Breast surgery scar reduction may involve different treatments depending on the scar’s thickness, texture, pigmentation, location and healing characteristics. Options may include fractional CO₂ laser, platelet-rich plasma (PRP), Rejuran, steroid injections or surgical scar excision. These treatments work in different ways and are selected according to individual clinical needs.
Fractional CO₂ Laser
Fractional CO₂ laser delivers controlled energy to microscopic areas of the skin, stimulating a healing response and collagen remodelling. This may help improve selected scars by reducing textural irregularities and promoting smoother skin over time.
Platelet-Rich Plasma (PRP)
PRP is prepared from a sample of your own blood and concentrated to contain platelets and associated growth factors involved in tissue repair. It may be considered alongside fractional CO₂ laser in selected cases, although the evidence for additional improvement in surgical scars varies.
Rejuran
Rejuran is a polynucleotide-based treatment that may support skin quality and repair processes. It may be considered as part of a combination approach in selected cases. Evidence for its effectiveness in breast surgery scars remains limited.
Steroid Injections
Intralesional steroid injections may be considered for selected raised, thickened or hypertrophic scars and some keloid scars. They work by reducing excessive inflammation and collagen production within the scar, which may help soften and flatten the tissue. Potential side effects include thinning of the skin, changes in pigmentation and small visible blood vessels.
Surgical Scar Excision
For selected scars that are significantly widened, irregular or unsuitable for other treatments, surgical excision may be considered. This involves removing the existing scar tissue and carefully closing the wound. A new scar will form, and the final appearance depends on healing, scar location and individual factors. Surgery is not suitable for every scar and may carry a risk of recurrence or further scarring.
Individualised Treatment Approach
Depending on the scar, one treatment or a combination of approaches may be recommended. The aim is to improve the scar’s appearance rather than remove it completely. A clinical assessment is required to determine the most appropriate option, including whether the scar has healed sufficiently for treatment.