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Post-burn scars are a long-lasting issue for affected patients. Breast scarring is an esthetic concern for patients, even though the scars are not located on a frequently exposed body part. In particular, breast scars have a negative impact on women’s self-esteem and body image. Therefore, it is important to try to leave as few traces of burn injuries as possible. Treatment methods for breast burns usually include skin grafting or a local cutaneous flap. However, skin grafts have several disadvantages, including color mismatch, hypertrophic scarring, graft contracture, a patchwork appearance of the breast, and non-elastic skin texture. Fig. 1 shows an example of an unfavorable scar. For this case, we chose a skin graft procedure for the left breast. At the 3-month follow-up, the scar showed a hard texture. The scarred skin displayed a rough and patch-like appearance and a different color. Since scars develop after burn lesions, local cutaneous flaps have disadvantages, such as leaving a visible hypertrophic scar and discoloration. In either case, the scars resulting from the local flap are undesirable. To reduce scar visibility starting at the early stage of treatment, we used a periareolar incision method similar to that of periareolar reduction mammoplasty. We present cases of breast burns involving the nipple-areolar complex treated using our technique, which yielded better scar outcomes.

The periareolar excision technique for improved scars in breast burns