I just had a breast augmentation surgery. Today is day 6. Under the mussels, 365 cc. My natural size was 34A/B. My doctor recommended to cut under nipples. My nipples are very small also. Now I’m thinking what are the best methods to prevent scars? Also the doctor will not take out the stitches Until the week 3 or 4. And he was very very strict about keeping it dry at all times, so no showers for 3-4 weeks, only baths from he top down.
January 2, 2018
Answer: Risk for scarring is minimal but scarring is worse when sutures are left in more than 10 days... so I'm confused as to why your surgeon won't take them out sooner and why you cannot get the incision wet. Most surgeons allow their patients to shower 2 days post-op and I'm one of them and have never seen an issue in my 25 year career. Nipple incisions are nice for healing but if you use that route and want to fully breast feed later, it does impact that as you are cutting ducts, plain and simple. Can you breast feed? Absolutely but you may have to supplement. The safest incision is under the breast but its safer by only single digits.
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January 2, 2018
Answer: Risk for scarring is minimal but scarring is worse when sutures are left in more than 10 days... so I'm confused as to why your surgeon won't take them out sooner and why you cannot get the incision wet. Most surgeons allow their patients to shower 2 days post-op and I'm one of them and have never seen an issue in my 25 year career. Nipple incisions are nice for healing but if you use that route and want to fully breast feed later, it does impact that as you are cutting ducts, plain and simple. Can you breast feed? Absolutely but you may have to supplement. The safest incision is under the breast but its safer by only single digits.
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January 26, 2020
Answer: Worried about scars under nipples after BA: What is the probability of getting a scar? How to prevent it? Whenever an incision is made in surgery, there will always be some sort of scar. Sometimes this scar is barely perceptible and other times it is more prominent. Therefore, the quality of this scar is what is important and should be considered at this point. There are various factors that come in to play in terms of how prominent the scar will be. These factors include your body's healing ability, location of the scar, surgical technique, and postoperative scar management. Postoperative scar management is probably the least contributing factor among these, but it is the only one you can control at this point. In general, scars placed along the inferior border of the areola such as yours typically heal very well. I would recommend following up with your plastic surgeon for further guidance on his/her preferred postoperative scar therapy regimen and to help alleviate any concerns you may have in your recovery. Ziyad Hammoudeh, MD
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January 26, 2020
Answer: Worried about scars under nipples after BA: What is the probability of getting a scar? How to prevent it? Whenever an incision is made in surgery, there will always be some sort of scar. Sometimes this scar is barely perceptible and other times it is more prominent. Therefore, the quality of this scar is what is important and should be considered at this point. There are various factors that come in to play in terms of how prominent the scar will be. These factors include your body's healing ability, location of the scar, surgical technique, and postoperative scar management. Postoperative scar management is probably the least contributing factor among these, but it is the only one you can control at this point. In general, scars placed along the inferior border of the areola such as yours typically heal very well. I would recommend following up with your plastic surgeon for further guidance on his/her preferred postoperative scar therapy regimen and to help alleviate any concerns you may have in your recovery. Ziyad Hammoudeh, MD
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