Kirkland Scar Removal doctors
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Philip Young, MD
Bellevue Facial Plastic Surgeon
1810 116th Ave. NE Suite 102, Bellevue |
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23 answers |
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Lisa L. Sowder, MD
Seattle Plastic Surgeon
Suite 1650 901 Boren Avenue, Seattle |
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2 answers |
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Henri P. Gaboriau, MD
Seattle Facial Plastic Surgeon
22840 NE 8th St. #103, Sammamish |
1 answer | |
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Robert M. Grenley, M.D.
Seattle Plastic Surgeon
600 Broadway, Seattle |
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1 answer |
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Thomas A Lamperti, MD
Seattle Facial Plastic Surgeon
1101 Madison Street Suite 700, Seattle |
1 answer |
Recent Answers
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?
Your scar does appear high. I see this not infrequently. Some plastic surgeons will raise the position of the scar so that they can get rid of the old belly button hole. In someone with enough loose skin above the belly button, the old belly button hole (from the release of the BB from the surrounding skin) will move down far enough to remove it with all of the excess skin. If the skin above the BB is not that loose, then it will not advance this much. I leave the long tummy tuck scar down low where it belongs and simply close the old BB hole with a short vertical scar. In my opinion, this is better than raising the whole long tummy tuck scar too high simply to avoid that short vertical scar. That is my opinion, other surgeons may feel differently.
If you are having a scar revision in order to significantly lower the position of the scar, you will need to have a fair amount of skin laxity above the scar to get it to advance inferiorly. You may develop some laxity over time (a year, a few years?) but I doubt if you have much right now. So, unless your skin above the scar is currently much looser than it appears in your photos, do not count on much lowering of that scar from a scar revision.
In order to do a proper repair of your diastasis recti, the abdominal skin would need to be raised up near the ribcage again in order to expose the full length of your diastasis. Also, you appear to have a fairly thick subcutaneous fatty layer contributing to your abdominal protrusion, at least by what I can tell without examining you. Thick subcutaneous fat, as well as excess intra-abdominal fat, which can only be reduced by dieting, will work against you getting a flat tummy even with a revision and diastasis repair. The thinner you are, the better muscle/fascial and skin tightening, the better advancement and lowering of your scar, etc. Without that, do not count on a scar revision and diastasis repair doing that much. Perhaps a second opinion with a thorough examination would be helpful.
After a nose excision with sutures, what are some reasons the skin would open after removing the sutures? Is this likely in the nose? How to prevent it?
It is possible that the tension on the incision closure was such that it separated after removing the sutures. There are other medical conditions that can hinder wound healing so this may be a factor as well.
Depending on how the scar looks it may be able to be made less visible with scar revision. This could involve either excision the old scar and/or performing dermabrasion to smooth the area.
A year ago my baby at 8 months got a puncture on his cheek. I tried to get a plastic surgeon but the hospital would not call one. I let the er doc glue the puncture but I feel he did not close it properly. The scar is 4 months old, still very pink and looks wide. I have been doing massage, applying sunscreen every day, and applying silicon gel every night. He is almost a year. At what age is a revision possible? I do not want to make it worse but read it will widen even more as he grows.
4 months is too early to judge. This pink and wide description will likely get better. At this time I would consider silicone gel to the area for the next 6 months or a year to see if that helps. Silicone gel is one of the only options that have been shown to make a significant difference based on scientific study. Also treatment of a baby this young is fraught with risks with anesthesia etc. Below is a video for you to watch and a link to see more informative videos:
