Scar tissue reforming after untethering it from gynecomastia surgery. Any advice?

Question

I had a tethered scar from a gynecomastia surgery and I had my surgeon treat it by numbing the area and then using needles to “untether it”. It helped a bit and it’s still a bit better but It’s mostly still tethered, I’m assuming because of new scar tissue that is forming as a result of trying to unthether it. I’d say it’s 40% better. Do you think I should just Keep getting it untethered until it gets better each time? Any other options of tips? Thanks! I do have pics if needed.

Nelson Castillo, MD · Answer

Thank you for sharing your question.  While subcision may improve your tethered scar it tends to work best as a part of a plan including scar massage, cortisone injections, and fat grafting/dermal filler use.  Discuss these alternatives with your surgeon.

Trent D. Douglas, MD, FACS · Answer

Using the needles to keep breaking up the scar tissue (subcision) can be effective, but is more effective when combined with an adjunctive treatment such as fat grafting or placing a very small piece of acellular dermal matrix in the area of dense scar tissue to prevent reattachment.  Your board-certified plastic surgeon should be able to discuss the array of adjunctive treatment options with you.

Bryan Curtis, MD · Answer

If you're experiencing scar tissue reforming after gynecomastia surgery, it's essential to address this issue promptly to prevent further complications and ensure the best possible outcome. Here are some tips and advice:1. Follow your surgeon's recommendations: Your plastic surgeon will provide specific instructions on how to care for your incisions and manage scar tissue formation. Follow these instructions carefully to promote proper healing and minimize the risk of complications.2. Massage therapy: Gentle massage of the scar tissue can help break down collagen fibers and improve the appearance and flexibility of the scar. Use a moisturizing lotion or scar cream to lubricate the area and massage in circular motions several times a day.3. Silicone gel or sheets: Silicone gel or sheets can help soften and flatten scars by hydrating the skin and creating a protective barrier. Apply silicone gel or sheets to the scarred area as directed by your plastic surgeon to help reduce scar tissue formation.4. Topical treatments: There are various topical treatments available, such as vitamin E oil, onion extract gel, or Mederma, that may help improve the appearance of scars and reduce scar tissue formation. Consult with your plastic surgeon before using any topical treatments to ensure they're safe and appropriate for your situation.5. Steroid injections: In some cases, your plastic surgeon may recommend steroid injections to reduce inflammation and flatten raised scars. These injections are typically administered directly into the scar tissue by a healthcare professional.6. Scar revision surgery: If conservative measures fail to improve the appearance of the scar tissue, scar revision surgery may be an option. During this procedure, your plastic surgeon will remove the scar tissue and reshape the area to create a smoother, more aesthetically pleasing outcome.7. Protect your skin: Avoid exposing the scarred area to direct sunlight, as UV radiation can cause scars to darken and become more prominent. Apply sunscreen with a high SPF to protect your skin when going outside.It's essential to communicate openly with your plastic surgeon about any concerns or issues you're experiencing with scar tissue formation. They can assess your condition and recommend the most appropriate course of action to address your specific needs.

Scar tissue reforming after untethering it from gynecomastia surgery. Any advice?

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Scar tissue reforming after untethering it from gynecomastia surgery. Any advice?

Answers (3)

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Recommended reading

Everything you need to know about Gynecomastia Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.