Where do I go to fix my lumpy c-section scar with crevices? (Photos)

Question

I had a baby via cesarean section a few years ago. I am genetically prone to keloids and was expecting the scar to keloid at some point however after my surgery (up until a year ago) all was well. Now for some reason it has developed a huge keloid that has grown so large it has crevices where black gunk similar to belly button dirt grows in between. I still have feeling in the area if that is important at all.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question.  The best advice you can receive is from an in-person consultation.  Based on your photographs, you may benefit from a surgical revision of your C-section keloid.  This decision should be based on a detailed discussion with equal input from both you and your surgeon.   Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results.   
 
 Best wishes and good luck.

Richard G. Reish, M.D.  FACS

Harvard-trained plastic surgeon

Raffy Karamanoukian, MD, FACS · Answer

The treatment of scars on the face and body follows a protocol-based approach in our office. We start by characterizing the scars in terms of redness, atrophy, hypertrophy, size, volumetric biometrics, and color hyperpigmentation and then devise a customized protocol for you. Our Hidef scar protocol uses micro fractional and fractional RF, fractional laser, sublative RF, vbeam therapy, injection based IIT, and scar modulation. Scars that exhibit growth should begin treatment with Plato's Scar Serum twice daily followed by Melarase AM and Melarase PM for dark and discolored scars.
Best, Dr. KaramanoukianRealself100 Surgeon

Jason Emer, MD · Answer

looks like you will need full excision and injections and/or radiation after treatment.
Sometimes the full scar needs to be surgically revised and this just entails surgically/cutting removing and restitching the scar with or without radiation or steroid injections/5fu.  I recommend getting a formal evaluation with a cosmetic dermatologist/plastic surgeon.  Pigmentation can be treated using cosmelan peel or lightening creams such as hydroquinone, kojic acid, retinol.  Non ablative lasers like fraxel combined with vascular lasers such as excel V, yellow laser, v beam/pulsed dye laser, venus versa IPL also help if  you want to try and avoid surgery.  Microneedling/prp can be added to the lasers or skin care to help the color, texture and tone.  Please see an expert.  Best, Dr. Emer.

Daniel Barrett, MD · Answer

Dear mamaphoenix42,
based on your photos, it looks like you have keloid scar and you will most likely need a revision surgery in order to improve it. If you are considering a surgery, I would suggest you to 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

Kristine Brecht, MD (license suspended) · Answer

Dear AZ,Typically you don’t excise keloids, because they come back bigger, but this situation would be an exception.Reexcision of scar and a tensionless repair with   internal stitches. Once healed, series of steroid and 5-fu injections, and silicone based topical/ smooth compression dressing are your best bet.Incisions need at least 6 weeks to heal, not lifting more than 5 lbs during this time.Best. Dr Brecht

Where do I go to fix my lumpy c-section scar with crevices? (Photos)

Answers (5)

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