Old scar keeps on twitching or wriggling?

Start with a combination of Plato's Scar Serum and Kenalog IIT to help reduce the scar tissue. The twitching may be muscle or nerve related.Best, Dr. KaramanoukianRealself100 Surgeon

there are many options for hypertrophic scars after surgery
1. vascular lasers (yellow laser, vbeam, excel v)
2. fractional lasers (fraxel, erbium, co2)
3. microneedling/PRP
4. dermabrasion
5. silicone based scar gels with growth factors

Scars tend to settle into a long-term state after one year of healing. Scars themselves do not have muscle fibers in them and therefore do not twitch. It is possible that the muscles under the scar are twitching (spasms) and causing the scar to move. Muscle spasms that are involuntary and bothersome can be sometimes be calmed down with botox injections. It is important to have an in-office evaluation by a physician to determine if this is a viable option for your situation. Not all muscles can be weakened with botox without risking functional problems. Hope this helps!Johnson C. Lee, MD Plastic Surgery@Drjohnsonlee