What is involved to correct a tethered scar and what is the recovery time? (photos)
Doctor Answers 3
Tummy Tuck Scar Revision
Yes, there is down time for recovery. You definitely will not be able to run the next day, and probably not for 4 to 8 weeks, depending on how much of your scar is revised. One half of your tummy tuck scar (your left side, if these photos were taken straight on and not in front of a mirror), looks good. The goal would be to mirror that shape on the other side. In addition to unraveling the bunched up scar, I would recommend revising that whole one half for a better cosmetic appearance. Your surgeon would need to mark you for surgery with you standing up, and check the markings with a level. Also check the markings with you sitting and bending over.
In surgery, your surgeon should unravel that bunched up area and free up the tissue above it to see how much of the skin flap can safely be moved downward. Then mark out skin to be removed from below your incision line in order to re position your scar line to a lower and better position. Doing all of this will mean that your skin flaps will need to be re sutured in three layers again, and you will need to go through the healing process once again.
Correction of Tethered Scar
It may take several months for a tummy tuck patient’s scars to soften, for sensation to return, and for relaxing of the tight sensation in the abdomen. In the case of extensive surgery, abdominoplasty recovery can be uncomfortable and may take longer. Scars may stay red, become thick or widen. It can take 12-18 months for the scars to settle.
These can be improved with topical treatments such as BioCorneum, Scar Guard, Scar Fade and Mederma. Redness can be improved with laser treatments and the scars can be kept narrow with products such as Embrace. On occasion, keloids or hypertrophic scars can develop and will need treatment including Kenalog, 5FU and laser.
If you find that you are worried about your scar and healing then it would be good to visit your surgeon to have the area examined for proper healing process. Good luck.
How far out?
I'd hold off on any correction until you're six months out or more. If you are, releasing the scar is a relatively simple procedure. Nowadays, we often combine it with a little fat grafting so there's something between your scar and the fascia but its not mandatory. I'm not sure running the next day is the best of ideas but within a couple weeks is ok. Good luck.
You might also like...
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.