Breast reduction and scars: Everything about healing and care

Where do the scars run after a breast reduction?

The placement of the scars during a breast reduction depends largely on the chosen surgical technique. Depending on the initial situation and the desired result, various incisions are possible, all of which have their own special features.

T-cut (anchor shape)

The T-incision is one of the most frequently used techniques for larger breast reductions. The incision is made around the areola, vertically downwards and along the natural underbust crease. The resulting T or anchor shape enables extensive restructuring of the breast tissue and precise reshaping. The scars are positioned in such a way that they are usually well concealed in the bra or bikini after healing.

I-cut (lollipop method)

The so-called lollipop incision is a less scarring variant. With this method, the incision is only made around the areola and vertically downwards – without a horizontal scar in the underbust crease. The I incision is particularly suitable for moderate breast reductions and firm skin tissue.

Periareolar incisionForvery small corrections, an incision can also be made exclusively around the areola – the so-called periareolar incision. This technique saves a lot of scarring but is not suitable for all breast shapes. The method is not suitable for larger breast reductions.

Will the scars be visible later?

It is understandable that you are concerned about scarring. But we can reassure you: Scars after a breast reduction are barely visible in the long term.

At CenterPlast, we make sure that the incision is as inconspicuous as possible. This means that the scars later disappear in the underbust crease through the natural fold of skin, and in most cases they fade completely around the nipple over time.

However, how well the skin ultimately heals also depends on the individual skin type, genetic predispositions and the right aftercare. We will inform you in detail about scar care after breast surgery.

Almost invisible scars – our special procedure at CenterPlast

At CenterPlast, we place particular emphasis on achieving aesthetically pleasing results with minimally visible scars. Our success is based on a microsurgical approach that relies on experience, precision and the latest technology.

• Hidden scars for a harmonious result:
  We make incisions where they will later be concealed by the bra or the natural anatomy. Our goal: a naturally shaped, smaller breast with barely visible traces of the operation.
• Microsurgical precision as the key to minimizing scars:
  Thanks to the use of very fine instruments and a highly magnified view, we work with maximum precision. This means less tissue trauma, less tension on the skin and therefore significantly improved wound healing. This allows us to minimize scarring right from the start.
• Our suturing technique for a gentle, inconspicuous scar:
  We use a special suturing technique in which the skin is joined together without tension. This reduces the risk of bulging scars. The use of self-dissolving sutures also eliminates the need to pull the sutures. This prevents rough puncture marks from remaining visible.
  

Healing process – how the scar develops after the operation

Wound healing and scar maturation are a dynamic process that takes several months. If you are aware of and support this process, you can do a lot to ensure that the scar is as inconspicuous as possible. Below we give you an overview of the healing process after breast reduction.

The first 48 hours after the operation

Immediately after breast surgery, your body will begin to heal. It is completely normal for slight swelling and a feeling of tightness to occur during this time.

The wound dressing protects the operated region and prevents the penetration of germs. The basis for a scar that is as inconspicuous as possible is already laid at this stage – through protection, sterile conditions and avoiding traction on the skin.

Week 1-6: Wound healing and scar maturation begin

In the first few weeks after breast reduction, the scar often appears red and slightly raised – this should not worry you; it is part of the natural healing process. Your body forms new connective tissue, which is gradually stabilized and remodelled.

Make sure you take it easy physically during this phase and wear a compression bra. The better your breasts are supported, the less movement there will be on the fresh scar – and this optimizes the healing process after your breast reduction and improves the final result.

Depending on how the healing progresses, you can usually resume light everyday activities after about 2 weeks . However, sporting activities and heavy lifting should be avoided for at least 6 weeks.

From week 6: Scars become flatter and lighter

From around the sixth week, your skin starts to break down excess scar tissue. The redness subsides and the scar becomes softer and flatter.

Now is also the ideal time to start with gentle massages and supportive creams. These measures promote blood circulation, improve the elasticity of the tissue and help to prevent excessive scar tissue.

Breast reduction and drains: what you need to know

During every operation, small amounts of wound fluid or blood escape from the tissue. Drains are used to drain this fluid and thus prevent bruising or swelling. This is because too much fluid can disrupt the healing process and, in rare cases, lead to infections – drains effectively prevent this.

Drains are usually removed within 24 hours of the procedure. This is uncomplicated and is usually perceived as painless.

Surgery without drains – our approach at CenterPlast

Thanks to our microsurgical hemostasis, it is possible in many cases to dispense with drains during breast surgery. We decide whether these are necessary on an individual basis during the operation – depending on the condition of the tissue and the tendency to bleed. The drainage tubes are usually removed the following day.

Scar care after breast reduction – how to make them almost invisible

Proper aftercare following breast reduction is an essential part of successful healing. With the right care, the scars can be kept soft, flat and pale – they are often barely recognizable later on.

Initial measures in the weeks following the operation

Immediately after your operation, a sterile dressing protects the fresh wounds. As soon as the wound has finished healing, you can start with scar care.

Silicone gels or patches help to keep the skin supple and prevent the formation of excessive scar tissue. At the same time, the compression bra reduces the tension on the scar – this is crucial for a smooth end result.

The best methods for scar care

Special care products with ingredients such as panthenol, vitamin E or allantoin promote cell regeneration and make the tissue elastic. Gentle massages along the scar support blood circulation.

Sun protection also plays a key role: UV radiation can permanently darken young scars. You should avoid direct sun exposure for at least a year.

When do you need scar correction?

In a few cases, hypertrophic scars or keloids – bulging, excessive scar tissue – can occur despite optimal care. In such cases, medical procedures such as laser treatments, microneedling or surgical scar correction can help. Whether such a measure is necessary is decided on an individual basis during aftercare.

At CenterPlast, we can reduce complications such as excessive scarring right from the start. Thanks to many years of experience and microsurgical precision, we can offer you a treatment with barely visible scars.

Frequently asked questions about scarring after a breast reduction (FAQ)

Book a breast reduction consultation now!

Do you want a smaller, harmoniously shaped breast – without noticeable scars? Let our experienced specialists advise you individually. In a personal consultation, we will show you what options are available to realize your wishes gently and aesthetically.

• Non-binding consultation
• Microsurgical operating technique for minimal scars
• Many years of experience & maximum precision

We look forward to getting to know you.