about a year:1. Silicone Sheets or Gel: Consider using silicone sheets or gel to help flatten and fade scars. These are available over the counter and may be recommended by your surgeon.2. Scar Creams: Some scar creams or ointments contain ingredients like vitamin E or aloe vera, which can promote healing and reduce the appearance of scars.3. Massage: Gently massaging the scar with a moisturizing cream can improve blood circulation and help break down scar tissue.4. Sun Protection: Protect the scar from direct sunlight by using sunscreen or covering it with clothing. Sun exposure can cause scars to darken.5. Time: Over time, scars naturally fade and become less noticeable. Be patient, as it can take a year or more for scars to mature and improve.6. Consult a Specialist: If you’re concerned about the appearance of your scar, consider consulting a plastic surgeon. They may recommend treatments like laser therapy or corticosteroid injections.Always follow the advice of your healthcare provider for the best scar management approach for your specific situation.

Hi and welcome to our forum!From your photos, I note significant redness about the healing scars. There appears to be significant residual inflammation present. There is no significant scar thickening. The scars do not appear mature.Wound healing is a complex process which takes at least 12-18 months to be completed. During the interim, scars may be red, thick, and ropey. Over time, the scars will remodel, soften, and the redness will fade. During the healing process it is important to avoid ultraviolet exposure to the scars to prevent permanent pigmentary alteration. The use of a moisturizer is recommended. Application of silicone gel sheeting to the healing scars may reduce scar thickening.If the appearance of the scar does not improve over 18 months, one may consider a scar revision. 15% of cosmetic procedures may benefit from secondary revision.Best wishes...