Can you advise on tummy tuck scar revision muscle problems?

The first question someone should ask themselves before contemplating a scar revision is why would a new scar heal any better than the first time around?

Unless there were unusual circumstances such as wound dehiscence, infections or very poor surgical technique new scars will heal exactly like the first time around.

Sometimes hypertrophic scars can be managed during the first year by strict adherence with silicone sheeting, conservative anti-inflammatory steroid injections or radiation therapy. In these cases scar revisions may be indicated.

At this point there is really very little that can be done. It’s not really possible to put back skin that was cut out.

You didn’t include a picture so we can’t really make an assessment.

For garden-variety hypertrophic scars the first step is to generally start using silicon tape a.k.a. silicon cheating. These can be purchased for around $15-$20 for a 6 foot strip on Amazon.

The second thing to consider is that hypertrophic scars can itch and scratching even slightly hypertrophic scars will guarantee that they get worse.

This may also mean adjusting belt lines or anything that rubs against the scar.

If the hypertrophy is extreme and does not respond to conservative measures then conservative anti-inflammatory steroid injections can be attempted.

Follow up with your provider or consider getting and in person second opinion.

Best,

Mats Hagstrom MD