How to Effectively Remove Breast Augmentation Scars and Underarm Scars | [Yonsei Star Dermatology Sinchon]

Scars remaining in the underarm or inframammary fold after breast augmentation are marks that occur when the skin is damaged during the incision process to insert implants. The first question that usually comes to mind before surgery is, "Can I get rid of this scar?" The conclusion is that it is reported to be possible to improve scars to be less noticeable by treating them according to their color, shape, and time of occurrence.

Interest in plastic surgery is expanding beyond the face to areas that enhance the completeness of the body line. Among these, the breast area is of particular interest. However, an incision is required to insert implants in the process of creating the desired line, and if the skin is damaged, the possibility of scars remaining increases.

Wherever possible, the incision site is chosen to be less noticeable. Since surgery usually proceeds in the direction of expanding size, incisions are often made in the underarm or inframammary fold area.

Since the incision is made artificially, the scar usually takes on a linear shape. Initially, it appears red, then turns white over time, exhibiting the typical characteristics of a scar. However, there is a perception that marks tend to remain relatively well.

This is deeply related to skin tension. Simply put, the more a part of the body moves, the more it is stimulated, increasing the likelihood of a larger scar. After surgery, as weight is added and the area moves frequently in daily life, scars can become noticeable over time, even if the incision was made along the line.

In a broad sense, incision marks in the breast area have the characteristics of both Surgical Scar and Cosmetic Surgery Scar, so distinguishing the scar type first becomes the starting point of treatment.

If the scar is in the form of a red line, it is likely still in an early state. In such cases, vascular laser (Vbeam Prima) can be used to alleviate the redness. If performed early, it can shorten the treatment period and help prevent the scar from becoming larger.

It is possible to proceed after about 1-2 weeks post-surgery, once the stitches have been removed. If you are sensitive about scars, it would be good to keep the following points in mind:

• The period immediately after stitch removal is a good time to start managing redness.
• A period to reduce excessive movement to prevent the scar from being irritated.
• A stage to regularly observe the progress to see if the color is fading.
• A point in time to consult with medical staff again if changes in color or shape are observed.

If you are curious about scar stages or management methods, you can easily check by contacting us via chat for scar stage-specific treatment consultation.

If the scar color turns white or the line shape becomes prominent over time, treatment proceeds in a direction that activates skin regeneration. Pinhole for Burn & Surgical Scar, which creates deep and dense micro-holes in the scar area, can induce regeneration while minimizing skin damage.

It is reported that if performed after checking for equipment that delivers powerful energy to the dermal layer, such as Ultrapulse Encore or StarLux, and whether there is sufficient knowledge and experience to perform dense treatment, improvement effects can be expected to make breast augmentation scars less noticeable, even if they have been present for a long time.

Depending on the individual's constitution, there is a possibility of keloid scars forming. In this case, it is reported that combining laser treatment with injection therapy, rather than injection alone, helps alleviate the prominent shape and reduce the risk of recurrence. If the scar is raised or firm, it is advisable to consider the characteristics of Keloid Scar and Triamcinolone Scar Injection together.

In the examination room, even with the same surgery, the way scars settle varies quite a bit from person to person.

The appearance of scars after breast augmentation can also vary depending on the person and their constitution. While it is best to start laser treatment early, improvement can still be expected even after some time has passed, so you don't need to worry too much about the timing of treatment. For deep and established scars, methods that refine the shape itself, such as Surgical Scar Revision, can also be considered.

Many people decide to undergo surgery, taking various risks for a better appearance. Knowing in advance how to resolve concerns about scar marks can bring a great deal of peace of mind.

We hope you safely complete everything from surgery to scar treatment and maintain your desired appearance for a long time.

Chief Director Lee Sang-joo (MD, PhD, Yonsei University College of Medicine and Graduate School, Completed Dermatology Residency at Severance Hospital, President of the Korean Dermatological Association) Chief Director Lee Sang-joo's Profile First Published 2025-04-28 / Last Reviewed 2026-06-16

Scar patterns and treatment responses may vary individually, so please confirm an accurate diagnosis and treatment direction through consultation with medical staff.