I have a hypertrophic scar on my belly button. Will I need a scar revision to remove this? (Photo)

Question

What can I do to have a normal belly button again?

Jason Emer, MD · Answer

These scars can be improved with a combination of vascular lasers like yellow laser, Aerolase, microneedling/prp, skin lightening, peels, and skin care. Sun protection is essential. I recommend getting a formal evaluation with an scarring expert. Silagen gel should be used twice daily with jan marini bioshield. Best, Dr. Emer

Jeff Angobaldo, MD · Answer

Skinpen, C02 skin resurfacing laser, IPL laser, fractional with the palomar icon are all effective treatments to help diminish scars,  increase your cell turnover rate and produce healthy skin cells.   The skinpen is a microneedling device that wakes up your natural growth factors and creates healthy skin cells.  The C02 laser is an ablative laser that repairs and rejuvenates the skin. The IPL laser helps to take the red out of the scar and can only be performed on lighter skin types.

Raffy Karamanoukian, MD, FACS · Answer

Our Hidef protocols for scar revision can address different types of scars, depending on your scar biometrics and characteristics. Protocols vary in duration based on the severity of your scars. 
Bad scars can manifest in many different ways, including pigmentation, thickening, and depression of atrophic scars. Thick scars are best treated in my practice with IIT, cortisone injections, pressure management, and laser. We recommend daily use of Plato’s Scar Serum to the scars to mediate scar hypertrophy. 
Hyperpigmented scars respond well to Melarase AM and Melarase PM creams. If the area is large, consider Luminase and Exfolase creams for the body. Hyperpigmentation PIH can also be treated with Q switch laser, PICO, chemical peels, and rapid scar exfoliation. PIE erythema scars are best treated with pulsed dye laser. 
Keloid scars are our specialization. We manage small and large keloid scars with excision, IIT, PRP, laser therapy, and scar modulation. Use Plato’s Scar Serum daily. 
Textural scars respond well to nanofractional RF and fractional laser to help improve surface texture. When combined with scar modulation, the results can improve dramatically. The most important variable is for you to choose a plastic surgeon with expertise in laser therapy using Hidef protocols. 
Best,  
Dr. Karamanoukian  
Realself100 Surgeon

Daniel Barrett, MD · Answer

Dear mnm009914,it is hard to tell for sure without an examination, but based on your photo you will most likely need a scar revision. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Pravin Reddy, MD · Answer

I would recommend a surgical revision of the keloid.  This may be safely and comfortably performed under local anesthesia.  If you are prone to keloiding then your surgeon should use non-reactive sutures (such as Nylon/Ethilon).  You should undergo intra-op Kenalog injections (Kenalog is a steroid).  Immediate post-op you should start a silicone based dressing.  As you continue to follow up, you should undergo intra-lesional (in the scar) Kenalog injections at the first sign of recurrence of the keloid.  I doubt lasers etc would be very effective and will repeat treatments etc.

I have a hypertrophic scar on my belly button. Will I need a scar revision to remove this? (Photo)

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