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Managing Breast Lift Scars After Mastopexy Surgery

Breast lift surgery, also known as mastopexy, is a procedure designed to address changes in breast positioning and shape. Like any surgery, mastopexy involves the possibility of scarring, which requires careful management to ensure the optimal outcomes.

Dr Mark Kohout, an experienced plastic surgeon in Sydney is dedicated to guiding patients through every step of their recovery journey. This blog aims to educate patients about effective scar management following mastopexy surgery to support their healing and achieve optimal results.

Introduction

Cosmetic surgery is not only about addressing aesthetic goals but also about fostering recovery that promotes the best possible healing. Scar care plays a vital role in this process, as scars are the body’s natural response to incisions.

Dr Kohout uses surgical techniques to help manage scarring, but post-operative care is equally important. This blog outlines the best practices for managing scars after mastopexy surgery, including general guidelines, advanced treatments, and setting realistic expectations.

CLICK to Download Dr Mark Kohout’s Breast Reduction Guide

Understanding Scars After Mastopexy Surgery

About Scars

Scars form as part of the natural healing process, where the skin produces collagen to repair incisions. The resulting tissue often differs in colour and texture from the surrounding skin.

Types of Scars:

Hypertrophic Scars: Raised scars that remain within the wound boundaries.
Keloid Scars: Raised scars that extend beyond the incision site.
Atrophic Scars: Sunken scars caused by loss of underlying tissue.

Mastopexy Scars – What to Expect

Breast lift surgery typically involves incisions in predictable areas:

Around the areola.
Vertically from the areola to the breast crease.
Along the breast crease, depending on the technique used.

Dr Kohout employs precise techniques to place scars discreetly, often in areas covered by bras or swimwear.

Healing Stages of a Scar

Inflammation Phase: Redness and swelling occur as the body begins repairing the wound.
Proliferation Phase: Collagen production increases to strengthen the area, and new tissue begins forming.
Maturation Phase: Scars fade, flatten, and mature over 12 to 18 months.

Key Factors Influencing Scar Development

Genetics: Individual genetic predisposition affects how scars form and heal. It is important to discuss this with Dr Kohout as he may be able to address some of these predispositions during surgery.
Skin Type and Tone: Darker skin tones may be more prone to hyperpigmentation or keloids.
Surgical Technique: Dr Kohout’s experience minimises skin tension, reducing the risk of noticeable scarring.
Post-Operative Care: Following aftercare instructions is essential for proper healing.

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Best Practices for Managing Scars After Mastopexy

General Care Guidelines

Keep the incision site clean and dry.
Follow all instructions provided by Dr Kohout.

Specific Recommendations for Scar Management

Hygiene: Prevent infection by gently cleaning the area with surgeon-approved products.
Minimise Movement: Avoid activities that put strain on the incisions.
Moisturisation: Apply surgeon-recommended creams to keep the skin hydrated.
Scar Massage: Regular massage helps soften scar tissue and improve flexibility once approved by Dr Kohout.
Silicone Products: Use silicone sheets or gels to reduce redness and improve texture once incision is completely healed.
Sun Protection: Protect scars from UV exposure with high-SPF sunscreen.
Compression Garments: These garments help reduce swelling and apply even pressure to assist scar healing.

Things to Avoid During Recovery

Smoking: Impairs blood flow and slows the healing process. It can even result in the incision re-opening (dehiscience).
Excessive Sun Exposure: Darkens scars permanently.
Picking at Scabs: Increases the risk of infection and worsens scarring. For a more detailed guide on what to expect during the healing period, see our post on Recovery After Breast Lift / Mastopexy.

Further Mastopexy Scar Treatment Options

Overview

While many scars improve with time and proper care, additional treatments may be required for certain patients.

Specific Treatments

Laser Therapy: Targets pigmentation and may assist with scar texture.
Steroid Injections: Targets raised hypertrophic or keloid scars hoping to flatten and adress scars.
Microneedling: Stimulates collagen production to address scar appearance.
Scar Revision Surgery: Repositions or removes scar tissue for optimal results.

Managing Expectations with Mastopexy Scars

Realistic Healing Timelines

Scars evolve over time, with significant resolution often occurring within 12 to 18 months.

Accepting Natural Outcomes

While scars cannot be completely erased, proper care and advanced techniques ensure they are as discreet as possible.

Psychological Aspects

Adjusting to scars is a personal journey. Open communication with your surgeon and support from loved ones can ease this process.

FAQs about Breast Lift Scars after Mastopexy Surgery

How long do mastopexy scars take to heal?

Scars generally take 12 to 18 months to fully mature, though initial healing occurs within weeks.

Will my scars fade completely?

While scars fade significantly over time, they will not disappear entirely.

When can I start using scar creams or silicone sheets?

Once your surgeon confirms the incisions are fully healed, typically 2–3 weeks post-surgery.

What is the best way to prevent keloid scars?

Early use of silicone products and minimising tension on the scar can help.

Can I use tanning products on my scars?

No, tanning can darken scars and should be avoided.

What should I do if my scar feels raised or hard?

Scar massage or steroid injections, as advised by Dr Kohout, can improve these symptoms.

Are darker skin tones more prone to noticeable scars?

Yes, darker skin types are more susceptible to keloid formation and hyperpigmentation.

Is laser therapy safe for scar management?

Yes, when performed by a qualified professional, laser therapy is effective.

Can compression garments really improve scars?

Yes, they help by reducing swelling and limiting tension on incisions.

Should I contact Dr Kohout if my scar becomes red or swollen?

Absolutely. This could indicate infection or other complications requiring medical attention.

This comprehensive guide provides actionable insights for managing scars after mastopexy surgery. For more personalised advice, schedule a consultation with Dr Mark Kohout via www.drmarkkohout.com.au.

Medical References

American Society of Plastic Surgeons (ASPS)
- Topic: Postoperative Care and Scarring
- Link: American Society of Plastic Surgeons – Breast Lift
Mayo Clinic
- Topic: Mastopexy (Breast Lift) Overview and Recovery
- Link: Mayo Clinic – Mastopexy
Cleveland Clinic
- Topic: Breast Lift Surgery Information
- Link: Cleveland Clinic – Breast Lift
American Academy of Dermatology (AAD)
- Topic: Scars: Diagnosis and treatment
- Link: AAD – Scar Treatment
Healthline
- Topic: Essential Oils for Reducing Scars
- Link: Healthline – Essential Oils for Reducing Scars

Specialist Plastic Surgeon

Dr. Mark Kohout

Dr. Mark Kohout is a highly qualified specialist plastic and reconstructive surgeon with over 25 years of experience, based in central Sydney.

Trained in Great Britain, Australia, and the U.S., he co-founded Australia Plastic Surgery. Specializing in breast, genital, and male breast surgeries, he is a certified member of the Australian Society of Plastic Surgeons (ASPS) and the Royal Australian College of Surgeons (RACS).

Dr. Kohout has appeared in media like The Biggest Loser and has published several articles in his field.