Hi, I received my tummy tuck last August. I am happy with the tummy tuck itself however my scar is awful. It was hypertrophic so my PS had given me two rounds of steroid injections within the last few months. Unfortunately I have noticed various burst blood vessels and I now have what appears to be a dent in the right side where the steroid injections were also used. Can anybody advise me on what to do about this?
Answer: Laser treatment Hello. It seems like there is neo-vascularization around the scars which is very normal in a stretched area under pressure. a serial sessions of combined pulsed-dye laser and fractional carbon dioxide laser is a good option for this. That will help the vessels, the color and the hypertrophy aswell. regards
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Answer: Laser treatment Hello. It seems like there is neo-vascularization around the scars which is very normal in a stretched area under pressure. a serial sessions of combined pulsed-dye laser and fractional carbon dioxide laser is a good option for this. That will help the vessels, the color and the hypertrophy aswell. regards
Helpful 1 person found this helpful
Answer: Tt scar Hello, side effects of steroid injections could be talangeactasia which are little spider veins that develop on the surface of the scar, lightening of the skin, as well as loss of fat. In addition, as the steroid weakens the thick scar it may have a tendency to spread. Since you're not even a year out and you've had some unsatisfactory results from treatment the first thing should be to do nothing else! You can try some over-the-counter silicone tapes a there are minimal risk. In some patients it can help flatten the scar. After about a year or so from the surgery if you're still dissatisfied with the scar you can consider excision of the scar. The difference being that during that procedure the tension will be much less than from the tummy tuck and your body is likely to respond differently. As well, you have the experience of knowing scar therapies after any further surgery should be started sooner than later. Good luck.
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Answer: Tt scar Hello, side effects of steroid injections could be talangeactasia which are little spider veins that develop on the surface of the scar, lightening of the skin, as well as loss of fat. In addition, as the steroid weakens the thick scar it may have a tendency to spread. Since you're not even a year out and you've had some unsatisfactory results from treatment the first thing should be to do nothing else! You can try some over-the-counter silicone tapes a there are minimal risk. In some patients it can help flatten the scar. After about a year or so from the surgery if you're still dissatisfied with the scar you can consider excision of the scar. The difference being that during that procedure the tension will be much less than from the tummy tuck and your body is likely to respond differently. As well, you have the experience of knowing scar therapies after any further surgery should be started sooner than later. Good luck.
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March 14, 2025
Answer: Side effects of Kenalog injections Hypertrophic scars can diminish the result of a successful tummy tuck. Steroid injections are the cornerstone of improving hypertrophic scare but they can have side effects such as fat atrophy and pronounced capillaries (blood vessels). The blood vessels responds well to laser treatment that your plastic surgeon or local dermatologist may already have. The fat atrophy however may require correction. Micro fat transfer can help to restore a small amount of lost fat volume and is my preferred treatment. Scar revision is the last option because if you form hypertrophic scars you are likely to form another one which leads to a vicious circle of scar revisions and kenalog treatments.
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March 14, 2025
Answer: Side effects of Kenalog injections Hypertrophic scars can diminish the result of a successful tummy tuck. Steroid injections are the cornerstone of improving hypertrophic scare but they can have side effects such as fat atrophy and pronounced capillaries (blood vessels). The blood vessels responds well to laser treatment that your plastic surgeon or local dermatologist may already have. The fat atrophy however may require correction. Micro fat transfer can help to restore a small amount of lost fat volume and is my preferred treatment. Scar revision is the last option because if you form hypertrophic scars you are likely to form another one which leads to a vicious circle of scar revisions and kenalog treatments.
Helpful
March 13, 2025
Answer: Difficult scar It's not terribly uncommon to have a hypertrophic, or thickened, scar after a tummy tuck. One of the biggest risk factors for this is a wound on high tension. During a scar revision where your surgeon simply cuts out the scar and closes it again, there is much less tension on the incision during healing. This is why it is usually more successful. One of the side effects of steroid injection is tissue atrophy which can cause indentations as well. You can attempt lasers for the broken blood vessels and the scar itself, but it won't help with any indentations. That is why a full scar revision may be the best bet. It can often be done under local anesthesia without going back under
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March 13, 2025
Answer: Difficult scar It's not terribly uncommon to have a hypertrophic, or thickened, scar after a tummy tuck. One of the biggest risk factors for this is a wound on high tension. During a scar revision where your surgeon simply cuts out the scar and closes it again, there is much less tension on the incision during healing. This is why it is usually more successful. One of the side effects of steroid injection is tissue atrophy which can cause indentations as well. You can attempt lasers for the broken blood vessels and the scar itself, but it won't help with any indentations. That is why a full scar revision may be the best bet. It can often be done under local anesthesia without going back under
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February 21, 2025
Answer: Scar treatment after a tummy tuck Thank you for your question and pictures. I am sorry to hear that you are having difficulty with your scar after your tummy tuck. Based on your photos, there are some options on treating your issues. If the surrounding skin has relaxed some since surgery, you could consider a scar revision procedure in which some of your scar is removed and then the wound is closed with sutures. The scar should heal better at this stage since there will be a lot less tension than when you had the original surgery. You could also consider other treatments such as microneedling or laser treatments to help with color and thickness to the scars. Speak with a board certified plastic surgeon to get an in person exam and learn more options.
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February 21, 2025
Answer: Scar treatment after a tummy tuck Thank you for your question and pictures. I am sorry to hear that you are having difficulty with your scar after your tummy tuck. Based on your photos, there are some options on treating your issues. If the surrounding skin has relaxed some since surgery, you could consider a scar revision procedure in which some of your scar is removed and then the wound is closed with sutures. The scar should heal better at this stage since there will be a lot less tension than when you had the original surgery. You could also consider other treatments such as microneedling or laser treatments to help with color and thickness to the scars. Speak with a board certified plastic surgeon to get an in person exam and learn more options.
Helpful
February 19, 2025
Answer: Ans: Steroid injections for tummy tuck scar caused burst blood vessels & atrophy, what can I do? Steroid injections can sometimes cause atrophy, thinning of the skin, and broken blood vessels, which may explain the dent and discoloration you’re noticing. The good news is that this can often be improved. Fat grafting is a great option to fill in the indentation and restore volume. Laser treatments or microneedling with PRP can help improve the appearance of the scar and minimize broken blood vessels. Topical treatments like silicone gels or sheets may also help soften and flatten the scar over time. If the atrophy is significant, a minor surgical revision could be considered. A consultation with a board-certified plastic surgeon will help determine the best approach for your specific case.
Helpful
February 19, 2025
Answer: Ans: Steroid injections for tummy tuck scar caused burst blood vessels & atrophy, what can I do? Steroid injections can sometimes cause atrophy, thinning of the skin, and broken blood vessels, which may explain the dent and discoloration you’re noticing. The good news is that this can often be improved. Fat grafting is a great option to fill in the indentation and restore volume. Laser treatments or microneedling with PRP can help improve the appearance of the scar and minimize broken blood vessels. Topical treatments like silicone gels or sheets may also help soften and flatten the scar over time. If the atrophy is significant, a minor surgical revision could be considered. A consultation with a board-certified plastic surgeon will help determine the best approach for your specific case.
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