I have a Tummy Tuck 13 months ago. I have a raised and wide scar hip to hip (the widest part being the bottom portion of the scar). I used surgical tape, silicon gel and had the scar lasered to no avail. I have had steroid injections which have softened the scar and made it look better. A couple of stitches are now pointedly showing just below the skin. My Doctor wants to remove the stitches and do a scar revision to reduce the width of the scar. Has anyone had this type of revision?
Tummy Tuck Scar Revision
Doctor Answers (8)
Scar care after tummy tuck
Pablo Prichard, MD
Tummy tuck scar revision?
If unsightly scars are still present after approximately a year's time, other things that your surgeon may consider are intralesional steroid injections, laser, or just surgical revision of the scar itself.
Hope that this helps! Best wishes!
Revision of abdominoplasty scars
Problem scars around the umbilicus and positioning of the low transverse scar after an abdominoplasty. The umbilical scar is really he cherry on the ice cream sundae when it comes to abdominoplasty surgery. It is the most visible scar and most plastic surgeons are very careful to create a nice, aesthetically pleasing scar. Everything can be done correctly and a small percentage of patients will make a bad scar. Your scar and lateral fullness can be improved with a revision.
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Although the scar may not be looking great at 13 months, with less tension now on the closure the scar may look better with revision...but then again it may not.
Scar revision 13 months after tummy tuck
Scar revision 13 months after a tummy tuck is reasonable and will likely meet with greater success due to the diminished tension.
Tummy tuck Scar
There will always be a scar when someone cuts.In a tummy tuck we try to remove as much skin as we can and hence there is tension on the scar or suture line.I find that simple re excision can help alot in revision.Once the revision is complete I have my patients start scar gels and/or scar creams.
Tummy Tuck Scar Widening: Scar Revision May Help
Scar revision is the standard of care when attempting to improve the appearance of a scar, including a tummy tuck scar. Many patients have undergone and will undergo this.
You personally have experienced the ultimate limitations of some of the other commonly modalities used to improve scars, despite the fact that they do offer some benefit and that they have offered you some improvement..
The central portion (pubic area) of your scar is the widest because this is the location where the scar experiences the most stress/ tension anatomically on it.. It is very important that the tension on the skin in this area has relaxed on its own before undergoing a scar revision and/or the skin tension can be reduced as a component of the scar revision to avoid recurrence of scar widening.
Waiting 12 months or more after surgery before undergoing a scar revision is a good general guideline as by this time "what you see is what you get" despite trying everything else. However, I have seen tummy tuck scars improve dramatically without any scar revision after 18 -24 months after surgery.
Consider having only a portion of your scar surgically revised (as opposed to its entire length) and seeing how that turns out after a few months. If it was successful and you get the intended visual result, then you can do the remainder with a realistic expectation of a similar result.
Tummy Tuck Scars Vary among Patients
Scars from tummy tucks as well as other surgeries vary a good deal from patient to patient. Some patients simply make better scars than others. I can perform 10 TTs on 10 different patients and they will make 10 different scars. The scar revision you describe may or may not be helpful.