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16 Feb

How to reduce breast reduction scars

In a breast reduction, the plastic surgeon reduces the size, improves the shape and lifts the breasts to make them smaller and perkier. The breast reduction scars remain red and hard for months gradually becoming softer and less obvious eventually fading to become a thin white line. In this blog, I’ll discuss the two types of incisions plastic surgeons use as well as tips on how to minimise scarring on your breasts.

Following the breast reduction surgery women feel like a weight has literally been lifted off their shoulders with a reduction in neck pain, shoulder pain and back pain. They’ll enjoy wearing clothes of their choice, and better yet, go shopping for new styles. It’s a time for them to celebrate life. The last thing a woman wants to deal with is excessive scarring.

Scars that are red and hard begin to fade 4 months after surgery and at 12-18 months look like a thin white line. Unfortunately scars never disappear completely. A skilled plastic surgeon will reduce visible scarring by placing the incisions in areas that can be easily camouflaged, using gentle techniques, right sutures and meticulous attention to detail..

The two common types of breast reduction incisions are:

  • The ‘Lollipop’ : Leaves a circular scar around the areola and then extends vertically down to the fold under the breast. The circular scar is not visible as it is placed at the junction of dark areola skin and normal breast skin. This incision produces less scarring.
  • The ‘Anchor’: This is bigger scar. In addition to the lollipop scar there is another incision under the breast all along the inframammary breast fold.

Post-surgery tips to reduce breast reduction scarring

  • Eat well: Clean living and a healthy, nutritious diet are very important.
  • Give up smoking: Patients who smoke experience more noticeable scars, as nicotine interferes with healing. Smoking also increases your risk of infection, which in turn affects scarring.
  • Check your surgical wounds regularly: Check for any signs of infection, such as redness, pus, or heat. Infection can cause additional scarring if not treated.
  • Follow your surgeon’s instructions: Including taking all prescribed medications and wearing the surgical bra.
  • Keep wounds clean and dry: Moist or even dirty wounds pose the risk of infection and greater scarring.
  • Moisturise and Massage: Once the wounds have healed (approx. 2 weeks) you can start using moisturising cream to massage your scars. This will keep the skin hydrated and promote cell turnover, which reduces scarring.
  • Use scar Creams: There are many lotions and potions promising a magical cure for scars. Silicone Gel applied as a thin layer twice a day for 3 months is effective.
  • Use scar Tapes: Adhesive silicone strips used over the scar are effective. They have to be used for 3 months. Regular MicroporeTM tape is an excellent alternative.

Consult with your plastic surgeon to find out which breast reduction incision technique is the best for you.

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Dr Naveen Somia MBBS, PhD, FRACS

Dr. Naveen Somia is a Sydney Plastic Surgeon who listens to his patients, understands their problems and works alongside them to help achieve their aesthetic goals by applying his skills and years of experience in Plastic and Cosmetic Surgery. A published author on Plastic and Cosmetic Surgery, Naveen’s blog is aimed at helping you make the right choices and stay safe in your quest to look your personal best.