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

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

Key Factors Influencing Scar Development

1. 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.
2. Skin Type and Tone: Darker skin tones may be more prone to hyperpigmentation or keloids.
3. Surgical Technique: Dr Kohout’s experience  minimises skin tension, reducing the risk of noticeable scarring.
4. Post-Operative Care: Following aftercare instructions is essential for proper healing.

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.

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.

Further Reading About Mastopexy Scars

For additional information, explore related topics on Dr Mark Kohout’s website:

• Post-Operative Care Tips.
• Advances in Scar Management Techniques.

FAQs about Breast Lift Scars after Mastopexy Surgery