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What Are my Options for Raised Keloid Circumferential Tummy Tuck Scar from 5 Years Ago? (photo)

Following a large weight loss I had a tummy tuck performed 5 years ago. A year later, I had the tummy tuck extended circumferentially and the front portion of the TT scar revised by a different surgeon. I just had a brazilian butt lift procedure and am happy with my results, however, my scar is even more raised up, thick, and noticeable than before, even through some clothing. The scar is very sensitive and hurts to touch. What are my options both surgical and non surgical to flatten the scar?

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7 Doctor Answers | Asked by 6765

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Scar Revision for Hypertrophic Buttock/Back Scars

Given that this is an established scar, it is not likely much will work other than re-excision of the scars over the visible portions around and across the buttocks. Given that this scar revision will not be placed under too much tension, unlike the original procedure, your risk of recurrent hypertrophic scarring (this is not a keloid) should be low.

Treatment of a 5 year old hypertrophic scar

First you do not have a keloid scar this is a hypertrophic scar. The difference is that a keloid scar will continue to grow outside of the normal boundaries of the normal scar destroying normal skin. A hypertrophic scar is a variation of a normal scar and is usually due to excessive tension. This seems to be cause of the scar in your case. At this point the best option would be for a scar revision, possibly in segments this would help to relieve some of the tension on... more

There are multiple nonsurgical treatments for hypertrophic scars or Keloids.

There are multiple nonsurgical treatments for hypertrophic scars or Keloids. It appears you have a keloid scar from an extended abdominoplasty and body lift. The conservative nonsurgical treatment would include compression with a compression garment. I would also use topical silicone cream. There are many scar creams that profess to improve scarring. However, there are very few creams with silicone in them. I believe the best active ingredient for keloid prevention is silicone. Another... more

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Raised Keloid Scar..

Your best option is to get kenalog injections, there are no good surgical options for this scar revision.

What Are my Options for Raised Keloid Circumferential Tummy Tuck Scar from 5 Years Ago?

First you do not have a keloid scar! The scar is slightly hypertrophic and spread. A scar revision could alleviate your issues.

Options for Raised Keloid Circumferential Tummy Tuck Scar

At five years, the remedies available are less likely to work than if treated earlier. It seems that the TT incision was revised and then recurred with hypertrophic scarring. If you haven't tried the over the counter scar creams I would start there. The "gold standard," which is not to say that it works all the time, is kenalog injection, which your surgeon or dermatologist can do, usually with three treatments two weeks or so apart. Since it seems that the TT incision... more

Raised Scar After Circumferential Lift

If the Brazilian buttlift was done within the last few weeks or months, this may account for the increase in scar prominence and sensitivity. Depending upon the stage in healing, steroid injections may help. The scar can be excised once healing is complete and combined with steroid injections. Radiation therapy following scar excision has the highest success rate, but this can be impractical and expensive.

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