What is the best treatment for my surgery scars after lipo? (Photos)

Question

I have obtained a number of scars following lipo abroad in the dominican republic in April 2017.  5 months post surgery, I went to a dermatologist, who was able to appreciate diffuse hyperpigmentation together with hypertrophic scars. I am interested in treatment to achieve the following: 1. reduce the size of each scar 2. Improve the discoloration around the scar. Can you please advise on the best treatments to achieve the above?

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

Jeff Angobaldo, MD · Answer

Thank you for your question.  CO2 laser skin resurfacing treatment is very beneficial for making acne scars diminish.  This is done by removing deeper layers of damaged skin and stimulating the regeneration of healthy skin underneath. This treatment is also beneficial for uneven pigmentation, photodamage, fine lines and wrinkles, precancerous spots, and a host of other skin imperfections and benign lesions. If you believe you may be a candidate for CO2 laser skin resurfacing treatment, a qualified cosmetic surgeon or dermatologist can carefully analyze your skin and determine if the procedure is right for you

Jason Emer, MD · Answer

This is hyperpigmentation/discoloration not true scarring.  Hyperpigmentation from any type needs a combination approach of peels like cosmelan,  lasers like clear and brilliant and aerolase or laser genesis, radiofrequency like venus viva, and constant skin care and sun protection.  Bimontly facials with silk peel dermalinfusion is essential to hydrate, exfoliate and infuse vitamins and antioxidants into the skin.  If you have acne you can do additional treatments and peels to get more improvement.  I suggest a formal consultation with an expert in lasers and peels. Best, Dr. Emer.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, you may benefit from surgical scar revisions of your liposuction port site scars.   I recommend
that you seek consultation with a qualified board-certified plastic surgeon who
can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D. FACS
Harvard-trained plastic surgeon

Michele S. Green, MD · Answer

A combination of treatments would be advisable to correct these scars.  The hyperpigmented areas need bleaching creams with Hydroquinone to correct this area and Kenalog injections into the keloid areas to flatten it out.  Kelo-cote is a great topical product that also helps flatten out keloidal scars.  Please consult an expert in keloids and scar treatment.  Best, Dr.  Green

Robert L. Kraft, MD, FACS · Answer

These are quite large for liposuction scars and appear keloidal or hypertrophic.  Injections of steroids as well as silicone tape would be recommended.

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