Is a scar revision possible on a wide scar that has turned into a deep indentation? (Photos)

Question

I had a 360 body lift November 2020. Unfortunately I ended up with an infection and went through wound care. The result is a wide scar that has turned into a deep indentation (this is centered above my pubic area). Is there any hope to revise this scar and indentation? My skin was pulled rather tight.

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 pax991,
it is hard to tell for sure without an examination. 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

Richard Sadove, MD · Answer

Yes, there is hope to improve this. I am confident that a Plastic Surgeon member of the American Society of Plastic Surgeons will correct this for you. Please ask him or her.

Darryl J. Blinski, MD · Answer

Sorry for the infection and scarring. Only surgical excision with layered sutures can effect a repair and nice result. Fees in $5,000++ ranges. Best to virtual consult with.....

Is a scar revision possible on a wide scar that has turned into a deep indentation? (Photos)

Answers (4)

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