Dented Scar After Post Op Infection, What Are My Options? (photo)

A little over 2 years ago i went to mexico to get weight loss surgery. I had a few incisions but one of the incisions became infected by the time i got back home. that incission healed denting my stomach. It's right above my belly button and from far it looks like i have 2 belly buttons. I would like to get rid of it but i need an idea of how much it would cost. 

Doctor Answers 6

Indented Mexican Weight Loss Surgery Scar

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Scars are indented because the skin has no support leading to a collapsed surface. Correcting it would require removing this widened scar and after bringing the fat tissue underneath it together to act as a support stitch the skin edges together under no tension. The cost will vary widely based on where you live with the cost in NY would be higher than in smaller communities. 

Memphis Plastic Surgeon

Scar revision

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I can't see well in your dark photo but generally an indented abdominal scar can be revised and the dent repaired under local anesthesia.  Costs will vary with each surgeon but might be about $2000.

Subcision & Dermaroller Followed By A Volumizing Filler Work Well For Depressed Scars

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Unfortunately, the quality of the photos provided make it difficult to actually appreciate the scar. However, from the description provided,  the scar is depressed (i.e. sunken below the level of the skin). I have found that such scars respond well to subcision. Subcision is a procedure is which a sterile needle is inserted under the scar, following numbing with local anesthesia. The needle is used to break up the thick bands of fibrous scar tissue that bind the area down, essentially freeing the surface tissue to "float:" to the surface. In addition, breaking up underlying scar tissue in this fashion allows for new, healthier collagen to be produced to replace it. Generally one to four treatments are required for optimal effect, spaced at six to eight week intervals (The precise number depends upon how good a collagen maker the person is).

To improve the surface color, and to attempt to match it  better to the surrounding normal skin, the use of a Dermaroller or medical microneedling may be used, either alone or in combination with subcision. The Dermaroller is a manual rolling device that contains arrays of sterilized needles capable of piercing the skin to make microchannels (usually perfomred under local or topical anesthesia) that disrupt the surface of the scar allowing for the possibility of improving scar coloration. The penetration of the needles also further breaks up the scar tissue and stimulates new healthy collagen formation with the result being a smoother, more normal appearing spot.

Finally, in the event there is still some depression after the above measures, a semipermanent volumizing agent, such as Radiesse, may be used to elevate and smooth the surface of the scar still further.



Depressed scar of abdomen and treatment options

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Your photos don't well delineate your depressed scar. However, for your general situation there may be two options: scar revision and/or fat injections. In order to determine the most appropriate treatment as well as the associated costs, you would need to be examined by a board certified plastic surgeon. 


Scar revision

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It sounds like you may need a scar revision to improve the indentation. In order to determine this an in office exam would be essential.

Postoperative Scar Depression

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Although difficult to appreciate from your photos, it appears that you have some depresion on your abdomen form the infection. There are several option that range from a scar revision to fat grafting to the area to help elevate the depressed skin. You would need to see a plastic surgeon in person to help better understand your options. 

Best of luck,

Vincent Marin, MD
San Diego Plastic Surgeon

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.