Is a revision on the areola scars worth it or could it make things worse regarding the look? (photos)

Question

I had an explant with lollipop lift December '21. Scars around the areolas have stretched a little since. After surgery & a couple months after, the stitching was very fine & neat. The color of the scars keeps fading over time but since the scars are outside of my own areola lines, they're visible. My surgeon offered a revision to cut these scars out & restitch saying that this time around it would heal& look better. Is it worth it or would it heal up the same way again

Zoran Potparic, MD · Answer

Considering that excision of the scars can be done in local anesthesia, you should do it. It is best to wait at least one year after surgery to proceed with correction. Use of scar tapes and gels should be started immediately and carried for months after surgery. Good luck.

Alan Gonzalez, MD, FACS · Answer

Hello @Elena07, thank you for your question and showing your pictures. It really depends on what you want to achieve. The scarring in a 99 per cent is associated to the genetics of the patients and to the movements and daily activities of the patients, that is why there are recommendations to ensure the best healing possible. There are many things nowadays to be able to manage a scar process. Technologies like laser, fixer and other products to make the scar smaller or minimize it those are nonsurgical treatments or you could consider a scar revision. I hope this shed some light. Best wishes! Alan Gonzalez MD, FACS.

Raffy Karamanoukian, MD, FACS · Answer

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

Ugur Horoz, MD · Answer

hellobetter to wait 1 year for total wound healing and decide what to do. Areolar scar will be better or may as be similar because ot tension. on the other hand you can have the scar revision whenever you want so it would be better to wait and decide in future time.
best regards

Daniel Barrett, MD · Answer

Dear Elena07,
I understand you are concerned with the appearance of your scars. As your scars heal, it should flatten out and lighten. Loss of pigmentation or hyperpigmentation may also be experienced but will resolve over time. Always follow your surgeon's post operative care instructions when it comes to scar management to avoid any complications like infection and for faster healing and recovery.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

Scars around the areolae tend to stretch when an augmentation is done since this is the most stretchy skin of the breast. doing a scar revision now without disturbing implants should give a better results. You can then follow with micro-needling at 6 weeks.

Camille Cash, MD · Answer

I encourage you to give the scars a little longer to mature since you are still noticing changes.  Typically after a year you can consider scar revision.  During a revision there is generally less tension on the scars which allow them an environment to heal more favorably.

Jeffrey C. Hamm, MD - Account Suspended · Answer

Hi and welcome to our forum!
From your photos, I note that there are visible areas of scar hypertrophy at the periareolar aspects of your surgical scar 10 months after your procedure. 
The scar may improve "somewhat" further with time (healing rates differ from individual to individual)  and may take 18 months (or longer) for a scar to mature. One cannot guesstimate the degree to which it will improve. 
Scar revision is an option, is far less invasive than your previous procedure, and may further improve your scar. There is perhaps an 85% chance of improvement, a 10% chance it will look the same, and a 5% chance of worsening the scar.
If it is an occasional passing thought, let it go...If you think about it every day, consider revision.
Best wishes...

Is a revision on the areola scars worth it or could it make things worse regarding the look? (photos)

Answers (8)

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