When is best to start scar treatment after a Brazilian Butt Lift?

Question

No one ever gives a clear TIME LINE when it comes to scar treatment and it scares me. Can a Dr give a detailed clear time line of scar treatment/management (for best results), going from Day of surgery to... when it's relevant to stop giving details ? Please... :(... (for Drs using DRAINS and removing them on day 3) PS. Please don't tell me to ask my surgeon. I did and he wasn't helpful nor thorough nor knowledgeable about anything beyond the fact I need to keep them clean lol

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

Casey Anderson, MD, FACS · Answer

No one gives you a clear time line because there is not an exact answer. I have my patients start scar treatment after their surgical glue comes off. It is most helpful to ask your surgeon what their protocol is.

Kenneth Hughes, MD · Answer

As an author of Scars and Scar Revision in Reoperative Plastic and Reconstructive Surgery, I am well versed in the potential treatment options. One treatment (silicone sheets) may be helpful for one patient while another treatment (mederma) may help another patient. No particular scar treatment is better than another. The scars from liposuction will continue to fade in most cases for at least one year. I advise that scars not be exposed to sunlight for the first year due to risk for hyperpigmentation. If the scars are elevated or irritated or there is exuberant scar tissue, injections of several items may be helpful. Scar revision surgery can lessen the scar. Other alternatives such as Intensed Pulsed Light (IPL) lasers (Fractora, Lumecca) may be beneficial. Laser may be reasonable after the initial phase of scar healing is complete at the 6-week mark in an uncomplicated case. However, I usually recommend waiting longer, because time will usually be the best help, particularly in a good scar former.

Zoran Potparic, MD · Answer

Your statement comes as a little surprise? A scar management is important part of post-operatrive care and instructions. We usually encourage patient to start scar management with silicone based remedies (gels, creams, tapes) as soon as sutures are removed, which is in average 10 days or so. It should continue for months in (6-12) in order to see full benefits. Hope this helps. Good luck.

Daniel Barrett, MD · Answer

Dear MissDespe,
scar prevention begins in the OR during the surgery when I meticulously close wounds in multiple layers in order to reduce tension and reduce scars width. I tape my incisions during the early postoperative period to reduce micromotions of the tissues so the incision can heal earlier. I also use compression garments and later Biocorneum gel.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

When is best to start scar treatment after a Brazilian Butt Lift?

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When is best to start scar treatment after a Brazilian Butt Lift?

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