Scars on the Chest: Causes and Treatment Options

There is a scar on the chest?

Hello doctor, I have a scar located around the cleavage area of my chest, approximately 1 cm in length, 0.3 cm in width, and not very high, but it has a noticeable raised texture when touched.
The color resembles tinea but is slightly darker.
It appeared around my middle school years when my breasts were quite large.
I have been living abroad for a long time, and I couldn't find a suitable size for myself, so I often wore sports bras as a substitute.
However, one bra was never enough to support me, so I ended up wearing two.
Due to the long-term friction in the cleavage area, it seems to have developed into something resembling hypertrophic scarring.
By the time I noticed it, it was already there.
Initially, I thought it was tinea, but no matter how much I washed it, it wouldn't go away.
I would like to ask the doctor what kind of condition this might be, as it makes me hesitant to wear low-cut clothing.
I would also like to know if there are any treatment options available.

yes, 20~29 year old female. Ask Date: 2016/01/04

Dr. Wu Yuxin reply Dermatology

A literal description without actually seeing the lesion cannot confirm the diagnosis; it is recommended to have a dermatologist evaluate it for proper assessment.
If it is a hypertrophic scar, it can be improved through injection treatments.

Reply Date: 2016/01/04

More Info

Understanding scars on the chest, particularly in the area you described, involves recognizing the potential causes and treatment options available. Based on your description, it seems that you may be dealing with a hypertrophic scar or keloid, which can develop as a result of skin irritation or trauma.

Causes of Scarring
1. Friction and Irritation: The repeated friction from wearing ill-fitting sports bras, especially if they are too tight or not supportive enough, can lead to skin irritation. Over time, this irritation can cause the skin to respond by forming scar tissue, which may appear raised and discolored.

2. Skin Trauma: Any form of trauma to the skin, even if it is minor and goes unnoticed, can lead to scarring. This includes friction burns, pressure from clothing, or even acne lesions that may have occurred in the past.

3. Genetic Predisposition: Some individuals are more prone to developing hypertrophic scars or keloids due to genetic factors. If you have a family history of such scars, it may increase your likelihood of developing them.

Characteristics of Hypertrophic Scars and Keloids
- Hypertrophic Scars: These are raised scars that remain within the boundaries of the original wound. They can be red, itchy, and may improve over time but can take months to years to flatten.

- Keloids: These are more extensive than hypertrophic scars and can grow beyond the original wound site. They are often more prominent and can be itchy or painful.

Treatment Options
1. Topical Treatments: Over-the-counter silicone gel sheets or silicone ointments can help flatten hypertrophic scars over time. These products create a protective barrier over the scar and help to hydrate the tissue.

2. Steroid Injections: Corticosteroid injections can be administered directly into the scar tissue to reduce inflammation and flatten the scar. This treatment is often effective for hypertrophic scars.

3. Laser Therapy: Laser treatments can help reduce the redness and thickness of scars. Different types of lasers can be used depending on the scar's characteristics.

4. Surgical Options: In some cases, surgical removal of the scar may be considered, especially if it is causing discomfort or is cosmetically unappealing. However, there is a risk that the scar may return after surgery.

5. Pressure Therapy: For some types of scars, especially keloids, applying pressure garments can help flatten the scar over time.

6. Consultation with a Dermatologist: It is advisable to consult with a dermatologist or a plastic surgeon who specializes in scar treatment. They can assess your scar and recommend the most appropriate treatment based on its characteristics and your skin type.

Lifestyle and Preventive Measures
- Avoid Irritation: Consider wearing well-fitted bras that provide adequate support without causing friction. Look for seamless or soft-cup bras that minimize irritation.

- Moisturize: Keeping the scar moisturized can help improve its appearance. Use fragrance-free moisturizers to avoid further irritation.

- Sun Protection: Protecting the scar from sun exposure is crucial, as UV rays can darken scars. Use sunscreen on the area when exposed to sunlight.

Conclusion
In summary, the scar on your chest may be a result of friction and irritation from clothing, leading to a hypertrophic scar. There are several treatment options available, ranging from topical treatments to more invasive procedures. Consulting with a healthcare professional will provide you with tailored advice and treatment options to help improve the appearance of your scar and alleviate any discomfort.

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