Keloid or hypertrophic scar post tummy tuck? (Photo)

Question

8 months post TT. Terrible scaring. What would you consider? Is this a case for a revision? Already had steroid treatments.

Dev Wali, MD · Answer

Thank you for your question.You may be a candidate for scar revision.  I recommend that you be examined by a board certified plastic surgeon to be sure. There is also a minimally invasive procedure known as Carboxy Therapy that may help improve the appearance of your scar.  I have included a link below that explains Carboxy Therapy in detail.Good luck!

Camille Cash, MD · Answer

The submitted photo appears to be a hypertrophic scar.  You can consider lasers, microneedling, and over the counter scar treatments to improve the appearance.  You will want to wait a year from surgery for the scar to mature, but if after that time you are still concerned you can consider scar revision.  This is often successful as the tension on the scar will be less.

Robert Brueck, MD · Answer

since you have had conservative therapy then a revision may be in order and perhaps some post op radiation therapy.

Darryl J. Blinski, MD · Answer

Classic hypertrophic scar event. Either surgical revision or scar laser therapies are your options to research.

Robert H. Hunsaker, MD · Answer

Surgery causes scars and everyone heals differently. If you had uncomplicated healing the first time, it is not likely that cutting the skin there again will have a different result. There are other modalities to try to address poor scars. Some do involve revising the scar but adding other compounds to the scar treatment at that time and subsequently. Even radiation therapy is sometimes used. All have their advantages and disadvantages and NONE of them can guarantee improvement. Many patients ultimately choose tattooing some design in this situation.

J. Clinton Merrick, MD · Answer

Hello!
This appears to be a hypertrophic scar.  The difference revolves around the extent of scarring outside of the original incision.  In this case the vertical component of your abdominoplasty scar appears to have widened but remains along the original incision.  Steroid treatment is certainly a good starting place but if this has been attempted and the result is not satisfactory to you then surgical revision may be your next step.

Keloid or hypertrophic scar post tummy tuck? (Photo)

Answers (6)

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