Scar treatment after skin necrosis. Is it easy to fix this? (Photo)

Question

Seven months ago I had a tummy tuck with some lipo. Iam happy with my result but unfortunately I developed some severe skin necrosis which left me with a huge and ugly scar. What should I do? Should I start scar treatments such as laser or should I undergo a scar excision? I’m not sure, whether I’m going to get a nice result with the scar treatment alone. Also Iam not very happy with my belly button (I always had a „innie“) but I think it is easy to fix it? Looking forward to getting some answe

Raffy Karamanoukian, MD, FACS · Answer

Our office has many different treatments for scars depending on the depth of atrophy or hypertrophy. Scars require a combination approach using our HI DEF protocol which uses a combination of lasers, topical scar modulation, and RF treatments to pixelate scars, improve contour, reduce hyperpigmentation, and improve the visibility of the scars so that they are no longer visible in ambient light. Everyone has a unique pattern of scarring and we employ our HIDEF technique to improve texture, color, contour, and topography. We often use a combination of treatments that begin with a careful examination to examine the micro texturing of the acne scars. Atrophic scars and indented  scars can benefit from injectable fillers such as Radiesse, Sculptra, and Restylane with or without subcision to remove tethered scars and atrophic depression. Hyper-redness in scars can be improved with V beam laser, Excel V, BBL, IPL, and Venus RF to improve  the redness and reduce the visibility of deep scars. Fractional Thulium laser and clear & brilliant can also reduce the inflammation and redness of the scar when combined with topical therapy. Fractional lasers such as Fraxel, erbium, and CO2 laser can be combined with radio frequency and also fractional RF to improve textual issues and microtopography. Subcision and TCA cross are also used for deep ice pick scars and narrow valley scars in order to improve the micro texture.  Above all, our combination approach with our clinical nurses and board-certified plastic surgeons can improve the quality of your skin by using at home Melarase creams combined with PRP treatments in our office to improve your skin quality and tone. I recommend getting a formal evaluation with an experienced team of experts in order to reduce your scarring.
 
Finally, hyperpigmentation of scars can be improved with at-home Melarase AM, Melarase PM, and Melapads to help reduce active PIH and melanin deposition.

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Jeff Rapaport, MD · Answer

Your scar is too large for an excision. Initial treatment would be a vascular laser or IPL as it is erythematous (red). This can be combined with intralesional 5FU , steroid and cryotherapy. The next step would include a fractional ablative laser, CO2 or Erbium. Multiple sessions will be needed.
Realistically, it will look better but will never completely blend with your normal skin.

Scar treatment after skin necrosis. Is it easy to fix this? (Photo)

Answers (2)

Recommended reading

Everything you need to know about Scar Removal Surgery

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

Scar treatment after skin necrosis. Is it easy to fix this? (Photo)

Answers (2)

Browse related questions

Recommended reading

Everything you need to know about Scar Removal Surgery

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