Top 10 Methods to Reduce Scars after Breast Reduction Surgery

16 Dec  Top 10 Methods to Reduce Scars after Breast Reduction Surgery

Minimising Scars after Breast Reduction Surgery

Breast Reduction surgery (medically called Reduction Mammaplasty) is performed to reduce the size of your breasts. This is done by removing excess fat, glandular tissue, and skin to make your breasts smaller, lighter, and more proportionate to the rest of your body. The surgery can also involve reshaping the breast and reducing the size of the areola, (the darker skin surrounding the nipple).

No matter the specific technique employed for your surgery, Perth Specialist Plastic Surgeon Dr Guy Watts and his dedicated team are committed to providing you with guidance on postoperative scar management.

Reasons for Getting a Breast Reduction Surgery

There are many reasons why you might choose to have Breast Reduction surgery. Some of the most common reasons include:

• Physical Discomfort: Large breasts can cause a lot of physical strain. You might experience back, neck, or shoulder pain due to the weight of your breasts.
• Skin Issues: The skin under your breasts can become irritated or develop rashes due to constant friction and sweating.
• Activity Limitations: Large breasts can make it difficult to engage in physical activities like running or swimming.
• Attention and Comments: You might feel uncomfortable or harassed due to unwanted attention or comments about your breast size.

Abnormal Scars after Breast Reduction Surgery

Hypertrophic Scars

Hypertrophic scars are an abnormal type of scar you might see after Breast Reduction surgery. These scars are usually red, raised, and can be itchy or slightly painful. They form along the wound and tend to stay within the boundaries of the original surgical incision.

• Appearance: These scars are often red or pink and raised above the skin level. Over time, they may become flatter and lighter in colour
• Sensation: You might feel itchiness or slight discomfort around the scar area
• Location: Hypertrophic scars typically form where the skin has closed after surgery, following the line of the incision
• Treatment: Treatments like silicone gel sheets or pressure garments can be effective in reducing the appearance of hypertrophic scars

Keloid Scars

Keloid scars are a more aggressive type of scarring that can occur after surgery. Unlike hypertrophic scars, keloids grow beyond the original wound area and can be more challenging to treat.

• Appearance: Keloids are usually raised, thick, and puckered, with a rubbery texture. They can be darker than the surrounding skin
• Sensation: These scars can be itchy, tender, or even painful
• Location: Keloids can form anywhere on the body but are more common in areas with more tension, like the chest
• Treatment: Treatment options include steroid injections, laser therapy, or surgical removal, although they can recur after treatment

If you’re prone to keloids, it’s essential to discuss this with Dr Guy Watts before undergoing Breast Reduction surgery.

Atrophic Scars

Atrophic scars are less common in Breast Reduction surgery but can still occur. These scars appear as indentations in the skin, rather than raised areas.

• Appearance: Atrophic scars are usually flat and depressed below the level of the surrounding skin
• Sensation: These scars are generally not painful or itchy but can be noticeable because they create a shadow due to their depth
• Location: They can occur where there has been a loss of tissue, often due to infection or tension during the healing process
• Treatment: Fillers or laser treatments can sometimes be used to improve the appearance of atrophic scars

Top 10 Methods to Reduce the Appearance of Scars after Breast Reduction Surgery

Method 1: Silicone Gel Sheets

Silicone gel sheets are adhesive pads that you place directly on your scar. These pads hydrate the skin and can help soften and flatten raised scars, reducing their appearance after Breast Reduction surgery.

• Ease of Use: Simply stick them on clean skin
• Hydration: They help keep the scar area moist

To get the best results, you should start using silicone gel sheets as soon as Dr Guy Watts gives you the all clear to do so. Leave them on for as long as recommended to maximise their effectiveness.

Method 2: Pressure Garments

Pressure garments are specially designed fabrics that apply pressure to your treatment area. These can be particularly useful for larger scars.

• Consistent Pressure: The garment ensures that the scar is evenly compressed
• Better Blood Flow: Improved circulation can aid in scar healing
• Widespread Use: These garments are often used in treating burn victims, indicating their effectiveness in scar management

It’s best to consult your plastic surgeon for recommendations on when to start using pressure garments and how long to wear them each day.

Method 3: Topical Vitamin E to Reduce Scars after Breast Reduction

Vitamin E is widely known for its skin-healing properties. Applying it to your scar can help improve its appearance.

• Natural Solution: Vitamin E is a natural antioxidant
• Hydration: It helps to moisturise the skin
• Simple Application: You can apply it directly from a capsule or use a cream that contains Vitamin E

Method 4: Massaging the Scar Area

Gentle massage is another technique that can assist in reducing the appearance of scars. It works by breaking down the scar tissue and promoting blood flow to the area.

• Technique: Use circular motions and light but firm pressure
• Timing: Start only after the wound has fully closed to avoid complications
• Frequency: Aim for 2-3 times per day

Method 5: Sun Protection

Direct sun exposure can darken scars and make them more noticeable. Proper sun protection can help keep your scars discreet.

• Sunscreen: Always apply a high SPF sunscreen to the scar area
• Clothing: Wear protective clothing that covers the scars
• Timing: Limit sun exposure, especially during peak hours

Consult your plastic surgeon for guidance on how soon after surgery you should begin applying sunscreen to the scar area.

Method 6: Hydration and Nutrition

Your diet can also play a role in how well your scars heal. Proper hydration and nutrition can facilitate, optimal healing.

• Water: Make sure you’re drinking plenty of fluids
• Nutrients: Focus on protein, vitamins, and minerals to aid in skin repair
• Healthy Choices: Fresh fruits, vegetables, and lean meats are good options

Speak with a nutritionist or your plastic surgeon for personalised advice tailored to your needs.

Method 7: Over-the-Counter Scar Creams

There are several creams available that are designed to reduce scars. These often contain ingredients like onion extract to improve the scar’s appearance.

• Options: Brands like Mederma offer such creams
• Application: Follow the manufacturer’s guidelines
• Effectiveness: Results can vary, so it may take time to see improvement

Method 8: Steroid Injections

For raised or keloid scars, Dr Guy Watts may recommend steroid injections directly into the scar tissue.

• Professional Procedure: Only done by surgeons
• Immediate Results: Often results in a noticeable flattening
• Multiple Sessions: May require more than one session for best results

Remember to discuss potential side effects and post-treatment care with your plastic surgeon.

Method 9: Laser Therapy

Laser therapy is another option for scar treatment, and it must be performed by a qualified plastic surgeon. Different types of lasers are used to target various aspects of the scar, such as colour and texture.

• Advanced Technology: Lasers can be very effective but are also a more complex treatment
• Targeted: Different lasers for different types of scars
• Sessions: Often requires multiple appointments for best results

Method 10: Surgical Revision

In some cases, the best course of action may be to surgically revise the scar. This is typically considered a last resort if other methods fail to produce satisfactory results.

• Expert Consultation: Extensive discussion with your surgeon is necessary
• Procedure: The scar tissue is removed and the skin is sutured again
• Risks and Benefits: Weigh the potential risks and benefits carefully

Comparing the Effectiveness of Different Methods Used to Reduce Scars after Breast Reduction

It’s essential to weigh the pros and cons of each approach to find the one that best suits your needs. Let’s break down some factors to consider, focusing on short-term versus long-term solutions.

Short-term Solutions

Immediate Results: Short-term solutions like silicone gel sheets or scar creams can offer potential relief. You might see a noticeable difference in the appearance of your scars within weeks.

• Pros:
  • Visible results in a short period of time
  • Usually less expensive
  • Easy to use at home
• Cons:
  • May not offer lasting results
  • Might require frequent application
  • Could be less effective for severe scars

• Examples:

• • Silicone gel sheets
  • Vitamin E oil
  • Over-the-counter scar creams

Long-term Solutions

• Lasting Impact: Methods like laser therapy or surgical scar revision are more of a long-term commitment but can offer more permanent results.

• Pros:
  • More likely to offer lasting results
  • Can be more effective for severe scars
  • Often overseen by medical professionals, ensuring a higher level of care
• Cons:
  • Usually more expensive
  • May require multiple sessions or a longer recovery period
  • Could come with potential side effects or complications

• Examples:

• • Laser therapy
  • Steroid injections
  • Surgical scar revision

When choosing between short-term and long-term solutions, consider the following:

• Your Budget: Long-term solutions often come with a higher price tag. Make sure to factor this into your decision-making process
• Your /Patience Level: If you’re looking for quick results, a short-term solution might be more appealing. However, keep in mind that you may need to repeat the treatment for sustained results
• Severity of Scars: For minor scars, a short-term solution might be sufficient. But if you have more severe scarring, a long-term solution could offer better results
• Consult a Professional: It’s always a good idea to consult with your plastic surgeon for personalised advice. Dr Watts can help you weigh the pros and cons based on your specific situation

FAQs about Minimising Scars after Breast Reduction Surgery

How long does it take for scars to fade after Breast Reduction surgery?

• The time it takes for scars to fade can vary from person to person.
• Generally, scars start to fade within a few months but they can take up to a year or more to “settle” and become less noticeable.
• The fading process depends on various factors like your skin type, age, and the method of scar treatment you choose.

Can scars be completely eliminated after Breast Reduction surgery?

• While many treatments can significantly reduce the appearance of scars, completely eliminating them is often not possible.
• The goal is usually to make the scars less noticeable or more aesthetically pleasing.
• Consult Dr Watts for a realistic assessment of what you can expect.

What are the risks associated with scar treatment methods?

• Risks can vary depending on the treatment method. For example, over-the-counter creams may cause skin irritation, while more invasive procedures like laser therapy could have risks like infection or changes in skin colour.
• Always consult your plastic surgeon for a full understanding of potential risks.

How soon can I start scar treatment after surgery?

• The timing for starting scar treatment can depend on how well your incisions are healing.
• You should wait until the wound has fully closed, which could be a few weeks post-surgery.
• Your plastic surgeon will give you specific guidance on when it’s appropriate to begin scar treatment.

Are natural remedies effective for scar reduction?

• The effectiveness of natural remedies like aloe vera or honey is still a topic of debate. Some people find these methods helpful, but clinical evidence supporting their effectiveness is limited.

Further Reading about Breast Surgery with Dr Guy Watts

• Read Dr Watts’ Blog about How to Sleep Better After Cosmetic Breast Surgery
• Read Dr Watts’ Blog about Surgical Solutions to Get Firmer Breasts
• Read Dr Watts’ Blog about 9 Reasons to Avoid Smoking Before and After Breast Surgery
• Read Dr Watts’ Breast Reduction Surgery Page
• Read Dr Watts’ Blog about What causes Sagging Breasts – Causes and Surgery for Breast Ptosis
• Read Dr. Watt’s Blog about What are Normal Symptoms to Experience During Breast Reduction Recovery

Medical References about Scars Reduction after Breast Reduction

• Breast Reduction Scars – Cleveland Clinic
• What To Know About Scars After Breast Reduction Surgery – Medical News Today
• Unfavourable Results Following Reduction Mammoplasty – PubMed
• Breast Reduction Scars: A Prospective Survey of Patient Preferences – Oxford Academic