Do you have to be put to sleep for scar revision? What's all involved? (photo)

Question

I know it's too early to see final result but one side is so much higher than the other. I don't think it's possible to lower the higher side because skin is tight and on the lower side the skin is loose. It however makes everything unsymmetrical including hips.any suggestion ? It's still better than what I had but of course is bugging me. By the way you are wonderful doctors giving your time to answer our questions.

Jed H. Horowitz, MD, FACS · Answer

#TummyTuckRevision surgery Revision surgery is unusual but may be desired for several reasons. Most revisions should be done after 9-12 months.  One cause for revision surgery are “dog ears” at the ends of the incisions. Improving the position of the scar is another common reasonScars may widen or continue to  be red  and elevated.  These may require laser treatment or injection with kenalog and 5-FU.  Excision and reclosure may help some scars. Other treatments are available as well.Excess fat or loose skin may require liposuction and skin excision to obtain the best result.

Earl Stephenson, Jr., MD, DDS, MBA · Answer

Thank you for the picture. You have a bit of a tough problem. My initial thought is to raise the lower scar.  This will produce an aesthetic result. If your skin is very tight all around you may need  tissue expanders. If you get tissue expanders this gives you more options as to the final scar placement.Best wishes.Earl Stephenson Jr M.D. DDS FACS

J. Jason Wendel, MD, FACS · Answer

Thank you for your question.Yes, a scar revision can be performed to correct this. It is best to wait roughly 3 months after the tummy tuck before proceeding.If you have a good tolerance for discomfort, this could possibly be done in the office. If you don't want to feel a thing, then surgery with general anesthesia might be better.Discuss thoroughly with your surgeon.

To be sure, see two or more board
certified and experienced plastic surgeons in your area for a full and complete
evaluation.

I hope this helps.

To be sure, see two or more board
certified and experienced plastic surgeons in your area for a full and complete
evaluation.

I hope this helps.

Curtis Wong, MD · Answer

You've posted before as your scars are recognized.  The type of anesthesia is usually dictated by the extent of your procedure.  If you were my patient and wanted the lower side raised up to match the higher side, a general anesthetic would be recommended to make this as comfortable for you as possible.  If you only needed a smaller scar revised, then local can be done.

George Commons, MD (retired) · Answer

Yes your scar ca be lowered.   Wait one year and it can be lowered better and easier.   You umbilicus and abdominal scar seem heavily pigmented.  You would benefit by daily use of a Retin A - Hydroquinone cream such as HQRA and then a scar silicon cream such as Biocorneum.     I would wait till you are a full year for revision.  This one year rule gives your tissues the best chance  and your surgeon  the best chance for a perfect improvement.   My Best,  Dr C     PS.    General anesthesia always and in a certified Operating Suite.  Always!

Do you have to be put to sleep for scar revision? What's all involved? (photo)

Answers (5)

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