Marin Scar Removal doctors

	Steven H. Williams, MD San Francisco Plastic Surgeon 4000 Dublin Blvd Suite 300, Dublin		11 answers
	Keith Denkler, MD Marin Plastic Surgeon 275 Magnolia Ave, Larkspur		1 answer
	Miguel Delgado, Jr., MD San Francisco Plastic Surgeon 450 Sutter Street Suite 2433, San Francisco
	Karen M. Horton, MD San Francisco Plastic Surgeon 2100 Webster Street Suite 506, San Francisco
	Terry Hand, MD Marin Plastic Surgeon 900 S Eliseo Dr Suite 103, Greenbrae

Recent Answers

Is Repair of Diastasis Recti Possible During Scar Revision? (photo) Hi I am 6 weeks post-op from a full tummy tuck & want my PS to do a scar revision on me at the 6-12 month mark as my scar is very high ( he doesn't seem very willing to do it). He also did not do repair on my diastasis recti and I have a 3 finger separation. ( I have very good skin skin with no stretch marks from pregnancy) if I can convince him to do the scar revision would I be able to have my muscles tightened/ sewn together at same time? Would my skin need to be peeled back to ribcage again?

A: Abdominoplasty revision and rectus plication

Thanks for your great question -

In reviewing your pictures it appears likely that you may benefit from scar revision. Certainly rectus plication or even re-plication can be performed at this time. It will require re-elevation of the abdominoplasty flap to the subcostal margin (up to the level of your ribs).

You may find the re-operation to require a longer recovery if it includes the plication.

Be sure you completely discuss your options with your surgeon and if you are uncomfortable with the response or plan be sure to get second or third opinions.

I hope this helps!

Steven H. Williams, MD

San Francisco Plastic Surgeon

Are Steroid Injections for Keloid Scars Painful? I read somewhere that it is painful to get steroid injections to treat keloids and sometimes it burns. Is this true?

A: Reducing Pain of Keloid Injections

Thank you for your question.

As with all injections, steroid injections for the treatment of keloids can be painful. In our San Francisco Bay Area Practice we combine our steroid injections with lidocaine (numbing medication) to decrease the discomfort for our patients. For those who are extra sensitive to injections a topical numbing medication may be used in addition.

I hope this helps.

Steven H. Williams, MD

San Francisco Plastic Surgeon

Keloids Growing Back After Removal I have keloids that were surgically removed. Within a year, they grew back even larger. If I get them removed again, will they keep growing back? What causes this?

A: Treatment for Recurrent Keloids

Thank you for your question.

Keloids are formed as a result of irregular, dense collagen redistribution after injury or surgery and have a high recurrence rate.

Ways to help minimize the rate of recurrence following surgical removal of keloids are steroid injections at the time of removal and subsequently at 4 week intervals, silicone sheeting, and pressure dressings. Other common treatment options for recurrent keloids are cryotherapy (freezing), radiation, and laser treatment. A multitude of additional, less common treatment options exist if traditional methods fail.

I hope this helps.

Steven H. Williams, MD

San Francisco Plastic Surgeon