Recommendations for improving appearance of stomach surgery scar? (photos)

I had a large pyloric stenosis scar revised through surgery approx. 2 years ago. Although the appearance has improved slightly, I am still unhappy with the look. It seems puckered and there is a small pocket of fat that sits above the incision. It creates a shadow effect that accentuates the size of the scar. I know it is impossible to remove it entirely, but I want it to blend into my skin as much as possible. What is the best way to revise a scar like this? Is surgery the only option?

Doctor Answers 4

Stomach scar

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You look to have a great result from your pyloric stenosis surgery scar revision.  Scars from surgery performed when very young often grow and can be quite irregular.

The quality of your scar looks excellent and I don't think it can be improved.  If there is a small bump of fat above the scar casting a shadow (its a bit difficult to tell from the photo) then a small amount of liposuction here can improve the contour.  Best wishes.

Embrace Active Scar Defense after Scar Revision

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After a scar revision, many patients benefit from using Embrace Active Scar Defense to help diminish the appearance of their scar. Embrace is an active scar device that relieves scar tension, which is a major contributing factor in scar development. Relieving scar tension actually alters the formation of the scar. When consulting with a board-certified plastic surgeon regarding a scar revision, be sure to ask about his or her scar therapy protocol so that you can achieve the best aesthetic outcome. Good luck!

Tom S. Liu, MD, MBA
Los Gatos Plastic Surgeon
5.0 out of 5 stars 3 reviews

Stomach Scar Solutions with lasers, microneedling/prp, revision

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This can be improved with a combination approach of revision, lasers, microneedling/prp and/or fillers. I recommend a consultation with a scarring expert. Best, Dr. Emer

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 207 reviews

Abdominal scar

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I like to treat depressed scars with a " vest over pants" technique.  In this type of scar revision, instead of cutting out and discarding the scar, only the top layer of the scar is removed ( like skinning it) .  The remaining scar is tucked under the upper skin like a vest goes over pants.  This way, the depression and the shadowing is improved by smoothing out the puckered in portion.  It works well. Find a board certified plastic surgeon to do this.  Good luck!

Edward J. Ricciardelli, MD
Wilmington Plastic Surgeon
4.9 out of 5 stars 40 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.