2 years post op - what can I do to correct my previous surgery scars? (photos)

Question

About 2 years post procedure, how do I get rid of the scar? Laser? Another procedure? (If that's the best option, then how do I know it won't end up looking like this again in 2 years?) Thanks in advance for the answers.

Nelson Lee Novick, MD · Answer

I'm sorry that you are having this issue. Hypopigmented scars following all kinds of surgeries are not uncommon, although difficult to treat. If the entire is entirely flat, then a series of professionally performed manual microneedling sessions (no need for the added expense and risks of RF microneedling) accompanied by the application of prescription topical repigmenting agents, such as topical tyrosine and lanatoprost can help to blend the scars better in both color and texture with the surrounding normal skin. Fraxel laser treatments are expensive and unfortunately the hard science to back up their use lags woefully behind the heavy marketing and advertising and social media hype to promote them. Revision surgeries in areas subject to static and/or dynamic tension run the risk for the subsequent development of stretch scars and even tram track stitch marks. You would be wise to  consult a board certified cosmetic dermatologist and best of luck.

Randal Haworth, MD, FACS · Answer

Fractional laser resurfacing could help you treat the scar.

In some cases, surgical scar revision may be necessary to improve the appearance of a scar. This may involve removing the scar tissue and re-closing the wound, or grafting new skin onto the scarred area.

It's important to note that not all scars can be completely eliminated, and the outcome of any scar treatment will depend on various factors such as the type and severity of the scar, your skin type, and your body's natural healing process.

It's also important to consult with a qualified and experienced dermatologist or plastic surgeon who can evaluate your specific situation and recommend the most appropriate treatment option for you. They can also discuss the potential risks and benefits of each treatment option and help you make an informed decision.

I hope this helps,
best of luck !

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

2 years post op - what can I do to correct my previous surgery scars? (photos)

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