These can be difficult problems. If you have not tried kenalog injections and silicone based scar products, this would be a good time to start, before considering surgery.
Since you already have tattoos in the region, concealing with addition artwork may be a better alternative to surgery. All the best.
I would think that this should be discussed with your plastic surgeon. You have a definite concern. The scar seems to have formed keloids but in addition, the opening seems too large. It will not accent a nice tummy tuck.
It would seem to me that you need a scar revision and a decrease of the opening size. If you shorten the stalk and then insert the outside skin of the abdomen with a smaller opening, then you might improve the appearance. If a keloid forms within the opening, then it will not be as noticable as yours seems to be.
Direct discussions with your plastic surgeon to see the best options for you.
One year post op is a very reasonable time to consider scar revision. Your should visit with your surgeon to discuss your options, of which there are a few - steroid injection, laser and surgery.
The quality of scar is a genetically condition.
In my humble opinion your navel can be revised and do several things: remove the thick scar (and there are high chances of relapse), attach the navel to the muscle to make the scar go inside where be less visible and make the nave smaller BUT, you will need a little vertical incision (as a small lollipop) in order to accomplish a smaller navel.
Another option: a tatoo.
Revising a scar of this nature may not produce any improvement, no matter who the surgeon is.
Kenneth Hughes, MD
Los Angeles, CA
This can be a very risky procedure, as you appear to form hypertrophic scars. Any further excision may widen the bellybutton and make the scar worse. I would start with kenalog injections and frequent massage. There is also the more unconventional option of scar camouflage with tattoo. If you do proceed with surgical revision, a better option may be elevating the abdominoplasty flap and readvancing the flap and creating a new umbilical opening for the umbilical stalk. The old opening would be closed as vertical line or scar underneath the new one (I hope this makes sense). Best wishes!
Might be worth a try. But always understand a revision could also worsen the appearance. Call this a risk vs benefit issue... Fee under local $1,000...
This is a difficult problem to deal with. Often times, surgical revision of this will result in a similar outcome. I would recommend cortisone injections followed by flash lamp tunable dye laser. Surgical revision might become a possibility at some point but there is too much scar activity at this point to attempt this. If you can get the scar to quiet down with the conservative measures (or the passage of time), then your chance of success could increase.
Best of luck,
Dr. Douglas Hargrave
Belly scars are sometimes difficult to correct. If your belly button is deep and there is some skin laxity around your belly button a belly button revision may be beneficial. If that is not the case you may want to start out with Kenalog steroid injection and see if the scar appearance can be improved.
All the best,
Dr. Remus Repta
Hypertrophic scars or keloid scars can respond to steroid or pressure treatments to reduce their appearance. Hypertrophic scars improve with surgical revision about half the time and keloid scars can come back even worse. You should discuss the treatment options with your plastic surgeon.