Reducing scars after breast reduction surgery is a topic of significant interest for many patients undergoing this procedure. Scars, while a natural consequence of such surgeries, can often lead to discomfort or self-consciousness. This blog aims to address these concerns by providing an in-depth understanding of the surgical procedure, the nature of scarring, and effective techniques to manage and minimise scars post breast reduction surgery.
The guide draws upon the expertise of Consultant Plastic Surgeon Anca Breahna, a distinguished plastic surgeon based in Chester, UK, who specialises in breast reduction surgery. Her insights and professional experience offer a valuable perspective on the subject matter.
This guide is intended for those interested in breast reduction surgery, those who have recently undergone the procedure, or those supporting a loved one through their journey. By offering practical advice and answering common questions, it seeks to give readers the knowledge necessary to navigate their post-surgery journey with confidence.
Breast reduction surgery, medically known as reduction mammoplasty, is a procedure designed to alleviate the discomfort associated with overly large breasts. The surgery involves the removal of excess breast fat, glandular tissue, and skin to achieve a breast size in proportion with the patient’s body.
The procedure begins with your plastic surgeon making incisions on the breasts. The pattern of these incisions depends on the amount of tissue to be removed, the patient’s personal conditions, and the surgeon’s best judgement. After the incisions, the nipple—which remains tethered to its original blood and nerve supply is repositioned. If necessary, the areola is reduced by excising skin at the perimeter. Underlying breast tissue is then reduced, lifted, and shaped.
Following the surgery, stitches are layered deep within the breast tissue to create and support the newly shaped breasts. Stitches, skin adhesives, or surgical tape may be used to close the skin.
The results of breast reduction surgery will be immediately visible. Over time, post-surgical swelling will resolve and incision lines will fade. Satisfaction with your new image should continue to grow as you recover and realise the benefits of this life-enhancing procedure.
Scarring is a natural and inevitable part of the healing process following any surgical procedure, including breast reduction. The extent and visibility of these scars can vary based on several factors such as the surgical technique used, individual healing process, and post-operative care.
In breast reduction surgery, incisions are usually made in one of three patterns: around the areola; around the areola and vertically down from the areola to the breast crease; or an inverted T or anchor-shaped incision pattern. Consequently, scars are usually located around the darker skin surrounding the nipple (areola), extending vertically down to the breast crease and horizontally along the crease.
Immediately after surgery, these scars can be quite noticeable. But over time they tend to fade and become less visible. The final appearance of the scar can take up to a year or more to fully establish. It’s important to note that while scars become less obvious over time, they are permanent and complete scar disappearance is not possible.
Individual factors such as genetics, age, skin type, and lifestyle can also influence scar healing and appearance. For instance, younger skin tends to heal faster and better than older skin, and non-smokers generally heal better than smokers.
Minimising the appearance of scars following breast reduction surgery is a multi-faceted process that can involve a variety of techniques. Here, we delve deeper into each of these methods:
"*" indicates required fields
Post-operative care plays a crucial role in the healing process and the eventual appearance of scars. Here are some strategies that can help minimise scarring after breast reduction surgery:
While scars from breast reduction surgery will significantly fade over time, they will not completely disappear. The degree to which they fade depends on several factors, including your genetics, age, skin type, and the specific surgical technique used.
Post-operative care is crucial for optimal scar healing. This includes following your plastic surgeon’s instructions for wound care, avoiding sun exposure, maintaining a healthy lifestyle, wearing appropriate support garments, and possibly massaging the area once fully healed.
Over-the-counter scar creams can help to some extent, but their effectiveness varies. They are usually more effective on newer scars. It’s always best to discuss this with your plastic surgeon before starting any new treatment.
If your scar becomes red, raised, or itchy, it could be a sign of abnormal scar formation, such as hypertrophic scarring or keloids, or a sign of infection. You should contact your plastic surgeon’s team as soon as possible to have it evaluated.
Yes, there are several procedures that can improve the appearance of scars, including laser therapy, microneedling, and surgical scar revision. These should only be considered once the scar has fully matured, which can take up to a year or more. You ca schedule a consultation with your plastic surgeon to discuss scar minimisation options.
Recent advancements and studies have contributed significantly to our understanding of scar reduction techniques. Here are a few notable findings:
These studies underscore the ongoing efforts in the medical community to improve scar reduction techniques and outcomes for patients.