I had surgery many years ago to replace bone loss in my arm which resulted in a very wide scar on my arm, as well as in my hip area where some bone graft was taken. I have been considering breast augmentation surgery but have been hesitant as I am worried that an ugly wide scar like this will develop around my breast. Are there options that can help prevent this scar widening from happening?
Should I Worry About Scar On Shoulder Widening with Breast Augmentation? (photo)
Doctor Answers 8
Scar after Breast Augmentation
Thank you for your question.
I don't think you have much to worry about as every body part heals differently, depending on location, movement and technique used.
Most likely scar widening will not be a problem for your breast surgery
The scar widening you show is not unusual for shoulder surgery. Shoulders are high motion areas and invariably almost any scar in this area will get some degree of widening because of the pull and strain of the muscles in this area as well as the motion. The shoulder is known as one of the "terrible triangles" of plastic surgery for healing this way. The good news is that the breast typically heals very well. The most concealed and recommended incision choice I would recommend is the inframammary incision (under the breast). I have RARELY seen this widen or become a problem and even in an individual with a genetic predisposition for keloid formation this area is not 'seen' and should heal very well. I hope this helps!
James F. Boynton, M.D., F.A.C.S.
It is common for scars in this location to widen due to movement and stretching. Scars on the breast are not as likely to widen due to stretching. Some women do scar poorly no matter how well the incision is closed. Proper closure technique is important, but your tissue genetics play a major role in how well you scar. If you have other scars on your body that have healed well, that is a good sign.
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Scarring from breast augmentation
Breast Augmentation scar has little relation to old Orthopedic Surgery Scars
The appearance of your breast augmentation scar will be influenced very little by the appearance of your hip and shoulder Orthopedic surgery scars for several reasons. First, unlike the shoulder which moves all the time and there is constant pulling on the wound edges the breast augmentation scar is relatively static. Secondly, as Plastic surgeons we are significantly more meticulous in the way we handle and close our wounds. As a result our scars appear much nicer.
Shoulder scar worries
Well your question allows us to discuss when scars become stable and mature and therefore unchanged. Scars usually are at this point between 1 year and 18 months. Now on a very important note,The tissue dissected to create the pocket where your implant will be placed WILL NOT widen your scar . I would give you a zero risk of scar widening.
Breast aug. scarring
In my practice, it is very uncommon for patients who have breast augmentation to experience the type of scarring that is indicated in your photo. You may want to consider having your surgeon use the inframammary fold incision, so if you do scar unfavorably, it would be more inconspicuous.
Unlikely that shoulder scar will change as a result of breast augmentation
Because of the location of the scar on your shoulder, I do not think that it would be at risk of widening further as a result of breast augmentation surgery.
Similarly, I do not think that the fact that your shoulder scar spread indicates your breast augmentation scar will as well.