How to get rid of BBL and lipo scars? (Photo)

Question

It’s been a year since my bbl and 3 months since my bbl scar revision. The revision made the scar larger and worst. What can I do to get rid of the scars? Are there certain laser treatments I should look into?

Raffy Karamanoukian, MD, FACS · Answer

Understanding the process by which scar revision is recommended is relatively easy. We first characterize the scars physical and physiologic features such as redness, inflammation, growth, thickness, and then identify lasers and injection treatments vs. surgery that work best for that particular scar. 
Scar revision requires a disciplined approach to address the different characteristics of scars including texture, color, level of inflammation, vascularity, and hypertrophy. Our office specializes in scar revision because we have both cosmetic dermatologists, plastic surgeons, and general surgeons within our center. The ideal scar treatment is combination therapy that incorporates vascular lasers, microfractional RF and laser, microneedling, Micro-ionization ablation, PRP, topical growth serums and polysiloxane topical gels, and surgery if indicated. 
I recommend Melarase PM for patients that have dark and discolored scars and Plato’s Scar Serum twice daily for all new and hypertrophic scars prior to any treatment. 
Best, 
Dr. Karamanoukian
Realself100 Surgeon

Jason Emer, MD · Answer

BBL and liposuction scars happen and are normal.  they can be recut, lasered or treatments for hyperpigmentation.Hyperpigmentation from any type needs a combination approach of peels like cosmelan,  lasers like clear and brilliant and aerolase or laser genesis, radiofrequency like venus viva, and constant skin care and sun protection.  Bimontly facials with silk peel dermalinfusion is essential to hydrate, exfoliate and infuse vitamins and antioxidants into the skin.  If you have acne you can do additional treatments and peels to get more improvement.  I suggest a formal consultation with an expert in lasers and peels. Best, Dr. Emer.

Daniel Barrett, MD · Answer

Dear HN90210,
it is hard to tell for sure without an examination but based on your photos, it looks like you might benefit from scar revision surgery. 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

Johnson C. Lee, MD · Answer

Scars continue to mature and improve over a year. You can continue treating your scar with various methods. Topical options include silicone-based strips or gels. Most importantly, keep them out of the sun. For  young,old, or deeper scars that have plateaued in their improvement, microneedling with or without PRP, fractionated laser, and radiofrequency make microscopic holes in the scar to stimulate your body to remodel and fill in the scar with new collagen. I especially like a combination of microneedling with a skin bleaching serum, and PIXEL fractionated laser or RF to resurface and build even more collagen.  For large or more severe irregularities, a scar revision or re-excision may swap out your old scar for a less noticeable one in a single procedure. Not everyone is a candidate for all the treatment options however as certain skin types can get worse from certain treatments. For the safest treatment plan, it is important to visit an expert for an in-person examination. Hope this helps!
Johnson C. Lee, MDBoard-Certified Plastic Surgeon

Kristine Brecht, MD (license suspended) · Answer

Dear Beverly Hills,Some surgeons make larger incisions with their Liposuction and BBL, but really they can be quit small. Hiding into a tattoo, not along side it is another way to minimize the look of a scar. If, however, you did get larger scarring, microneedling with prp can help blend the hyperpigmentation and textural changes.Best. Dr Brecht Seattle, Wa

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