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Scar Revision

Scar revision is performed to improve the appearance of breast surgery scars one year or more after breast surgery, when healing and recovery are complete or nearly complete.  

Although some precautions may be taken during the initial breast surgery recovery process to ensure scars heal nicely, such as use of paper tape (recommended by Dr. Pfeifer), silicone sheets, ScarGuard or Mederma products, some scars may still require additional treatment.

Scar treatment options

Scar treatment options include:

  • Injectable fillers for restoring volume to depressed scars
  • Laser resurfacing, dermabrasion or chemical peels for reducing surface irregularities and superficial scars
  • Light therapy or bleaching creams reduce pigmented surgical scars, especially when scars are still red or purple. 
  • Surgical revision
  • Treatment of thick scars (hypertrophic) with steroid injections

Scar revision surgery involves excision, wherein the old scar is excised, and the incision is then closed.  Gentle surgical techniques and precise suturing minimize the appearance of the scar.

Hypertrophic scars and keloid scars.

Hypertrophic scars are scars that become thick and raised during the healing process. Keloid scars also become raised but grow to large sizes, as compared to hypertrophic scars.  Both hypertrophic and keloid scars may be itchy.  Many patients believe they form keloid scars when, in fact, they have the easier to manage hypertrophic scar.  Patients with more heavily pigmented skin are more prone to keloid scars.  Steroid injections are popular treatments for these particularly difficult scars.  In some cases, surgical excision is necessary for treatment.  

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