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4 Weeks Post- Tummy Tuck. Prone to Hypertrophic Scarring. Suggestions?

asked 1 year ago by anon6066
Latest answer by David L. Abramson, MD
Question viewed 398 times
Tags: 1 month post-op, healing, hypertrophic, keloid scar

I Had a Ftt 4 Wks Ago with Plication of the RA. I generally get Keloidal(hypertrophic ) scarring. What steps and for how long should I take to minimise this? Is there anything that I can take orally that helps in wound healing e.g. MSM?

8 answers to 4 Weeks Post- Tummy Tuck. Prone to Hypertrophic Scarring. Suggestions?

+2

Poor scarring after abdominoplasty

Unfortunately due to the high tension that one can get after an abdominoplasty, scars can become prominent and thickened (hypertrophic). The most effective means of flattening a scar is the use of silicone sheeting. I usually recommend patients to start using these at 3 weeks. This should be continued for about 4 months. One of the most important adjuncts to this is the compression of the silicone sheeting. We usually give our patients a stretch belt to wear over the sheeting. For very tough... more
Sepehr Egrari, MD

Seattle Plastic Surgeon

www.egrari.com

+2

Scar Management after Abdominoplasty

I would suggest continous silicone scar sheet application starting two weeks after surgery for three months plus monthly evaluations by your plastic surgeon for potential Kenolog steroid injections and/or laser therapy.
Stephan Baker, MD

Miami Plastic Surgeon
+2

Use of silicone sheeting can help minimize the development of keloids/hypertrophic scars

Individuals like yourself who are prone to keloids or even hypertrophic scar formation should use silicone gel sheeting, usually starting at 3 - 4 weeks following surgery and continuing for several months. It should be applied for the majority of a 24 hr period. There is nothing that can be taken orally that will prevent you from developing these abnormal scars. However, I do recommend taking high dose Vit C. and a high protein diet for several weeks to help in the overall healing process. more
Steven Turkeltaub, MD

Scottsdale Plastic Surgeon

www.turkeltaub.com

+2

Tummy tuck and prone to hypertrophic scaring

This is a great question.  There are a lot of people prone to hypertrophic scarring that are scared about the length of the scar related from a tummy tuck.  I would guess that you spoke with your surgeon about this issue and her had some recommendations for you, and with everything in plastic surgery, you will find that there are multiple answer for a single question. My person recommendation is to immediately start using silicone sheeting across your entire incision. I am... more
Gordon Lewis, MD

Richmond Plastic Surgeon
+1

Tummy tuck

Every plastic surgeon has thereon recommendations for treating scarring. I use a variety of thing. Me derma, scar guard and silicone sheeting. They all probably help
David L. Abramson, MD

New York Plastic Surgeon
+1

Tummy Tucks and Scars -- How to Sort it Out

Scar issues in tummy tuck surgery Many patients want the dramatic improvements in body contour that a tummy tuck can provide, but they are afraid of having bad scars or scars in a bad location. How to sort it out Scar Location -- Take a careful look at the before and after pictures on plastic surgeon's websites, particularly for patients that look like you. My general "starting point" for a Tummy Tuck or Body Lift scar starts low in the pubic area and stays low, but... more
Nick Slenkovich, MD

Denver Plastic Surgeon

www.ColoradoPlasticSurgery.com

+1

Tummy Tuck with Hypertrophic Scarring

I too recommend the use of silicone sheeting or silicone gels to try to prevent hypertrophic scarring.  I think you can use these products now if you are otherwise healing satisfactorily 4 weeks post-op.  If you still develop hypertrophic scars, there are injections which can be done to improve them.
John Whitt, MD

Louisville Plastic Surgeon
+1

Tummy tuck and hypertrophic scarring

I treat a lot of patients with darker skin types, many of whom are prone to hypertrophic scarring. I generally find that cordran tape works really well. You can only get it by prescription though, so you need to ask your doctor.
B. Aviva Preminger, MD

New York Plastic Surgeon

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