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Tummy Tuck Scar - Raised and Dark? (photo)

I am 7 months postop of having a tummy tuck. I am African-American with medium complexion skin. My scar is very dark and raised. Plus i'm seeing a small keloid where my naval is. I wanted to know what can I put on the scar to flatten it and make it lighter? I know everyone's body is different. I've seen some scars that you can barely see! Does Vitamin E oil work and what about silicone strips? Thanks!

Doctor Answers (10)

Raised Tummy Tuck Scars Can Be Improved

+2
Raised, dark, red, painful, itchy scars after a tummy tuck can be a sign of either hypertrophic or raised scarring or early keloid scarring.  As you are aware, keloid scarring is more common in certain ethnic groups such as African Americans, Asians, Hispanics and some people of Mediterranean Origin.  A keloid is a scar that is larger than the original injury and does not flatten out with time.  Hypertrophic scars tend to remain limited to the area of injury and get smaller after 12-18 months.  The first line of treatment for tummy tuck scars that are less than favorable is silicon sheeting worn daily for 4-6 months.  More aggressive scarring can be treated with steroid injections early on to prevent progression.  This treatment is not without risk, especially in African Americans.  It can cause loss of pigment and widening of the scar if not dosed appropriately.  I would recommend consulting with a surgeon who has significant experience treating keloid scar in African Americans.  Early treatment would be recommended to prevent worsening.  Good luck!


Fairfax Plastic Surgeon
4.5 out of 5 stars 29 reviews

Tummy tuck scars - raised and dark

+2

Silicone sheeting may or may not work but this would be a first step.  There are a few lasers that may work.  Lastly, steroid injections will flatten the scar but you want someone that is familiar with these types of injections.  Bleaching creams can be used for the darkness and if this does not work, some nonablative lasers (lasers that do not remove the top layer of the skin) would be an option.

Michelle Hardaway, MD
Farmington Plastic Surgeon
5.0 out of 5 stars 36 reviews

Tummy tuck scar - raised and dark?

+1
Hello! Thank you for the question! It is common for scars to fully mature for up to a year. In the meantime, there are a few things that may help to ameliorate your incision/scar. The most proven (as well as cheapest) modality is simple scar massage. Applying pressure and massaging the well-healed scar has been shown to improve the appearance as it breaks up the scar tissue, hopefully producing the finest scar as possible. Other things that have been shown to add some benefit, albeit controversial, are silicone sheets, hydration, and topical steroids. These can usually be started at approximately 3-4 weeks postop and when incisions healed. In addition, avoidance of direct sunlight to the incision will significantly help the appearance as they tend to discolor with UV light during the healing process. Scars will never disappear, but attempt is made to make the finest scar in a concealed location. Incisions may be revised to lower or conceal better if enough laxity exists.

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!

Lewis Albert Andres, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 12 reviews

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Scar - Raised and Dark

+1

What you have is a hypertrophic scar. All of the usual remedies work some of the time, none work all of the time. Silicone products (sheet or gel) are often effective, are easy to use and do not require visits to your surgeon's office. 

Kenalog injections are often considered the gold standard, again not to say that they always work. They usually require 3 visits a couple weeks apart. Some lasers are occasionally effective, and also require repeated treatments. 

Try the easy stuff first, and if that fails, discuss options with your surgeon. 

Thank you for your question, best wishes.

Jourdan Gottlieb, MD
Seattle Plastic Surgeon
4.5 out of 5 stars 34 reviews

Tummy Tuck Scar

+1

 

Scar massage, silicone sheeting, hydroquinone/retin-A creams and ultimately steroid injections are the most effective in treating raised, pigmented scars. Steroid injections must be used with caution to avoid lightening and widening of the scars. 

Pedy Ganchi, MD
Ridgewood Plastic Surgeon
5.0 out of 5 stars 35 reviews

Consider hydroquinone and silicone tape

+1

Hello,

Thank you for the question and photo. Kenalog (steroid) injection may be of benefit. This will have to be injected by your plastic surgeon and there is a risk of thinning the skin too much as well as lightening the skin too much.  The non-invasive treatment would be hydroquinone cream (bleaching cream) and silicone tape.  Discuss this with your plastic surgeon to decide which option you would like to proceed with.

All the best,

Dr Remus Repta

Remus Repta, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 98 reviews

Tummy Tuck Scar

+1

It does appear that you have thickening of your scar.  Silicone dressings are effective over a long duration.  Steroid injections could be helpful but I would be very cautious with the use of steroids in relatively young incision and because steroids could cause lightening of your incision.

Dr. ES

Earl Stephenson, Jr., MD, DDS
Atlanta Plastic Surgeon
5.0 out of 5 stars 9 reviews

Improving your scar after a Tummy Tuck

+1

I recommend silicone gel sheets. I feel that this is the only thing medically proven to help improve the appearance of scars. I would also recommend following up with your plastic surgeon to discuss if a steroid injection would help as well.

Leo Lapuerta, MD
Houston Plastic Surgeon
4.5 out of 5 stars 24 reviews

Hello

+1

 

The scar therapy we recommend to our patients is silicone sheets. You can get it off our web site under after care link. You should do some research on some of the other scar therapy.

Stuart B. Kincaid, MD, FACS
San Diego Plastic Surgeon
4.5 out of 5 stars 8 reviews

Tummy Tuck and Scars

+1

Your scar looks like it is slightly hypertrophic. This typically is raised and hard and dark. Many people will call it a keloid but it is in reality hypertrophic.

Treatment involves steroid injections, silastic sheets, bleaching creams, and lasers. Vitamin E doesn't do much and lasers can be problematic in dark skinner people. 

I recommend steroid treatments and silastic sheets for you. The scars will fade with time also. The steroids are repeated about every 6 weeks.

Biodermis.com sells a high quality silastic sheet.

Good luck!!

Dr Saunders

Christopher Saunders, MD
West Chester Plastic Surgeon
5.0 out of 5 stars 25 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.