Understanding Scars After Gynaecomastia Surgery

About Scars

Scars are a natural part of the body’s healing process. They form when the skin repairs itself after an incision or injury, involving the production of collagen. Scars can appear in different forms:

• Hypertrophic scars: Raised but confined to the incision area.
• Keloid scars: Raised and extending beyond the original wound.
• Atrophic scars: Sunken or depressed due to insufficient collagen production.

Gynaecomastia Surgery Scars: What to Expect

Gynaecomastia surgery involves precise incisions, often around the areola or in natural chest creases. This strategic placement helps manage visible scarring. Initial scars may appear red or pink and gradually fade over time, especially with proper care.

Healing Stages of a Scar

1. Inflammation Phase (First few days): The body responds to the incision with swelling, redness, and repair signals.
2. Proliferation Phase (Weeks after surgery): Collagen is produced, and the wound closes.
3. Maturation Phase (Months to years): Scar tissue remodels, becoming flatter and lighter in colour.

Key Factors Influencing Scar Development

1. Genetics
   Some individuals are predisposed to developing more noticeable scars, including keloids. It is important to discuss this with Dr Kohout as he may be able to address some of these predispositions during surgery.
2. Skin Type and Tone
   Skin pigmentation influences scarring. For instance, darker skin tones may experience pigmentation changes, while lighter skin may show redness for a longer duration.
3. Surgical Technique
   Dr Kohout uses precise techniques to minimise tissue trauma, leading to smaller, less prominent scars.
4. Post-Operative Care
   Strict adherence to aftercare instructions, such as keeping the area clean and avoiding strain, is critical for optimal healing.

Best Practices for Managing Scars After Gynaecomastia Surgery

General Care Guidelines

• Keep the incision site clean and dry.
• Follow all post-operative instructions provided by Dr Kohout.

Specific Recommendations

1. Hygiene: Clean the scar area gently to prevent infection.
2. Restrict Large Movements: Avoid activities that strain the chest to reduce tension on scars.
3. Moisturisation: Use surgeon-recommended creams to keep the area hydrated.
4. Scar Massage: Massage the scar regularly (as advised by Dr Kohout) to improve tissue pliability and circulation.
5. Silicone Products: Apply silicone gels or sheets to reduce redness and flatten the scar.
6. Sun Protection: Cover scars or use high-SPF sunscreen to prevent darkening.
7. Compression Garments: Wearing prescribed garments can help reduce swelling and improve healing.

Things to Avoid

• Smoking: Smoking delays healing and worsens scarring.
• Sunlight: Direct sunlight can darken scars, making them more noticeable.

Further Gynaecomastia Scar Treatment Options

1. Laser Therapy
   Laser treatments can help reduce scar redness and improve texture. Types include fractional lasers and pulsed dye lasers.
2. Steroid Injections
   These are used for raised scars, such as hypertrophic or keloid scars, to flatten and soften the tissue.
3. Microneedling
   A technique that stimulates collagen production, effective for depressed (atrophic) scars.
4. Scar Revision Surgery
   Surgical options are available for individuals with prominent scars, offering a chance to refine their appearance.

Managing Expectations with Gynaecomastia Scars

1. Realistic Healing Timelines
   Scars evolve over time. While they may appear prominent initially, they typically improve over 12–18 months.
2. Accepting Natural Outcomes
   Even with the best care, scars may not disappear entirely. Dr Kohout encourages patients to  have realistic expectations for their recovery and outcomes.
3. Psychological Aspect
   It’s normal to take time to adjust to changes in appearance. Discussing any concerns with Dr Kohout or a counsellor can be beneficial.

Further Reading about Gynaecomastia Scars

Explore additional resources on our website:

• Comprehensive post-operative care for gynaecomastia surgery.
• Advances in scar management techniques.
• Patient case studies and real-world examples.

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