There’s more than one type of incision (and more than one type of scar)
“Breast reduction, which is done to reduce the size of a woman’s breasts, usually includes removing skin and/or the breast tissue beneath it,” Gordon Lee, M.D., a plastic and breast reconstructive surgeon at Stanford Health Care, tells SELF. There are three incision types to do just that. Which one your surgeon chooses largely depends on how much excess skin and breast tissue needs to be removed. If you only need a small amount taken out, there’s the circumareolar incision—also known as a doughnut incision—which involves cutting around the areola and removing some of the surrounding excess skin. If you need to remove more loose skin and tissue than that, the next level up is the lollipop incision, which leaves a scar around areola and a second scar that goes straight down from the base of the areola. “When you sew it together, the final shape is like a lollipop,” says Lee. For more extensive reductions, there’s the Wise pattern, which has the same two incisions as the lollipop and an additional scar that runs along the underside, or crease, of the breast, creating a scar that resembles an anchor. In some cases, surgeons also tack on liposuction to help reduce breast tissue.*
During the formation of scars, the epidermal layers of the skin will produce high levels of moisture in an attempt to hydrate the scar site. However, most of this moisture evaporates once it reaches the stratum corneum, or upper layer of the skin. This moisture loss triggers keratinocytes in the skin to produce collagen. Left unchecked, excessive collagen production can lead to abnormal scarring.
Silicone Gel Sheeting in procedure specific configurations fully encapsulates the scar site, meaning that it completely covers the treatment site for even distribution of necessary moisture (hydration), and maximum exposure to oxygen. Although the entire site is covered, silicone is semipermeable, allowing oxygen to enter while maintaining necessary moisture. This is called “homeostasis,” otherwise known as an ideal healing environment.
Epi-Derm Silicone Gel Sheeting, provided by Contemporary Design Inc. is an ideal healing environment at the stratum corneum signals keratinocytes to scale back the production of collagen, thereby preventing abnormal scarring.