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Can a Scar from Heart Surgery Be Made Smaller?

I had heart surgery last April. I'm 42 years old and the scar is small from the top but huge at the bottom. What can be done to minimize this scar and when can I seek treatment?

Asked 26 months ago by preciousN in Atlanta,GA
Sort 6 expert answers by:
+2

Sternotomy scar

There are many fine plastic surgeons in Atlanta who can evaluate your incision and can determine if there are any ways to make it thinner and less noticeable.  If your heart is fine now, it is reasonable to visit them and ask. 
Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
+1

Heart surgery scar

 The scars after heart surgery can become red, hard , elevated & wide. The earlier the treatment, the better off the results. A combination of intra-lesional corticosteroid injection & freezing with liquid nitrogen [cryo therapy], give very good results with barely-noticeable scars.
Khaled El-Hoshy, MD
Detroit Dermatologic Surgeon
+1

Chest scar

Scars from heart surgery can certainly widen. This is a fairly common thing. Sometimes a scar revision can be performed with or without steroid injections to improve the quality of the scar.
Steven Wallach, MD
Manhattan Plastic Surgeon
+1

Chest scar treatment options

There are various treatment options for a chest scar that you describe, and most commonly intralesional cortisone is employed. Occasionally surgical scar revision is used, or dermabrasion, or even fractional laser. Silicone gel sheeting can provide some modest improvement as well. The scar should be assessed by your local friendly dermatologist or plastic surgeon and then the best treatment option can be determined.
Benjamin Barankin, MD
Toronto Dermatologist
+1

Large scar on the chest

After a bypass procedure it is not unusual to have a very noticeable scar on the chest since this area routinely scars poorly. It is also difficult to improve. After your heart surgeon says you may be treated to improve this scar then you may want to go to a Plastic Surgeon to see if it can be improved. There are some options such as steroid injections(kenaloge) and topical items such as silicone and surgical excision. The scar may be a keloid which is a more difficult problem but it is... more
Walter D. Gracia, MD
Arlington Plastic Surgeon
+1

Improvement and narrowing of Heart Surgery (Sternotomy) Scar

Since the same surgeon closed both the top as well as the bottom of your chest scar, it may be safe to assume that something took place which allowed or led to the scar widening. Usually, this area of the body is always tugged on since every arm movement results in pulling across the chest. If your Heart surgeon approves, I would see one of the many gifted colleagues we have in Atlanta and have him / her revise the scar. Providing you are not taking immunosupressing medications, you... more
Peter A. Aldea, MD
Memphis Plastic Surgeon
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