7 months post op, Belly Button Revision? (photo)
Doctor Answers 23
Scarring after a tummy tuck - revision?
I agree that the scarring around your belly button could use a revision. In my practice, I am not a fan of circumferential belly button scars as they often look unnatural. Rather, a revision with the creation of a superior hood and no external scar on the lower portion of the belly button is advised. As for the abdominoplasty scar, you have a few small areas of hypertrophy (enlargement), but otherwise it looks quite good. Remember that scars continue to mature and improve for over a year after they are formed. Massage, moisturizer, and sometimes gel sheeting can all help to hasten this process.
Belly Button Revision?
You have a great result from your procedure. Scarring is unpredictable and sometimes (possibly in your case) revision may not be the answer and can even make things worse. I agree with your surgeon about the belly button scar, give it more time to mature and heal. If you are still unhappy after one year, you can revisit having something done (maybe even an IPL laser to lighten the color).
As far as the long incision, I would begin with injection of a mild steroid into the two small keloid scars and go from there. Good luck.
Belly button revision
Your overall result is very good. Your skin type does heal with increase pigment or thick scars. I would first try low dose steroid injection before a scar revision. The revision will attempt to create a inny with the scar. Good luck
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Keloid is seen occasionally after tummy tuck.
You have a really nice result! But you do have some spotty keloids. Hard to treat. I would begin with injections.
More surgery may not be the answer
Everybody's body heals differently and it is rare for a scar to "mature" or soften until at least one year after surgery and sometimes more. Sometimes scars may become hypertrophic, remaining harder and and more noticeable than normal. This can sometimes be alleviated by the injection of steroids into the scar. Unfortunately, a revision that, by its nature, results in restarting the scarring process may not improve the heaviness of the scarring. I would recommend continuing to discuss your concerns about the scar with your surgeon.
Belly button revision
Hello and thanks for the questions and photos, Lola. With your skin type, it is not uncommon to have hyperpigented, and sometimes hypertrophic (thick) scars after any surgery. Although steroids can help with the thickness of the scar, and might lighten the coloration, be cautious with use as it can lighten the surrounding skin, too, causing a light skinned area to show itself. Once the scar has matured more, you can consider a revision to the scar that might hide it better, or consider laser treatment to it to shrink and lighten the coloration. Best of luck and hope this helps. Robert Kratschmer, MD
Belly Button Revision
It is unlikely to cause problems if performed properly so I would opt for a course of diluted steroid injections if the scar is hard. Scar revision is an option but I would recommend waiting at least a year to allow maximal healing of the current scar. As long as the scar is improving I would delay surgery. If a revision is performed I usually am pre-emptive with injections of steroid at the time of surgery and starting at a month out from surgery. Nothing is guaranteed but I have had some success with this approach in the past. Best of Luck Dr Harrell
Unattractive belly button after tummy tuck
There are many things to consider in your case. The most important is to do NOTHING at this point. I see answers for injections/etc. The best way to handle hypertrophic scars at 7 months post op is to back off and wait. Notice that your tummy tuck scar is broken up in segments of more absorption of the scars and keloids in other areas.
In Afro-American patients, keloids are always more prominent. Also, the scars in the belly button area can be VERY harsh when keloids form. Nature should help with time but if not, then other considerations such as steroids/revision etc can be considered. Also one thing That I have done in this situation is to take out the scar and shorten the stalk of the belly button. This makes the scar go more INTO the belly button hole and become less noticable.
Notice also that this is a possibility but stay close to your doctor for this. His attitude in waiting is EXACTLY right at this point. Give it a year from the surgery or even 18 months and then considerations for any concerns can be discussed
Steven M. Lynch, M.D. Albany, New York
Belly Button Revision
You have hypertrophic scarring of the navel, and there are a few areas of the same along the main incision.
The problem with scar revision is the high chance of recurrence, so it is worth a try at non-operative therapy first. If you haven't tried over the counter scar creams, try one. Ask your surgeon about kenalog injections--this is the "gold standard," not to imply that it always works. Usually these are administered in a series of 3 injections, two weeks or so apart.
If that fails, only then is the time to consider scar revision. Thank you for your question, and for the posted photos. Best wishes.
Consider steroid injection
Thank you for the question and the photos. You may want to discuss the possibility of injection steroids into the scars. Doing so can accomplish two things, reduce the thickness of the scar and lighten the scar. Care must be taken as the pigment can be impacted too much and you may develop a hypo-pigmented (light) area. Sometime several smaller amounts and lower concentration injections can provide a better result.
All the best,
Dr Remus Repta
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