Breast reduction surgery, or mammoplasty, is a transformative procedure if you’re experiencing discomfort due to large breasts. However, like any surgical procedure, it leaves behind breast reduction scars.

The good news is that while scarring is part of the process, there are plenty of ways to minimise scars and help your skin heal beautifully over time.

What Are Breast Reduction Scars?

Breast reduction scars are the marks left behind after a surgical procedure to remove excess breast tissue, fat, and skin. They form as part of the body’s natural healing process. The visibility, size, and location of scars vary based on the type of incision used, individual skin healing, and post-surgery care.

Scars typically appear red, raised, and noticeable immediately after surgery. Over 6 to 12 months, they gradually fade, becoming flatter and less prominent. For instance, the appearance of breast reduction scars after six months can be different from that of one-year breast reduction scars.

Factors Influencing Scar Formation

• Age, Skin Type, and Genetics: Younger skin heals more efficiently, possibly resulting in finer scars. However, darker skin tones might be more prone to noticeable scars or keloids.
• Surgical Technique and Skill: A skilled cosmetic surgeon can minimise scarring by using meticulous techniques and ensuring proper incision placement.
• Postoperative Care: Following your surgeon’s post-surgery care instructions diligently is vital to minimise breast reduction surgery scars.

Common Types of Breast Reduction Scars

The appearance and location of these scars can vary based on the surgical technique. Here’s a breakdown of the most common mammoplasty incision methods and their resulting scars:

1. Anchor (Inverted T) Scar

This involves scars around the areola, vertically down to the breast crease, and horizontally along the fold of the breast. This method results in the most noticeable breast reduction surgery scars. Initially, these scars may be red and raised but tend to flatten and fade over time.

2. Vertical (Lollipop) Scar

Also known as the “lollipop” approach, this incision is favoured for moderate reductions. It comprises incisions around the perimeter of the areola and vertically down to the breast crease.

The resulting breast reduction scars are generally less extensive and focus mainly on the front of the breast.

3. Peri-areolar (Donut) Scar

Used for minimal tissue removal, resulting in a scar around the areola only. These scars are usually confined to the areolar edge, often blending into the natural colour and texture variations of the areola. This scar type typically requires minimal intervention.

Choosing the right method involves a thorough discussion with your cosmetic surgeon about your specific needs, breast size, and desired aesthetic outcomes. 

Abnormal Scars After Breast Reduction Surgery

While most breast reduction surgery scars heal gradually, some individuals may experience abnormal scarring. These scars may become more prominent, raised, or even painful due to certain complications.

Hypertrophic scars

These scars appear raised and thick but remain within the boundary of the original incision. They can be red or darker than the surrounding skin and may feel firm or tender. Hypertrophic scars may require treatments like silicone sheets, steroid injections, or laser therapy.

Keloid scars

Unlike hypertrophic scars, keloids extend beyond the incision area, forming a raised, thickened mass of scar tissue. They can be itchy, uncomfortable, and more difficult to treat. Corticosteroid injections, silicone sheets, or surgical removal can help minimise the appearance of scars.

Atrophic scars

These scars are indented or sunken below the surrounding skin. Atrophic scars are less common after breast reduction surgery but may result from improper wound healing or infections. Dermal fillers or microneedling can help improve the appearance of atrophic scars.

Advanced Treatments for Scarring

If your breast reduction scars remain prominent or bothersome over time, advanced scar revision treatments can help improve their appearance. While no treatment can entirely erase scars, these options can significantly refine their texture, colour, and visibility. 

• Laser Therapy: Lasers use concentrated light to target scar tissue, breaking it down and promoting collagen production. Different types of lasers, such as fractional lasers, work on issues like redness, pigmentation, and scar texture.
• Microneedling: Tiny needles puncture the skin to create controlled micro-injuries. This stimulates the body’s natural healing process, leading to the production of collagen and elastin.
• Steroid Injections: Corticosteroid injections are administered directly into raised scars like keloids or hypertrophic scars. Steroids reduce inflammation, soften scars, and inhibit excess collagen production.
• Chemical Peels: Specialised chemical solutions are applied to the skin, exfoliating the outer layers and stimulating cell turnover.

Take the first step towards confidence and comfort with our expert team. During your personalised consultation, we’ll discuss your goals, address your concerns, and create a tailored plan to support your recovery and minimise scarring.

Book a private consultation or call us at (02) 9819 7449 to start your journey towards a new you. Let’s create results you’ll love!