I am going to have a tummy tuck and I know their will be a scar I was just wondering...as far as the best results when it comes to the outcome of your scar which is better for the outer layer of skin stitches or glue?
What Helps a Tummy Tuck Scar Result- Stitches on the Outer Layer or Glue?
Doctor Answers (11)
Tummy Tuck Scar can be improved with stitches under skin, massage, Scar Guard, and 1540 Erbium Laser
The most important factor in the final appearance of a Tummy Tuck scar is the skill and careful technique of your surgeon.
I have found the following helpful in improving the Tummy Tuck Scar:
- Careful fastidious surgical technique
- Avoid extreme tension during closure
- Subcutaneous (under the skin ) everted suture closure
- Gentle massage of scar starting at 2-3 weeks post op
- Topical Application of Scar Guard solution
- Treat redness with IPL-Intense Pulsed Light at 6 weeks
- If scar lumpy or raised treat with 1540 Non ablative fractional Erbium laser
Remember studies have shown that all surgical scars are pink for an average of 7 months.
Getting THE BEST Tummy Tuck Scar - Stitches or Glue?
The KEY to getting a GREAT Tummy Tuck scar is getting a great Plastic surgeon who is compulsive about getting great results. When removing excess tummy skin, the remaining skin not only must be able to come together and allow for skin closure but the closure must be under no skin tension. Persistent pulling on the skin results in a wide, pulled ugly scar. For this reason, we closure the tummy tuck wound in several layers; with the deeper layers of stitches taking up and resisting any pulling so that there is no pulling on the skin surface. Personally, I like to close the skin with a non-reacting, noninflammation causing, dissolving stitch which brings the skin together under no tension. I then use gle both for added support but to avoid having to use dressings (which would stick to the wound) which seal the wound allowing you to shower the next morning. The result - good looking scars.
Stitches or glue for tummy tuck scar?
Thank you for your question. What matters more is a well-approximated tension-free closure. If the deeper layers of suture do an excellent job of approximating the dermis (deep layer of skin), then the surface layer can be either glue or a running, buried intracuticular suture (no stitches on the surface seen).
If there is tension on the surface layer, then there is a chance that you scar will widen or thicken. I hope this helps.
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Stitches or glue for tummy tuck
There are studies which show in a tension free wound closure glue is as effective as sutures in skin repair. Surgeons most often place the tension of a wound closure on layers deeper than the skin surface to avoid scar spread. The skin can then be sealed with a subcuticular (hidden) suture and covered with a suture tape, or can be glued. Some even use a subcuticular suture and glue instead of suture strips. All can give an excellent result.
Best of luck,
Peter Johnson, MD
Web reference: http://www.peterejohnsonmd.com/tummy-tuck
Tummy tuck scar
The best scar results from a type of closure which does no leave suture marks but Glue I feel is inadequate for a Tummy tuck closure. The suturing is very important and then Biocornium is apple=ied for 12 week to improve the scars healing.
Abdominoplasty or Tummy Tuck Scar
The jury is still out on which sutures or stitches versus which absorbable staples or glue are better for scarring. There is no good evidence in medical science I am aware of that confidently resolves the question. Glue is sometimes useful for the outer layer but does not hold tension, so typically layers of suture are still needed beneath the skin.
Stitches vs Glue
I do not know of any data that demonstrates dissovable stitches vs glue being better. We do know that a no tension closure and no outside stitches will aide in the healing of the tummy tuck scar.
Best Scars are Achieved by Following Your Surgeons Advice
While I definitely have strong opinions about what gives the very best scars in my own patients, I know that my protocol may not be as effective within the framework of another surgeon's techniques, and vice versa.
It is therefore, not in your best interests to have anyone other than your chosen surgeon give you advice on what to do or not do with your incisions/scars.
Furthermore, it's probably not fair and would make your surgeon sad to know that your were asking for advice online instead of trusting his advice.
Your best bet is to carefully find a surgeon you like and feel you can trust with your safety and happiness, and then follow all of their instructions for what works well in their practice.
Web reference: http://www.DrArmandoSoto.com
Scars depend alot on the individual
The final results of your scars from tummy tuck operation depends on many factors, including the way the individual heals. However, there are some things that can be done to improve the appearance of the scars, including using dissolvable stitches along the incision without using external stitches, application of topical silicone pads or gel on the scars afterwards, avoidance of irritation or infection to the incision, avoidance of smoking before and after surgery.
Tummy Tuck Scar "Results"?
Thank you for the question.
There are many factors contribute to the final appearance of a scar after tummy tuck; the use of sutures versus glue are not among them.
For example, some patients are prone to develop keloid or hypertrophic scars despite the surgeon's best efforts. Some patients will develop superficial separations of the incision line, depending on the quality of the skin present (for example, stretched marked skin may not “hold” sutures as well as skin with normal thickness dermis).
On the other hand, the surgeon may be able to control the quality of the scar with attention to certain technical details. For example, it is important to take as much tension off the final layer of closure as possible- if tension is taken off the superficial layer (by using deep sutures) the incision may heal with a finer line scar. Avoiding excessive excision of skin may also help avoid tension upon closure of the suture line.
The use of silicone-based products (creams or sheeting) may also be helpful in achieving the best scars possible.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
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