Plan to use Embrace scar therapy this time around on TT incision. Should I also treat belly button with Embrace? (Photo)
Doctor Answers 5
Treat Belly Button with Embrace?
Some individuals unfortunately are predisposed to making poor scars. They can either be prone to excessive collagen production following skin injury which results in a Keloid scar - thick, lumpy, irregular. Or they have more skin pigmentation which when it heals after an incision forms a scar that is darker than the surrounding skin.
Anything that delays the wound healing process resulting in prolonged inflammation can result in poor scar. Closing the incision around the belly button is the last thing that gets done in a tummy tuck operation and frequently it does not get the attention if deserves. If the surgeon does not close the incision carefully to ensure it heals optimally then the result can be a poor scar. Minimizing tension on incisions also makes for better scars, but due to the nature of tummy tuck surgery where the skin is pulled down tight, it is almost impossible to minimize tension on the belly button.
In your photo the scar around the belly button looks relatively large in diameter and it is protruding. A larger circular incision is easier to close, but it makes for an unattractive belly button. Your belly button closure appears to violate two important principles in creating an attractive belly button - shortening the belly button stalk so that it indents the surrounding skin which tends to hide the scar, and making the belly button smaller rather than larger because the tensions on the belly button tend to expand it over time.
About the only that I could suggest for you would be the consistent and prolonged application of a silicone based scar treatment such as a silicone strip or patch. There is real scientific evidence that these types of treatments do help scar quality. Some surgeons put surgical tape on the incisions which is a similar principle but I don't know if it has ever really been shown to be effective. BioCorneum is another type of silicone treatment that is in a cream base that is applied to the scar twice a day. There is good scientific evidence that this treatment is effective and it it easy to use so patients are more likely to use it consistently. We generally get very positive feedback from patients on this product.
Embrace for Tummy Tuck Scar
Plan to use Embrace scar therapy this time around on TT incision.
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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.