For African American women with dark skin how does the scarring look after having a mommy make over?

Also if you had a c-section do you cut along that same line so you don't have double scaring?

Doctor Answers 20

For African American women with dark skin how does the scarring look after having a mommy make over?

Scar management is very important for any patient.  A tummy tuck involves an incision in the bikini line.  The way I do it involves an incision below the C-section scar.  Discuss your concerns with your board certified plastic surgeon.


Atlanta Plastic Surgeon
4.9 out of 5 stars 55 reviews

C-section scars and tummy tucks

A tummy tuck involves an incision in the bikini line.  The way I do it involves an incision below the C-section scar.  When marking, the pubic area is lifted up, this allows for the tummy tuck incision to be below the C-section scar and therefore the C-section scar is removed.  There is no double scar with a tummy tuck by doing it this way.  Using that bikini line incision the skin and fat is lifted up off of the muscles and the muscles are tightened.  The skin is redraped, pulling it down tight, and the excess is removed.  A new belly button is made.  The end scar is low enough to be hidden in a two-piece bathing suit.  Make sure you consult with a plastic surgeon board-certified by the American Board of Plastic Surgery

Jason E. Leedy, MD
Cleveland Plastic Surgeon
4.9 out of 5 stars 113 reviews

Scars

Hello,


Thank you for your question. I will usually remove the old C-section scar when performing a Tummy Tuck and this typically creates a much thinner, new scar. I recommend silicone sheeting for darker skin tones when visible scarring is a concern. Talk with your Plastic Surgeon about scar care options for you.


All the best

For African American women with dark skin how does the scarring look after having a mommy make over?

In the majority of cases, scarring can be very favorable.  The tummy tuck scar usually removes the C-section scar.

Kenneth Hughes, MD

Los Angeles, CA

Scar Concerns Following a Mommy Makeover

Your #healing will continue for 2-3 months following the procedure(s) as the #scars will be evolving. If my patients have concerns that something is unusual about their healing process, it is important for them to call the office and discuss these concerns or come in to be examined. Also some severe scars can be treated with re-excision, laser, kenalog/5-FU injections, creams, silicone strips and other methods to reduce and improve healing. Additionally, scar therapy with scar maturation products (e.g. BioCorneum or Embrace) are suggested for managing scars. However, we recommend you wait to use scar improving products until a few weeks following your surgery.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 96 reviews

How does scarring look after for african american women

How your body scare after surgery depends primarily upon the location of the scare and your genetics.  Good nutrition including adiquant protein and vitamin and zinc can also affect scaring.  Some African American women with dark skin form very fine lines, barely noticeable scares.  Where as others form hypertrophic or colloids scares.  The best way to know how you will scare is to check on previous scares and if you haven’t had surgery refer to parents on how they healed. This is not an abosolute but can be helpful. one other thing to improve scare is to wear paper type, maderma, or silicon sheeting for a year following surgery.

Scar Management

Best Scar Management is important to minimize or completely hide from view, the telltale signs of your surgery—namely, scars. Both you and your surgeon want you to have the most minimal scarring possible. There are many possible causes for scars that are enlarged or not healing well. Unsightly scars are most commonly due to genetics, underlying medical conditions, or improper scar/wound care. The last part is very important and patients can make a noticeable difference in their scars’ appearance by following best scar management practices. Here are some simple tips.

Scar Management tips:
  1. Minimize tension on the scar. Steri-Strips and/or surgical tape are often placed in non-hair bearing areas at the time of surgery to minimize tension and keep pressure over the scar.  This minimizes the  stress that  can pull the scar apart (dehiscence) creating a wound and  delaying healing time, and can make the scar wider, or more “ropy”. In the first few weeks after surgery, I recommend the use of Embrace Scar Therapy which is an adherent silicone sheeting pre-stretched when applied so as to offload tension on the scar.
  2. Keep your incision site/scar clean to prevent infection. Follow your surgeon’s wound care instructions to the letter with out modification. Never apply different products then recommended without first discussing them with your surgeon. This is especially important during the first few weeks. If there are any signs of infection, contact your surgeon’s office right away and/or see your doctor or his nurse immediately. Typical signs of infection may include redness outside the immediate incision site, asymmetric swelling, and drainage, of pus, fever, chills, and “feeling sick”.
  3. Protect your scars from the sun. Staying out of the sun is the best advice. Minimal exposure to sunlight is prevents hyperpigmentation (permanently turning brown) and other problems that can make the scar more noticeable. Sunscreen, at least 30 SPF and an overlying make camouflage make up additionally protects the scar from the suns harmful rays. This advice is especially important the first year following your surgery.
  4. Use specific scar maturation products recommended by your surgeon. Patients seem to have their own opinions on this touting everything from Pure Vit E, Coco butter, to Aloe Vera, etc but most have minimal benefit other than keeping the scar hydrated. Although hydration is important there are better, scientifically studied products with greater efficacy. Most of the scientific articles written about this subject indicate that topical silicone gel or silicone sheets work the best. The best product available in my opinion is the Embrace Scar Therapy System by Neodyne BioSciences, Inc. available in many surgeons’ offices. Essentially this is an adherent silicone sheeting pre-stretched when applied so as to offload tension on the scar. For areas that are not applicable for this product (e.g. smaller areas or on the face), I prefer BioCorneum or Kelo-Cote products There are a lot of products to choose from, but silicone should be one of the key ingredients. Although Mederma, an onion extract derivative active ingredient rather than mainly silicone based may help, primarily silicone based products are better and many also contain other ingredients that may be synergistic (hydrocortisone or other steroid, Vitamin E, Sunscreen, etc).. If the reader has problems obtaining these they can call my office. Patient compliance is also critical – use often and according to directions or it will not work optimally. NEVER apply products without first discussing them with your surgeon.
  5. Monitor to make sure your scar is progressing optimally. Keep your scheduled follow-up appointments with your surgeon to verify that your scars are maturing as expected.  Occasionally if indicated you may need a topical steroid preparation or even a series of  injections (5-FU and/or Steroids) or laser treatments  to treat or  prevent scar hypertrophy or keloid formation (red raised scars), or other topical medicines to treat post inflammatory hyperpigmentation (brown scars) with prescription creams and possible laser treatments.

Mommy makeover

The incision for the tummy tuck will incorporate the c-section scar to eliminate double scarring.  African American women can have very favorable scarring after procedures with proper care.  We prefer Embrace Scar Therapy for treatment after surgery.  I encourage you to meet with a board certified plastic surgeon in your area to discuss your concerns and learn more about these procedures.  Best wishes.

Camille Cash, MD
Houston Plastic Surgeon
5.0 out of 5 stars 29 reviews

Mommy make-over scars in an African American woman

Thank you for asking about your mommy make-over scars.

  • Yes, if you had a C-section, that scar is used in the mommy make-over.
  • Scars are variable - how you healed with your C-section is good predictor of how you will heal with a mommy make-over.
  • For African American women, I recommend applying 4% hydroquinone 2 x a day to the surgical area starting 2 - 6 weeks before surgery.
  • This rests the skin color cells and greatly reduces the risk of prolonged skin darkening which can appear in the scar or over any area of liposuction.

Always see a Board Certified Plastic Surgeon. Best wishes  - Elizabeth Morgan MD PHD FACS

Scarring in women of color

Scars in women of color (what we term Fitzpatrick V and VI skin types) tend to heal darker than the surrounding skin, but sometimes heal lighter... each patient is unique.  However, most of the time the scars, if they heal as thin lines, tend to be very acceptable. In addition, the scars will be placed strategically in areas that will be easily covered up by clothing such as underwear or bikinis, and the resulting scars are for most women an easy tradeoff for the improvement in shape and contour. I have done several clinical trials for scar therapeutics, and although we do not yet have a magic bullet that erases scars, if we control tension, minimize inflammation and apply knowledge of wound healing science strategically to our incisions and their management, we can usually  achieve acceptable scars in most women. I wish you luck! 

Robert Galiano, MD
Chicago Plastic Surgeon
4.8 out of 5 stars 31 reviews

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.