As a plastic surgeon who has treated this problem in the past, I understand concerns about the appearance of an inframammary fold (IMF) scar on the breast shortly after breast augmentation. While the IMF incision is a common technique used in breast augmentation, the development of a visible scar on the breast itself can be influenced by several factors. Here are some potential causes:

  • Poor Scar Healing: Individual variation in scar healing can lead to the formation of a visible scar. Factors such as genetics, skin type, and wound care can contribute to how scars form and mature.
  • Tension on the Incision: Excessive tension or pressure on the IMF incision site during the healing process can result in a widened or hypertrophic scar. This can occur due to inadequate support for an overly large implant or improper postoperative care.
  • Keloid or Hypertrophic Scarring: Some individuals are more prone to keloid or hypertrophic scarring, which can cause raised, thickened, or reddened scars. These types of scars can occur even with proper wound care.
  • Infection: In rare cases, an infection at the incision site can lead to delayed wound healing and potentially result in a more noticeable scar.
  • Initial placement: If the incision is placed too high at the time of augmentation, the position of the scar may rise. This can result if the implant has a larger volume than recommended or if the implant’s affect on incision location was not first considered.
  • Implant malposition: Sadly, this is not uncommon. If the implant was too large, it was placed improperly or the breast support structures were compromised during initial surgery, the scar can rise onto the breast itself as the implant migrates down the chest wall.

It is important to consult with a board-certified plastic surgeon for a thorough evaluation. At Blue Ocean Plastic Surgery, our team would assess the scar and consider various factors to determine the best course of action. Treatment options may include scar revision surgery, laser therapy, or other scar management techniques tailored to your specific situation. 

If this is your concern or you have other questions, a thorough evaluation by our team is the first step…call us at 239-688-2677 to schedule a consultation today.

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