I had an open heart surgery 6 years ago and now I'm living with a huge scar in front of my breast. I accepted it, never show off this scar and wear terrible clothes, but now, I will get married soon and this scar scares me, I'm so ugly with it, I feel uncomfortable to show it to anybody, even to my fiancé. Can this scar be made smaller or even look better than the recent one?
What Can I Do About An Open Heart Surgery Scar? (photo)
Doctor Answers 4
What Can I Do About An Open Heart Surgery Scar? (
You have a very hypertrophiv irregular sternal incision scar. Best to seek in person care from steroid injections over a few months, possible re excision to radiation (doubtful).
Chest keloids from heart surgery
Chest keloids from heart surgery can be treated non surgically with the following:
- Selective IIT
- Pressure Treatment
- Pulsed Dye Scar Laser
Treatment for keloid scar
It looks like you have a keloid scar. The first treatment would be to inject with Kenalog (a type of cortisone medicine). Another option is to inject with 5-fluorouracil to shrink the scar tissue. 5-fluorouracil is a chemotherapy drug which works well for thick scars. I typically do a urine pregnancy test to rule out pregnancy prior to injecting in a female patient. Usually repeat injections will shrink a keloid over time. You should see a dermatologist for further evaluation and treatment.
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Chest keloid scar
A keloid scar on the chest is very common after heart surgery. The treatment of choice is injection of cortisone (& less commonly 5-fluorouracil), sometimes along with liquid nitrogen. Topical therapy in this situation is of minimal benefit. Speak with your dermatologist about the best treatment option for you.