What can I do to improve my belly button keloid? (Photo)

Question

i had my surgery in february 2020. my first scar was huge around my belly button. the doctor redid the navel surgery. The second one I did at 8 months was even ok. now the third one I did after 4 months of the 2nd surgery and it got worse. I had mom's makeover as I developed very thick keloid on my breasts the doctor decided to remove it. they wanted to take advantage of the breast surgery to also redo the navel, which wasn't so bad. now my navel scar is worse

Nelson Lee Novick, MD · Answer

Sorry this has happened. The appearance from the photo is that of a keloid scar. You would be wise to consult with an experienced board certified cosmetic dermatologist scar specialist to discuss appropriate treatment, which typically takes the form of employing intralesional injections of an algorithm of varying combinations, concentrations and amounts of anti-inflammatory agents, to shrink, flatten and reduce the color of the scar. Surgically excising keloid scars runs the risk, especially in people who have demonstrated a tendency to develop keloids, for the redevelopment of keloids perhaps even larger and more unsightly.  A variety of anti-inlammatory agents, alone or in varying combinations, concentrations and amounts, have proven efficacy for shrinking and flattening these kinds of scars and blanching them, as well, so that the final scar is much less visible. Hope this helps and. best of luck.

Raffy Karamanoukian, MD, FACS · Answer

Keloid scars are characterized by their growth potential and increased degree of inflammation within the skin. Unlike non-inflamed scars, keloids have the potential for growth beyond the original footprint of injury. Our office specializes in the management of keloids, whether single or multiple, using a combination platform that includes lasers, RF, scar modulation, Parke-Davis Scar Protocols, and injection therapy. Some keloids will require surgical intervention as an initial step for treatment. 
Best, 
Dr. Raffy Karamanoukian
Realself 100 Surgeon

Daniel Barrett, MD · Answer

Dear Menares,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

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