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Reducing Hypertrophic Scar from Open Heart Surgery?

asked 3 years ago by jhonsouthtexas in san antonio tx
Latest answer by Robert L. Kraft, MD
Question viewed 2,370 times
Tags: raised, scar tissue, surgery scar

I had open heart surgery due to accident not internal problems. A hypertrophic scar formed in the middle of scar; it formed fine then turned flat and white. I did 585 pulsed dye and steroid injections and for the most part, scar has flattened, more so on top of scar than bottom. I want to recut the bottom of the scar, and a plastic surgeon said they would do a two layer stitch this time before they just stapled me down. Then after, apply aldara and maybe injections to be on the safe side. What you guys think?

4 answers to Reducing Hypertrophic Scar from Open Heart Surgery?

+1

Scar revision after cardiac surgery

The chest is notorious for formation of hypertrophic scars. I agree that surgical excision would be appropriate and also recommend that you begin with a small segment of the scar and then evaluate whether this produces improvement. If so, you can continue to undergo revision of the remaining portions of the scar. Serial excision produces a small ultimate scar,which is desirable. Additionally, I would not use staples whatsoever in this area. Suturing the... more
Robert L. Kraft, MD

New York Plastic Surgeon
+1

Scar revision might work

Scar revision sounds reasonable. I am not so sure about using Aldara on it afterward though. Get a few opinions before proceeding maybe. Best Regards.
John P. Di Saia, MD

Orange Plastic Surgeon
+1

Hypertrophic scar from open heart surgery

I think that Aldara and cortisone injections (+/- 5-fluorouracil), the pulsed-dye laser, post-surgical massaging of the scar as well as silicone gel sheeting are useful adjuncts to scar revision.  Good luck.
Bryan K. Chen, MD

San Diego Dermatologist
+1

Hypertrophic scar management

There is always a chance of having the hypertrophic scar come back again despite all the attempts. It is worth trying if it is bothering you .Your doctor is giving you all the right options. I'm not sure about the stapling part; it is better not to staple and close with the 2 or 3 layers. I would also add silicone sheets early after revision.
Hisham Seify, MD, PhD

Los Angeles Plastic Surgeon

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