Itching/brown skin on tummy 10+ years after TT. What could be causing this? (Photo)

Question

Hi doctor, I am 61, 5'1", 112 lbs. I had a TT w/ab muscle repair about 12 years ago. A few years ago, I found that I had itching at the top and bottom of where the muscle repair was completed. Now the skin where it itches has turned brown. The itching is the worst when I lose a few pounds. What could be causing the itching any my skin turning brown?

Daniel Barrett, MD · Answer

Dear xpgmmsb1,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

James Knoetgen, III, MD · Answer

Itching and changes in skin color, such as brown skin, near a tummy tuck scar many years after the procedure could be due to various factors. It might be related to scar tissue, skin aging, or even an underlying condition. It’s important to consult with a healthcare professional to evaluate your specific situation and provide appropriate advice or treatment options. They can examine your skin and medical history to determine the exact cause and recommend the best course of action.

Connie Hiers, MD, FACS · Answer

Sometimes a brown discoloration occurs when an old hematoma breaks down and is left to absorb. The red blood cells break and the iron pigment is deposited into the tissue. This does not go away.

Camille Cash, MD · Answer

More information and an examination are needed to determine what may be causing the itching and discoloration of the skin.  I encourage you to return to your plastic surgeon for an evaluation.  You may be redirected to a dermatologist if your surgeon isn't able to assist.

Jose A. Munoz, MD - Account Suspended · Answer

Hi and welcome to our forum!From your photo, I note vertically oriented ill defined area of brownish discoloration in the supraumbilical area.I am unable to ascertain if the lesion is the cause of the itch, or if the itch (with resulting scratching) may have caused the lesion.Chronic inflammation may present with this picture. There is a degree of suspicion about the previously placed deep fascial sutures.A visit to a dermatologist may be required to determine the nature of this lesion (and hopefully eliminate it). A plastic surgeon may ultimately be required to treat it if required.Best wishes...

Itching/brown skin on tummy 10+ years after TT. What could be causing this? (Photo)

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