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Armando Soto, MD answers: Treating scar hyperpigmentation after Tummy Tuck

Ten weeks ago I had a full Tummy Tuck, and 4 weeks after, I had a small correction of hematoma that didn't heal and the skin was peeled off. Around this correction, hyperpigmentation started, and now it looks really ugly. Is it normal to get hyperpigmentation in this area post-Tummy Tuck, and will it fade away in time? What can I do to make it disappear?


Armando Soto, MD
11 months ago

Hi-

I understand your concern about your scar- but your interests and final outcome will be best served by exercising as much patience as you can muster... human scars mature over the first 12-18 months after they are created, meaning that for that time period, the scars will improve in appearance on their own (even if nothing were done). After this time period, you can be confident that no further improvement will occur, and intervention would be appropriate.

I don't blame you if you don't want to wait that long to see some improvement, but because the scar will be undergoing this improvement over that time, anything you do will affect this normal maturation process- so be careful, and don't be too aggressive too early in the process.

I usually recommend simple, easy, low risk scar treatments first- even if you don't get the complete improvement you wanted from them, the low risk nature of these options will mean it's unlikely you'll regret them later too- and you haven't burnt other bridges either. Examples of these kinds of simple things are Scarguard gel, Silicone tape, and Abdo-patches (from Medical Z).

If these interventions don't give you the improvement you want, then you can consider IPL (intense pulsed light) treatments or other options like bleaching creams.

Remember- the scar is likely to improve significantly on its own- the best thing to do is to try not to get in its way.

Happy Holidays!

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