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Scar Revison Surgery Before Power Assisted Lipo (PAL) OR Vise Versa?

asked 10 months ago by Purplesquintz in Texas
Latest answer by Robert M. Lowen, MD
Question viewed 176 times
Tags: abdomen, depressed, opinion, timing

I have a 6 inch scar that is about 2 cm thick above my belly button that seems to have a"caved in" look. It also gives me a "tummy roll" look. I think (as well as the plastic surgeon I consulted)that the scar tissue is attached to the stomach muscle (starts with an "f") and that a scar revision procedure can help "smoothe out" the "caved in"/"rolled tummy"look but it wouldn't fix the "mild" fat around my love handles, upper & lower abdomen. Which procedure should be done first? Scar or PAL 1st?

3 answers to Scar Revison Surgery Before Power Assisted Lipo (PAL) OR Vise Versa?

+2

Timing of scar revision and liposuction

One of your goals would be to remove the adherence of the scar to the abdominal wall. Doing the liposuction prior to the scar revision would avoid any possibility of disturbing the scar revsion. I would allow three months or so to pass, letting all the reaction to the liposuction to decrease, then do the scar revision. There are alternatives, such as doing the liposuction and scar revision at the same operation, lipo first then scar, but doing a scar revsion on stable,... more
Robert M. Lowen, MD

Bay Area Plastic Surgeon
+2

Scar Revision

As you were apparently instructed by the plastic surgeon you consulted, your scar may be adherent to the abdominal wall (fascia / muscle), especially if the scar resulted from a prior abdominal surgery. If that is the case, which should be apparent based on the physical examination, then a scar revision involving removal of the current scar and release of the deeper scar tissue. The scar revision can be performed after the liposuction or simultaneously. Additionally,... more
Sean A. Simon, MD

Miami Plastic Surgeon
+2

What to do first...scar revision or liposuction

Greetings, You're an unusual case. Without knowing the specifics for why you have that scar in the location you do, my thought is that you could do the scar revision and liposuction at the same time. My plan would be do to extensive liposuction of the love handles and abdomen, perform a scar revision with probably skin excision, possible plication of the rectus abdominus muscle, and probable incision around the umbilicus (to avoid distorting its position on the abdominal wall).... more
Sam Jejurikar, MD

Dallas Plastic Surgeon

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