Can Scars from Breast Reduction Surgery Be Removed? - Plastic Surgery

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Can the scars left on the areola after breast reduction surgery be eliminated? Thank you!

yy, 20~29 year old female. Ask Date: 2002/07/17

Dr. Luo Qihua reply Plastic Surgery


Scars cannot be completely eliminated, as they vary in appearance due to individual scar formation tendencies and the different skin tension in various areas.
Scars around the areola generally appear lighter than the surrounding skin and tend to widen over time due to increased tension.
Therefore, after breast reduction surgery and suture removal, it is essential to use a technique to cover the scar with breathable tape or silicone tape (refer to previous Q&A for methods).
This helps to distribute the pulling force on the scar, preventing it from widening and becoming unsightly.
It is recommended to use the tape for at least six months, with one year being ideal, in order to keep the scar as thin as possible and prevent it from stretching.

Reply Date: 2002/07/17

More Info


Scars resulting from breast reduction surgery, particularly those located around the areola, can be a concern for many patients. While it is important to understand that complete removal of scars is generally not possible, there are several methods and strategies that can significantly improve their appearance.

Firstly, it is essential to recognize that the healing process and the resulting scar formation can vary widely among individuals. Factors such as skin type, genetics, the location of the incision, and the tension on the skin during healing all play a role in how scars develop. Scars may initially appear red or dark and can become lighter over time, but they may also widen or become raised, depending on the individual's scar tissue response.

To manage and minimize the appearance of scars after breast reduction surgery, several techniques can be employed:
1. Silicone Gel Sheets or Silicone Gel: These products are often recommended for scar management. They can help flatten and soften scars when applied consistently over a period of time. Patients are usually advised to use silicone sheets for at least 12 hours a day for several months to see optimal results.

2. Pressure Garments: Wearing a supportive garment can help reduce tension on the scar and may prevent it from widening. This is particularly important in the early stages of healing.

3. Topical Treatments: Various topical treatments, including creams containing ingredients like vitamin E, onion extract (found in products like Mederma), and other scar-reducing agents, may help improve the appearance of scars. However, the effectiveness of these treatments can vary, and they should be used as directed.

4. Laser Therapy: For more significant scarring, laser treatments can be an option. These procedures can help reduce redness, flatten raised scars, and improve overall skin texture. Consulting with a dermatologist or plastic surgeon who specializes in scar treatment can provide insights into whether this option is suitable.

5. Surgical Revision: In some cases, if the scar is particularly bothersome, surgical revision may be considered. This involves removing the old scar and re-closing the incision in a way that may result in a less noticeable scar. This option is typically reserved for mature scars that have stabilized.

6. Time: It is important to remember that scars can continue to mature and change for up to a year or more after surgery. Patience is key, as many scars will improve in appearance over time without intervention.

In conclusion, while scars from breast reduction surgery cannot be completely eliminated, there are effective methods to manage and improve their appearance. It is advisable for patients to discuss their concerns with their surgeon or a dermatologist, who can provide personalized recommendations based on the individual's healing process and scar characteristics. Regular follow-up appointments can also help monitor the healing process and address any concerns that arise.

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