I have had three surgeries in the past seven years. The first two times I developed capsular contracture. Everything looks so much better this time, however I have puckering right at the incision site on my areolas. Is there anything I can do? Is there a chance that it will let up?
Without seeing your photographs or examining your case, I'm not quite certain of the severity of your problem. But in general, I have my patients massage their incisions for one minute, four times a day for several months in order to desensitize the incision as well as remodel the scar. You may need a scar revision, which should be discussed with your surgeon. Depending on the degree of problem, I would add scar creme (I use Skin Better Science Face) and topical Dermatix. You apply them twice daily.
Usually, the hydraulic expansion of the areola by the implant results in flat scars. If it has been that way since your third surgery, then it may have been closed that way. Hard to tell, but Id be happy to help if you wish to contact my office!
Published on Jul 11, 2012
Capsular contracture is a very challenging problem. Multiple surgeries are often necessary and unfortunately the problem can recur despite this. If everything else looks good so far, early puckering after surgery is not uncommon and usually smooths out with time so be patient as long your overall breast is remaining soft.
Published on Jul 11, 2012
Unfortunately, the more surgeries through an incision, the greater the chance of indentations and puckering. I would recommend applying ScaRxtape over them for a period of about three months. By then, they should flatten out.
Dr. Edward Jonas Domanskis is Certified by the American Board of Plastic Surgery
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Organoderm Skin care/ScaRxTape
Published on Jul 11, 2012
The puckering may be due to the suture that was placed around the areola. Usually those are absorbable sutures and with time the puckering smooths out. You can try massaging the area with Mederma to help speed up the process
Published on Jul 11, 2012
Incisions take time to settle. Generally speaking, I discourage patients from passing judgement until they are at least four to six months into the post-op period.
It is very likely that much of what is concerning you will resolve over time. The best medicine is the "tincture of time."
As always, discuss your concerns with your board certified plastic surgeon (ABPS).
Published on Jul 11, 2012