Scar pulling my stomach skin - still I need a scar correction? (Photo)

What you’re describing sounds like scar tethering or adhesion, which can happen when the scar tissue beneath the incision binds to the underlying tissues, creating that pulling sensation and visible skin distortion when you raise your arm. This is fairly common in the early stages of healing.

In many cases, the tightness and pulling improve over time as the scar continues to remodel and soften—this process can take many months to over a year. Gentle scar massage, silicone gels or sheets, and sometimes corticosteroid injections can help improve flexibility and comfort.

However, if the scar remains significantly tethered or causes persistent discomfort after it has fully matured, a surgical scar revision may be considered to release the adhesion and re-close the area in a way that heals more smoothly.

For now, since your scar is still healing, it is reasonable to continue supportive scar care and observe how it changes before deciding if correction will be needed.

Our treatments use combination therapy to improve the epidermis and dermis. We see atrophic and hypertrophic scars, as well as scars that have hypo and hyperpigmentation. 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 discuss the best treatment options for your type of skin. .

Best,
Dr. Karamanoukian
Realself100 Surgeon

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin in Winnetka and Chicago. This is a great question. CO2 laser resurfacing is an excellent treatment option for scars on the abdomen due to its powerful ability to address deep skin imperfections and stimulate significant skin rejuvenation. This advanced technique utilizes a carbon dioxide laser to precisely target and remove damaged outer layers of skin, while simultaneously stimulating the underlying dermis to produce new collagen and elastin. This dual action not only helps to smooth and flatten the scar but also improves skin texture and elasticity, leading to a more uniform and aesthetically pleasing appearance. The CO2 laser’s effectiveness in treating both superficial and deep scars makes it particularly suitable for abdominal scars, which may result from surgeries, injuries, or acne. Additionally, the procedure promotes long-term improvements, as the newly formed collagen continues to enhance skin quality over time. Though it involves a longer recovery period compared to less invasive treatments, the comprehensive results achieved with CO2 laser resurfacing make it a valuable option for those seeking substantial scar reduction and skin rejuvenation. I hope this helps and best of luck!

Hello and thank you for your question. The answer is that it really depends. How far out from surgery are you? Scars mature over time and usually are the firmest (most tight) at about 6 weeks or so. Over the ensuing months the scar will mature and remodel. This process can take upward of a year. I would recommend contacting your surgeries as they should be able to help guide you on what to expect.