Bad tummy tuck scar? And loose skin? (Photo)

Question

I have quite a few vertical lines accross my incision where i saw external stitches were placed. Its left very unsightly scars and i hae not seen this on other people are looking at many before and afters. Why did this happen? Also I still have loose skin which im very sad about i thought that would be fixed after th tummy tuck.

Raffy Karamanoukian, MD, FACS · Answer

Abdominoplasty scars can be quite complex, ranging from the simple hypertrophic scar to a multiplane inflamed keloid. Pigmentation, discoloration, chronic inflammation, scar visibility can all occur in the short term. We begin each treatment with combination therapy using Yellow broadband BBL, Vbeam, fractional erbium, intralesional IIT, and scar modulation. Start with a combination of Plato's Scar Serum massaged twice daily after one week of epithelialization followed by Luminase/Exfolase. Scar consultation and revision may be recommended.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Daniel Barrett, MD · Answer

Dear jonz2019,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Camille Cash, MD · Answer

I encourage you to discuss your concerns with your surgeon.  You can use scar treatments such as silicone sheeting to improve the appearance of your scars.  Other options include lasers or steroid injections.  Your surgeon can also evaluate if you are a good candidate for a revision for further skin excision.

Darryl J. Blinski, MD · Answer

Great posted photos. I agree you are best served with compete TT revision and correction of dog ears. Fee from $10,000. Best to virtual consult with ....

Mats Hagstrom, MD (license on probation) · Answer

Most plastic surgeons use absorvable sutures under the skin too close at their incisions to avoid leaving train track type scars.
To assess the outcome of a surgical procedure we usually recommend patients show proper before and after pictures. If you don’t have before and after pictures then ask the surgeon to forward the ones they took.
I suppose in the end your surgeon is responsible for the outcome of the procedure and you are responsible for choosing that surgeon.
Did the surgeon show you are a lot of before and after pictures during your consultation?
Did any of those patients have crosshatch or a railroad track type Scars?
If the results bother you enough to have revision then the old scar can be excised and proper absorbable stitches under the skin can be used for the revision procedure.
I cannot emphasize enough the importance of carefully selecting the most talented and experienced providers when it comes to cosmetic surgical procedures.
Being board-certified with an overall good reputation is insufficient to ensure that someone has sufficient skills and experience in any one particular procedure.
During in person consultations I recommend patients ask providers to show their entire collection before and after pictures. especially ask surgeons to find as many before and after pictures of patients with similar body characteristics to your own.
An experienced provider should have no difficulty in showing at least 50 sets of before and after pictures have a common procedure like a full tummy tuck.
Highly experienced surgeons will have hundreds or possibly even thousands.
I also recommend reading all reviews on various physician review websites avoiding providers with any significant number of justified negative reviews. The absence of justified negative reviews is more important and more telling then having an abundance of positive reviews.
Best,
Mats Hagstrom MD

Bad tummy tuck scar? And loose skin? (Photo)

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