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Scar Treatment After Breast Revision Surgery

Posted on: February 14th, 2014
By: admin

Breast revision3

This is a 38-year-old, female resident of Sonoma who presented to the Novato office in Marin County for evaluation for revisional breast surgery. She underwent a short-scar breast lift in 1995 and then a breast augmentation in 1996 using 120 cc, silicone breast implants. This was done at another facility. Her complaints on presentation to me were high-riding breast implants with breast contractures. She underwent complete capsulectomies on both sides with replacement with 300cc normal-saline breast implants inflated up to 325 cc bilaterally. Her procedure was performed at Marin Cosmetic Surgery Center in Marin County, California. Note the improved contour and projection of her breasts and how well the incisions have healed, especially the vertical breast lift incisional scars.

 

San Francisco, California-Breast revision surgery can be any surgery done after the initial breast surgery.

Breast revision surgery is not uncommon for the woman who has breast implants; she will most likely need at least one revision in her lifetime and maybe more. Breast augmentation complications necessitating revision surgery would include: capsular contracture, deflation or rupture of implant(s), double bubble, etc. Women who have had other types of breast surgery other than breast augmentation; such as a breast lift with or without breast implants, and/or a breast reduction, will find different factors requiring a revision such as, weight fluctuations, aging or trauma.

Women who need to have breast revision surgery have several concerns that include; how will recovery compare to the initial surgery, will the outcome be satisfactory, what will the cost be?  Many are concerned about scarring.

There are several factors that can determine the degree of scarring, for example:

•    Age-As we age our skin loses elasticity and becomes thinner and, therefore, doesn’t      heal as well.

•    Genetics-If your parents or siblings tend to scar easily, you may, as well.

•    Size and depth of the incision-Larger and deeper incisions take longer to heal giving more opportunity to scarring.

•    Race-Dark skin people are more prone to hypertrophic and keloid scars

•    Smoking-People who smoke are at a greater risk of infection, scarring and slower healing. Most Board Certified Plastic Surgeons will not operate on patients that smoke.

•    Dehydration-The patient needs to stay well hydrated, or many complications can occur and interfere with healing.

 

It is extremely important for a woman to choose her Board Certified Plastic Surgeon carefully, look for one that specializes in breast revision surgery. Examine before and after pictures of the surgeon’s patients with special attention to the final result.

The expert breast revision surgeon will know how to minimize scarring and may even be able to revise and improve on initial scars.

There are various methods of treatment for the healing of incisions, and it is important for the patient to follow her surgeon’s instructions carefully.

Patients are warned to avoid direct sunlight on their healing incisions to prevent hyper-pigmentation. Collagen is what heals a wound, and fibroblasts are a certain type of cell in the skin that is responsible for the production of collagen. Our bodies need vitamin C to produce collagen. Vitamin C supplements are important both before and after surgery. 500 mg twice a day is recommended until the incision is healed. In addition, protein is very important in the healing process as the amino acids in protein is used by your cells for building blocks in creating new cells.

Silicone Sheeting

Silicone Sheeting

Once the incision is healed, Dr. Delgado recommends his patients use silicone sheeting to promote healing. They will be given specific instructions on how to apply the silicone. All patients are given a detailed surgery information packet at their pre-operative visit that explains all pre-operative and post-operative instructions specific to their surgery.

Dr. Delgado has been doing breast revision surgery since 1988, serving all of the San Francisco Bay Area, including Sacramento, San Jose and Los Angeles. Call today (415) 898-4161 for an evaluation of your breast revision surgery needs.