What am I better off doing? Sticking w laser/steroid or revision? (Photo)

Although it may seem like the same thing done again, it is in fact very different then the original surgery. A scar revision is a very small excision of the scar with precise closure of skin. The tissue has far better circulation then at the original surgery, which will optimize healing and minimize inflammation, the root cause of hypertrophic scarring.

It seems like it has been injected multiple times. If you did well with your scar revision elsewhere, that may be a faster way to deal with this than continued laser. There is often tension on scars during the initial surgery, which can make scars thicken. At this point, it should be more straightforward.

I encourage patients getting scar revision to use silicone scar strips starting two weeks after surgery (for at least three months). I will also see them 4-6 weeks after surgery, and if there are any signs of hypertrophy, we inject with the dilute steroid at that time. Good luck.

Dear michy,
The technical definition of your scars is hypertrophic, not keloid. There are distinct differences between the two, and fortunately for you, one of those differences is that hypertrophic scars will involute (shrink) over time. Keloids will not. Being relatively early in the maturation process of scarring (8 months), your best bet in my opinion would be topical silicone gel applications in some form. Scars can take 2 years or more to mature. Steroid injections, laser treatments, although somewhat effective carry some significant risks that you must be aware of as well. Good luck!