Breast Augmentation Scars

Worried about scars after surgery? Know the types of scars to expect and how to best care for them.

Scars are an inevitable part of the breast augmentation process. You will have one, whether it's around the areola, under the arm, or under the breast. TUBA (navel incision) offers the least noticeable scar. However, there aren't an abundance of surgeons performing this particular procedure. Fortunately, breast augmentation scars, regardless of where they're located, tend to heal extremely well.
Under normal conditions, the collagen fibers in our body produce scars that are flat and over time turn into the same color as the individual’s natural skin pigment. However, there are two types of scars that can form after breast augmentation, and proper scar treatment post-operation is essential to avoiding them:

Hypertrophic Scars:

These scars are raised, thick scars at the incision site. These often resemble the scars burn victims receive as a result of their injuries. The area most vulnerable to hypertrophic scars after surgery is the presternum, or upper chest area above the breasts – or any skin that is tight or under a lot of tension. These scars can occur within 1-2 months post-operation and grow rapidly from that time. They should gradually recede over time but inform your doctor if you encounter this type of scarring.

Keloid Scars:

A keloid scar is the worst type of scarring post-operation: it’s a red and raised area, which can be uncomfortable and restrictive, depending on the part of the body on which it's located and the size of the scar. Keloid scarring is the result of the build-up of collagen in the area, making the scar larger than the actual size of the wound. In other words, the scar extends outside of the actual wound. Keloid scarring is more common with darker skin tones, such as African Americans or Hispanics. In appearance, the Keloid Scar can appear dark in pigment and shiny on the skin. They can also be tender to the touch. Patients can develop Keloid Scars within months or years after the surgery, making it important to attend post-op checkups and be diligent in any changes you find.

The photo below depicts a keloid scar.

Regardless of the type of scars, there are options available in scar treatment.

Silicone Sheeting

Silicone sheeting is the most popular of scar treatments. Patients apply the thin sheeting over the incision area during the day for two months, and they often see more rapid healing and less noticeable scar sites.

Silicone Gel Treatments

Silicone gel treatments are another popular option for healing scars. They are painted on to the incision site and self-dry. Patients are instructed to gloss over the incision site once or twice a day to see improvement in the look of healing scars.

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