How to not pull scars when you have 360 degree upper body lift?

Whether you’re having an upper body lift or a lower body lift, the majority of tension/pulling is on the backside of your body. This is because you will spend the rest of your life either upright or bending forward. Bending forward, relaxes the scars on the front of your body, but puts more tension and pull on the back of your body. For this reason, the back is snugged up, but not made excessively tight. The front incisions can be made slightly more tight. There is no reason to separate these operations. Both procedures can be done safely at the same time and give you a single operation with a single recovery and reduce your cost. Discuss this in-depth with your plastic surgeon. Best wishes.

Hello cauliflowerisaflower,

Thank you for your question regarding the recovery process after a 360-degree upper body lift. Recovering from such an extensive procedure can be challenging, but proper positioning and movement can help prevent pulling on your scars.

For the first two weeks post-surgery, it is crucial to lay on your back at a 45-degree angle. This position helps minimize swelling and facilitates breathing. Additionally, placing a pillow underneath your knees can reduce pressure on your abdomen, making you more comfortable.

The key to avoiding pulling on your scars is to minimize movement, especially twisting. When transitioning from lying in bed to standing up, use a straight pull technique. This means pulling yourself up and moving straight off the bottom of the bed rather than twisting off the side. Twisting puts undue force on the lateral incisions, which could lead to tearing.

For the initial days, you may need assistance getting in and out of bed to ensure you use the correct technique. There are several instructional videos on YouTube that demonstrate proper postoperative maneuvers for getting in and out of bed after an upper body lift. Following these guidelines will help protect your scars during the crucial early stages of healing.

I noticed you've been asking excellent questions
Good luck with your recovery, and I hope this information helps you manage your postoperative care effectively.

Sincerely,

J. Timothy Katzen, MD, FASMBS, FICS

Dear cauliflowerisaflower,
I understand your concern. It is best that you consult your plastic surgeon regarding post operative care and management (i.e including massage techniques and timing) specific to your case. Your surgeon knows your condition well and has preferences on when and what to use for faster healing and recovery. Post operative care and management depends on the type of surgery performed and the technique used during surgery among other factors.It is best, however, that you follow your plastic surgeon's advice on post operative care management for a smooth and faster healing and recovery.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Your surgeon will discuss post operative care with you including positioning and activity after surgery. You will need assistance for a few days after surgery as you will be sore and groggy so an extra hand or two will be helpful. Your surgeon will guide you in how to prepare as she/he is most familiar with the details of your planned procedures.

Preventing scar pulling or tension after a 360-degree upper body lift (also known as a circumferential body lift) is crucial for optimal healing and minimizing scar-related complications. Here are some strategies to help prevent scar pulling:
1. Follow Postoperative Instructions: It's essential to follow your plastic surgeon's postoperative instructions carefully. This may include specific guidelines for scar care, wound management, and activity restrictions during the initial healing period.
2. Avoid Tension on Scars: Try to minimize activities that put tension on the surgical incisions. This includes avoiding activities that require excessive stretching or movement of the arms, torso, or upper body during the early stages of healing.
3. Use Scar Management Techniques: Your plastic surgeon may recommend scar management techniques such as silicone gel or silicone sheeting to help improve scar healing and minimize tension on the scars. These products can be applied directly to the scars once the incisions have healed.
4. Protect Scars from Sun Exposure: Sun exposure can worsen the appearance of scars and increase the risk of complications such as hyperpigmentation. Keep your scars protected from the sun by wearing clothing that covers the treated area or using sunscreen with a high SPF.
5. Massage: Gentle massage of the scar tissue can help improve blood circulation, promote collagen remodeling, and reduce scar adhesions. Your plastic surgeon may provide specific instructions on when and how to perform scar massage.
6. Stay Hydrated and Eat a Healthy Diet: Proper hydration and nutrition are essential for promoting optimal wound healing. Drink plenty of water and eat a balanced diet rich in vitamins, minerals, and protein to support your body's healing process.
7. Attend Follow-up Appointments: Attend all scheduled follow-up appointments with your plastic surgeon to monitor your progress and address any concerns or complications promptly.
8. Gradual Return to Physical Activities: Gradually reintroduce physical activities and exercise as directed by your plastic surgeon. Avoid strenuous activities that may put excessive strain on the surgical incisions until you have fully healed.
9. Listen to Your Body: Pay attention to any signs of discomfort, pain, or pulling sensations around the surgical incisions. If you experience any unusual symptoms, contact your plastic surgeon for further evaluation.
By following these guidelines and working closely with your plastic surgeon, you can help ensure a smoother recovery and optimal healing after a 360-degree upper body lift. Always consult with your plastic surgeon if you have any questions or concerns about scar care or the healing process.