Incision holes and bumps around scar 9 months after surgery. What could this be? (Photo)

Thanks for your question. You should get it checked out. It might be the holes created when the sutures are too tight on the skin. For the bumps, you could have laser treatment to make your scar tissue smoother and less visible. There can be an enough improvement with this type of treatment.

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

Hello,
Thank you for the question and photos.
Final wound healing can take up to 1 year to be completed after surgery.
I would continue scar massage treatment and discuss your questions and concerns with your Plastic Surgeon.
I hope this helps.Best regards, Dr. Karanetz
Dr. Irena KaranetzBreast Fellowship-TrainedBoard Certified Plastic Surgeon

Good morning,
It seems to be the way your incision healed around the sutures underneath the skin. Doesn't indicate a problem really, and may improve further with more time!

Hello, thank you for your question. It is difficult to say just from the photos alone. Its possible it is a small suture that has not dissolved completely. You can try and perform scar massage to the area to see if this will help. Otherwise I would speak to your plastic surgeon about it and don't pick at it since it can get infected.

Dear Fabulous354136,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

The "bumps" are some thickening of your scar and the "hole" appears to have some suture material still present. I would suggest going back to your surgeon.

The areas that concern you are likely related to sutures used during your procedure. Visit with your surgeon who can advise how best to address them. Typically it's simple interventions that can be addressed in the office.

Thank you for your question. I looked at your photos very carefully and what I see is some hypertrophic change of the scars. In our practice, we have a post-surgical scar protocol involving the use of medical grade silicone gel, steroid injections and if necessary NdYAG 1064 laser treatments of the scar. If you are not happy with the scar I would strongly advise you return to your surgeon and ask for him or her to look at it. You mentioned that you had some holes and some bumps in the scar. This may be due to one or more sutures "spitting" in which they are recognized by the body as a foreign body and are expelled. These are usually not serious but sometimes can become inflamed. I would advise to have a low threshold to visit your surgeon so that any issues can be addressed while they are easily managed. Hope this helps.

Hi and welcome to our forum!
From your photos, I note what appears to represent old suture marks from your previous surgery which may be associated with a small underlying cyst. Inspissated debris will tend to clog the "pores". There is also residual scar hypertrophy present which has not yet resolved.
A simple revision of the involved segment will eliminate the cyst.
If of concern or with episodes of irritation, revisit your plastic surgeon for evaluation and discussion.
Best wishes...