Will another scar revision improve the appearance of thick stretched scars after uplift with implants? 3 years post op. (photo)

Question

I had an uplift with implants around 3 years ago i then had scar revision for hyperthrophic scarring 3 years on i have again developed thick streched scars is it pointless to request a second surgeon to do the scar revision again.

Raffy Karamanoukian, MD, FACS · Answer

Our office has many different treatments for scars depending on the depth of atrophy or hypertrophy. Scars require a combination approach using our HI DEF protocol which uses a combination of lasers, topical scar modulation, and RF treatments to pixelate scars, improve contour, reduce hyperpigmentation, and improve the visibility of the scars so that they are no longer visible in ambient light. Everyone has a unique pattern of scarring and we employ our HIDEF technique to improve texture, color, contour, and topography. We often use a combination of treatments that begin with a careful examination to examine the micro texturing of the acne scars. Atrophic scars and indented  scars can benefit from injectable fillers such as Radiesse, Sculptra, and Restylane with or without subcision to remove tethered scars and atrophic depression. Hyper-redness in scars can be improved with V beam laser, Excel V, BBL, IPL, and Venus RF to improve  the redness and reduce the visibility of deep scars. Fractional Thulium laser and clear & brilliant can also reduce the inflammation and redness of the scar when combined with topical therapy. Fractional lasers such as Fraxel, erbium, and CO2 laser can be combined with radio frequency and also fractional RF to improve textual issues and microtopography. Subcision and TCA cross are also used for deep ice pick scars and narrow valley scars in order to improve the micro texture.  Above all, our combination approach with our clinical nurses and board-certified plastic surgeons can improve the quality of your skin by using at home Melarase creams combined with PRP treatments in our office to improve your skin quality and tone. I recommend getting a formal evaluation with an experienced team of experts in order to reduce your scarring.
 
Finally, hyperpigmentation of scars can be improved with at-home Melarase AM, Melarase PM, and Melapads to help reduce active PIH and melanin deposition.

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Benjamin Baker, BMBS MBA FRCS(Plast) · Answer

Hi, it would be worth getting a face to face assessment to assess the likely cause of your stretched scars. There are ways to reduce the risk of this recurring following revision surgery including modified suturing techniques and making sure your implants are well supported so your wounds are not closed under tension, enabling them to heal with a finer line scar. Post-operative results can always be impacted as your body changes over time, such as with weight gain / loss or pregnancy.

Will another scar revision improve the appearance of thick stretched scars after uplift with implants? 3 years post op. (photo)

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Will another scar revision improve the appearance of thick stretched scars after uplift with implants? 3 years post op. (photo)

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Everything you need to know about Scar Removal Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.