I Am Hispanic It's 11 Months After Tummy Tuck Both Belly Button and Bikini Line Incision Are Dark , What is the Best Treatment? Although I am happy with my tummy tuck I am extremely upset with the color of my scars. My belly button in particular looks really dark and I feel a slight when I touch it. I have gone to my surgeon several times and he says it’s perfectly normal , I went to a gastroenterologist and he said I just have a very good tummy tuck. How can I treat it? I have thought of putting in a piercing, getting laser treatment or revision surgery.
Answer: Hyperpigmentation after tummy tuck? Hello! Thank you for your question! After any surgical procedure, you should be careful with incisions as well as avoidance of direct UVA and UVB rays in order to lessen the chance for hyperpigmentation of the skin and scars, which can take several months to resolve, if it ever does. Sunblock is recommended regardless. The ability of the affected area to heal has been slowed and you should try to avoid additional swelling to the area. The area will likely be numb for several weeks to months and will be difficult to feel when sunburn is coming on. Typical recommendations include wearing a hat and/or sunblock to the affected area for at least 6-12 weeks following the procedure. It takes up to one year for scars to fully mature. You should also avoid trauma to the area for several months to protect the refinements made during the procedure. Also, avoidance of pools/lakes/jacuzzis/etc for 4-6 weeks is usually recommended to allow adequate healing and protection from stagnant water, that could potentially harbor bacteria. Lifting/exercise restrictions are common for at least 7 weeks. Certainly discuss the postoperative instructions with your surgeon, as thoughts differ among surgeons. If after that time period, consideration for steroid, laser, or scare revision is reasonable. In the meantime, discuss with your surgeon regarding medications, scar massage, etc. Hope that this helps! Best wishes!
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Answer: Hyperpigmentation after tummy tuck? Hello! Thank you for your question! After any surgical procedure, you should be careful with incisions as well as avoidance of direct UVA and UVB rays in order to lessen the chance for hyperpigmentation of the skin and scars, which can take several months to resolve, if it ever does. Sunblock is recommended regardless. The ability of the affected area to heal has been slowed and you should try to avoid additional swelling to the area. The area will likely be numb for several weeks to months and will be difficult to feel when sunburn is coming on. Typical recommendations include wearing a hat and/or sunblock to the affected area for at least 6-12 weeks following the procedure. It takes up to one year for scars to fully mature. You should also avoid trauma to the area for several months to protect the refinements made during the procedure. Also, avoidance of pools/lakes/jacuzzis/etc for 4-6 weeks is usually recommended to allow adequate healing and protection from stagnant water, that could potentially harbor bacteria. Lifting/exercise restrictions are common for at least 7 weeks. Certainly discuss the postoperative instructions with your surgeon, as thoughts differ among surgeons. If after that time period, consideration for steroid, laser, or scare revision is reasonable. In the meantime, discuss with your surgeon regarding medications, scar massage, etc. Hope that this helps! Best wishes!
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December 19, 2014
Answer: Nonsurgical Treatments to Lighten Scarring It is common for patients with darker skin to experience hyperpigmented scars. Your scars can be lightened with nonsurgical treatments, including micro needling, topical skincare products (medical grade) and laser skin technologies. In the meantime, please keep your scars covered up from sun exposure, as UV can darken them even more. Best of luck.
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December 19, 2014
Answer: Nonsurgical Treatments to Lighten Scarring It is common for patients with darker skin to experience hyperpigmented scars. Your scars can be lightened with nonsurgical treatments, including micro needling, topical skincare products (medical grade) and laser skin technologies. In the meantime, please keep your scars covered up from sun exposure, as UV can darken them even more. Best of luck.
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March 15, 2011
Answer: Topical treatments and time should improve dark scars.
Patients with olive colored skin or dark skin have a greater risk of their scars darkening after surgery. This is due to the melanocytes (the cells in the skin which give it its color) increasing their production of pigment in the "area of injury", ie your scars. As the scars mature, the scars become less active and softer and the pigmentation will become less dark. You may be able to accelerate the fading of the scar by using a topical treatment like Solaquin Forte or Melenex, although this may require several months to be fully effective. Have your surgeon recommend a treatment plan for you. Good luck.
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March 15, 2011
Answer: Topical treatments and time should improve dark scars.
Patients with olive colored skin or dark skin have a greater risk of their scars darkening after surgery. This is due to the melanocytes (the cells in the skin which give it its color) increasing their production of pigment in the "area of injury", ie your scars. As the scars mature, the scars become less active and softer and the pigmentation will become less dark. You may be able to accelerate the fading of the scar by using a topical treatment like Solaquin Forte or Melenex, although this may require several months to be fully effective. Have your surgeon recommend a treatment plan for you. Good luck.
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March 13, 2011
Answer: Needs to be evaluated by an experiensed plastic surgeon
Bruising and swelling normally occurs following abdominoplasty. The skin in or near the surgical site can appear either lighter or darker than surrounding skin. Although uncommon, swelling and skin discoloration may persist for long periods of time and in rare situations may be permanent. You can try bleaching creams, laser or steroid injections
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March 13, 2011
Answer: Needs to be evaluated by an experiensed plastic surgeon
Bruising and swelling normally occurs following abdominoplasty. The skin in or near the surgical site can appear either lighter or darker than surrounding skin. Although uncommon, swelling and skin discoloration may persist for long periods of time and in rare situations may be permanent. You can try bleaching creams, laser or steroid injections
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March 12, 2011
Answer: Laser is effective for raised, pigmented scars from plastic surgery
It can be very difficult to get topical bleaching products (such as hydroquinone) to penetrate scar tissue since scars are very dense. Laser procedures are a wonderful way to jumpstart your results and are very effective in softening and fading your scars - a MicroLaserPeel will precisely remove the top layers of skin cells so that your bleaching treatments can absorb easily and effectively (I recommend that you wait 2-3 days after the laser procedure and then start a combination of hydroquinone and steroid if the scar is raised or flat, or hydroquinone and tretinoin if the scar is depressed). If pigmentation is more resistant, fractionated ablative laser treatments (like ProFractional, Fraxel re:pair, etc) can be excellent solutions to unwanted pigmentation in a scar, and will help to blend the texture of the scar into the surrounding skin; however, the discomfort and downtime are more significant. I routinely collaborate with my board-certified dermatologist who is expert in laser therapy to address these challenging problems arising from plastic surgery. Laser treatments require special skills, so make sure your board certified dermatologist performs these techniques routinely.
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March 12, 2011
Answer: Laser is effective for raised, pigmented scars from plastic surgery
It can be very difficult to get topical bleaching products (such as hydroquinone) to penetrate scar tissue since scars are very dense. Laser procedures are a wonderful way to jumpstart your results and are very effective in softening and fading your scars - a MicroLaserPeel will precisely remove the top layers of skin cells so that your bleaching treatments can absorb easily and effectively (I recommend that you wait 2-3 days after the laser procedure and then start a combination of hydroquinone and steroid if the scar is raised or flat, or hydroquinone and tretinoin if the scar is depressed). If pigmentation is more resistant, fractionated ablative laser treatments (like ProFractional, Fraxel re:pair, etc) can be excellent solutions to unwanted pigmentation in a scar, and will help to blend the texture of the scar into the surrounding skin; however, the discomfort and downtime are more significant. I routinely collaborate with my board-certified dermatologist who is expert in laser therapy to address these challenging problems arising from plastic surgery. Laser treatments require special skills, so make sure your board certified dermatologist performs these techniques routinely.
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