2 years after brachioplasty - Is this hypertrophic scarring or a keloid and what can I do to minimize its appearance?

Question

Hello! I lost 60 pounds a few years ago and decided to get a brachioplasty done October 2020. I have been so insecure about the huge wide scars it has left me with and desperately looking to revise them. Would surgery leave me with a better scar ?

Raffy Karamanoukian, MD, FACS · Answer

Plastic surgery scars require attention after surgery so that they remain cosmetically-appealing and barely noticeable. In our office, we use a protocol for scars that minimizes their activity in the 6-8 weeks after surgery. If you have late plastic surgery scars, you may also require laser and RF therapy to help reduce the longterm effects of the scarring. Keloids, hypertrophic scars, widened scars, red scars, and hyperpigmented scars all require scar modulation with topical creams followed by lasers and RF therapy. Topical skincare should be directed to a specific need, whether for pigmentation or hypertrophy and our office can guide you through the process to obtain the correct Plato’s Scar cream or Melarase cream for hypertrophy and discoloration. In terms of lasers, we would employ the vbeam laser for redness, Venus Viva RF, PRP microneedling, chemical peels, and Morpheus 8, fractional erbium, or fractional co2. All of these have their individual benefits. Most of all, we recommend you visit a solid plastic surgeon who understands surgical scar revision, laser therapy, and RF therapy for scars. 
 
Best, 
Dr. Karamanoukian
Realself100 Surgeon

Darryl J. Blinski, MD · Answer

The photos demonstrate spread hypertrophic scars NOT keloids. Did you have postop incision splitting? or would healing issues? I recommend revision with excellent suture techniques. NO arm use fir 3-4 weeks at all!!! Fee $8,000. Best to virtual consult with...

2 years after brachioplasty - Is this hypertrophic scarring or a keloid and what can I do to minimize its appearance?

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Everything you need to know about Scar Removal

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2 years after brachioplasty - Is this hypertrophic scarring or a keloid and what can I do to minimize its appearance?

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Recommended reading

Everything you need to know about Scar Removal

Our mission is to create a world where every investment in modern beauty is Worth It.