Bad Hypertrophic Scars of Liposuction Incisions? (photo)

Question

In addition to my botched lipo problem, I have tendency to very bad hypertrophic scars.(didn't know before) On my arms and thighs, these are so much visible and so the same doctor did the scar revision (stitches), which worsened it. My Dermat has prescribed me two lotions for hypertrophy and color n also gave steroid injection.Now concerning, for fat grafting (lower Ab and thigh, see photos): 1) Ab: What size of cannulas will be required and where? 2)Inner thigh: Where n what size cannula reqrd?

Kenneth Hughes, MD · Answer

Did the incisions open? They look very wide. I would have thought they would have been better after revision. However, scars on the arms and legs generally do not heal as well as scars on the abdomen. The pictures are difficult to evaluate, and I do not see pictures of the abdomen. If you are concerned that there is a need for fat grafting, this is typically performed with very small fat grafting cannulae. Kenneth Hughes, MD Los Angeles, CA

Raffy Karamanoukian, MD, FACS · Answer

Our treatments use combination therapy to improve the epidermis and dermis for most deep scars. The options available for acne scars depend on the character of your scars, in terms of topography and contour. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. We begin each scar evaluation with an assessment of scar quality and subtype. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to decide whether early subcision should be started.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Vincent N. Zubowicz, MD · Answer

The scars in the photograph are unsightly but the wounds are still healing. Nevertheless, I'm not sure I've ever seen scars this angry after liposuction or access is done through a very small poke hole.

Darryl J. Blinski, MD · Answer

Only IN PERSON evaluations can allow any boarded PS to advise, even with these posted photos. Revision could cause larger scars. Be careful out there .

Bad Hypertrophic Scars of Liposuction Incisions? (photo)

Answers (4)

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