Sure a new surgery won't make my scars worse?

Question

That is the fear of my PS and the dermatologist. As for hidroquinone, can i use it on sking that will be cut again? Also, would you cut the vertival and areola again or just the horizontal, base line? (Wish is the worse part, of course, and there where it meets the vertical).

Vincent N. Zubowicz, MD · Answer

I think you would benefit from a scar revision emphasizing absence of tension from the final repair. It's hard to imagine you would not Have a better result.

Lars Enevoldsen, MD · Answer

Thank you for your question.   How successful a scar revision will be depends partly on why your scars ended up like this.  If you had no problems and this is the way your scars ended up then I would be more pessimistic than if the appearance of your scars is due to a healing problem afte your surgery.  If the latter is the case then you should be able to get some improvement in the appearance of your scars.  Ask your surgeon about the Embrace scar dressing.  He may not have heard of it because it is very new but it is very effective in helping scars heal as thin as possible.   I would do the horizontal scar first and ten come back to do the vertical scar and areola later if the first revision is successful. There would be nothing wrong with revising all the scars at once.  Hope this helps.

Jonathan Kaplan, MD, MPH · Answer

This is a difficult question to answer because I don't know how long ago your surgery was. If it was recent, your scar may still continue to improve. There are scar creams that are sold by compound pharmacists that may help improve your scars without additional surgery. Hydroquinone doesn't affect healing but it can decrease the dark areas of a scar so it may help. Based on what I'm seeing, I think waiting may ultimately give you a better scar than reoperation.

George Commons, MD (retired) · Answer

I think a meticulous scar revision and perfect post op care with Retin A-Hydroquinone  and a silicone paste or sheeting will give you a good chance of a meaningful improvement.   Scar revisions are always a gamble of sorts.   It is unlikely that you will be made worse, but that is not impossible.   Most of the time bad scars are worth at least one very well thought out and meticulous revision.   A scar revision is often one of the great challenges in plastic surgery.   They must be taken very serious.   All are a maximum challenge.     My Best,  Dr C

Sure a new surgery won't make my scars worse?

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