What options do I have to correct two indented scars at the top of each buttock? (Photos)

Question

I underwent liposuction in 2020. Once healed, the scars were still prominent so I underwent 5 laser sessions with Pico laser for hyperpigmentation treatment paired with fractional laser last year. I’ve also had 12+ microneedling treatments to support healing. Most scars have healed well, but I still have two ‘indented’ scars at the top of each buttock. What options do I have to correct these? Is filler possible or do I need some form of subcision to break the scar tissue?

Raffy Karamanoukian, MD, FACS · Answer

Plastic surgery scars require attention after surgery so that they remain cosmetically-appealing and barely noticeable. In our office, we use a protocol for scars that minimizes their activity in the 6-8 weeks after surgery. If you have late plastic surgery scars, you may also require laser and RF therapy to help reduce the longterm effects of the scarring. Keloids, hypertrophic scars, widened scars, red scars, and hyperpigmented scars all require scar modulation with topical creams followed by lasers and RF therapy. Topical skincare should be directed to a specific need, whether for pigmentation or hypertrophy and our office can guide you through the process to obtain the correct Plato’s Scar cream or Melarase cream for hypertrophy and discoloration. In terms of lasers, we would employ the vbeam laser for redness, Venus Viva RF, PRP microneedling, chemical peels, and Morpheus 8, fractional erbium, or fractional co2. All of these have their individual benefits. Most of all, we recommend you visit a solid plastic surgeon who understands surgical scar revision, laser therapy, and RF therapy for scars. 
 
Best, 
Dr. Karamanoukian
Realself100 Surgeon

Daniel Barrett, MD · Answer

Dear AntoniaC,
it is hard to tell for sure without an examination. Based on your photos, it looks like you would benefit from scar revision. If you are considering surgery, I would suggest you 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

What options do I have to correct two indented scars at the top of each buttock? (Photos)

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What options do I have to correct two indented scars at the top of each buttock? (Photos)

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Everything you need to know about Scar Removal

Our mission is to create a world where every investment in modern beauty is Worth It.