Post Mommy Makeover Scar Treatment

I want my scars to heal as light ,flat,and thin as possible. I have bought every scar lotion, tape, oil,and creme known. Now what do I do with them? My dr said all were great but didn't specify the sequence and weeks to do what. When I had my breasts done the first time,all I did was use paper tape on the incision for a month.Right now I am 2 weeks post mommy makeover and using scar guard as the steristrips fall off. Help me out her with a " scar treatment plan"!

Doctor Answers 33

Kelcote is KING of Scar Correction.

KELOCOTE IS KING OR QUEEN OF SCAR  CORRECTION.    100% silicone.  A gel that drys.  It works.   Read the directions.  I use this on all my patients for all incisions.  This stuff can be bought on the internet..  If problems, call my noffice and we will get it for you AT OUR COST.   Kelocote works.  Use it for one year daily and it will never fail.....NEVER!!!!    NEVER !!!!.    George Commons, MD

Scar treatment after tummy tuck

This is what I recommend. Other surgeons will have different opinions.

1. Keep the incision taped for 3 weeks. Steri-strips or other medical tapes are both fine.

2. Start scar massage at 3 weeks. Work that scar as often as you can.

3. Do not tan!!!

4. Use some for of silicone-based scar treatment for the first 3 months. It can be silicone sheeting, ScarGuard, or ProSil. They all work about the same.

5. Vitamin E and Mederma are not as effective as the silicone products.

6. If the scars are hypertrophic, consider Kenalog injections.

7. If the scars are very red in color, consider IPL treatments.

8.  There is a newer post-op dressing, called "Embrace".  It's very good, but must be worn for 8 weeks after initial healing.  Although it's not cheap, for people who want the best possible scar, this product has a lot of good scientific research behind it.

All the best,

Scar treatment

Using scar guard should help. You can also benefit from massaging your scars to flatten them. However you should wait until you are 4 weeks post surgery as the wound is still weak. 

Best of luck!

Dana Khuthaila, MD

Dana Khuthaila, MD, FACS
New York Plastic Surgeon
4.9 out of 5 stars 60 reviews

Post surgical scar treatment

There are different types of scars.  Some are thickened and elevated, others are red and may be flat or elevated, some are wide while others are narrow, some are depressed or indented, etc.  If you can provide photos of the scars that can help determine what type of treatment is best.  Various options include covering of scars with silicone gel or sheets, steroid treatment with or without a drug called 5FU mixed in, and laser and light treatment.  Without more information it is tough to make specific recommendations.  What does your surgeon have to say?  I would always defer to the judgement of the person you tusted to perform your surgery over that of someone you don't know.

Brian Biesman

Brian Biesman, MD
Nashville Oculoplastic Surgeon
4.8 out of 5 stars 41 reviews

Scar treatment

There are many types of treatment for scars.  I usually recommend pure vitamin E oil or cream to be placed on the scars.  After the vitamin E I would recommend a silicone sheeting.  This sheeting can be purchased in the local CVS or Walgreen's.  You use the sheeting for a few months and the scar will improve. 

Jay H. Ross, MD, FACS
Palm Harbor Plastic Surgeon
4.6 out of 5 stars 27 reviews

Scar management after mommy make over

Scars are a dynamic metabolic evolution of inflammation and collagen creation and breakdown for at least six months after a surgical procedure.  We recommend maximizing scar management with a topical silicone gel sheeting sold by several manufacturers.  Diligent wearing of this sheeting for a prolonged ( 6 months) period of time will pay big dividends.

All the best,

Tal Raine MD  Elmhurst , IL

Talmage J. Raine, MD, FACS
Chicago Plastic Surgeon
4.5 out of 5 stars 8 reviews

Scar Treatment post Mommy Makeover

Multiple factors contribute to scar formation.     I think scarguard is a great product, but must be used in moderation.  A light layer is all that is necessary to treat the incision.    If you start to develop a raised area of scar, you may benefit from an injection or silicone sheets to help the area flatten.   Lastly, remember that wound healing takes time.   Most scars take 1 year to fully mature and soften. 

I wish you a safe and healthy recovery.

Paul S. Gill, MD
Houston Plastic Surgeon
4.8 out of 5 stars 84 reviews

Scar treatment

I prefer to have my patients use ster-strips or paper tape over their incisions for about 6 weeks provided that they have not sustained any tape irritation. The other topicals are OK,b ut in most cases do not do anything more than moisturize the skin. If the scar is problematic topical silicone sheeting can help;.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 24 reviews

Scar therapy

Every PS uses a different regimen but no doubt mommie makeover is an operation that could use some method of diminishing scars.  A combination of steroid/silicone/massage and sun avoidance is what will benefit you most. You'll need a real consultation to evaluate your scars and treat you accordingly.

Ricardo A. Meade, MD
Dallas Plastic Surgeon
5.0 out of 5 stars 109 reviews

Scar care after tummy tuck

Thank you for your post. In tummy tuck and other lift/tightening surgeries, tension is the enemy. The scar is healing gradually over 12 weeks or so, and until it is strong, it is the weakest link. As there is a great deal of tension in tummy tucks, body lifts, breast lifts, etc., the scar is at high risk of 'stretching' or widening. Silicone sheeting, although having the ability to make a scar flat, does nothing to prevent stretching of the scar. Creams or steroids or lasers also do not have the ability to prevent stretching of the scar. Those are used if scar is thick or dark, but not to reduce the wideness of the scar, which is the main problem. Massage also does not help keep the scar thin, and can actually worsen the scar in the first 12 weeks because you are actually adding tension to the scar. Massage is for softening a hard or thick scar, but if used early, will hasten the scar widening. Only tension reduction has the ability to keep the scar as thin as possible. You may notice in a lot of tummy tuck scars that the center portion of the scar is the widest with the sides toward the hips being the thinnest. This is because the maximum tension is at the center, and least amount on the sides. Embrace removes a lot of the tension by putting more tension on the skin on either side of the incision and drawing the incision together. It is expensive though at about $100 per week for 12 weeks. When patients do not want to spend the money for embrace, I tape the incision trying to remove as much tension as possible for 12 weeks and recommend no stretching back and to sit most of the time, keeping tension off the scar.
Best wishes,
Pablo Prichard, MD

Pablo Prichard, MD
Phoenix Plastic Surgeon
4.9 out of 5 stars 42 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.