Tips to help with scarring post surgery (lipo 360/BBL)?

Question

What are some tips to help with scarring post surgery (specifically lipo 360/bbl)? I tend to hyperpigment very easily and would like the least minimal scarring as possible. Unfortunately silicone tape and gel hasn't helped me too much with previous injury scars

Alan Gonzalez, MD, FACS · Answer

Hello @Keeetz, thank you for your question. Scar formation following lipo 360/BBL (Brazilian Butt Lift) surgery is expected and common. The amount of scarring is highly dependent on the patient's natural healing capacity, recovery care, as well as the skillset of the surgeon performing the procedure. To minimize scarring after your lipo 360/BBL surgery, it will be important to follow your post-operative instructions from your surgeon closely, including avoiding strenuous activity for a period of time depending of your recovery and a healthy diet that helps your cicatrization process. Keeping up with regular checkups during the recovery process can help keep track of how well you're healing and act upon any abnormalities immediately if needed.  Best wishes! Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS),   International Federation for Adipose Therapeutics and Science” Member (IFATS), Colombian Society of Plastic Surgery member (SCCP).

Ajaya Kashyap, MD · Answer

Thank you for your query. The incisions for liposuction can be very small especially when thin cannulas are used. These are generally put in cosmetically acceptable areas. Subsequent massage and topical ointments can be very helpful. If any sign of hypertrophy is seen , a long acting steroid  can be injected in the scar. Please find an experienced Board certified Plastic surgeon who can help you with all your concerns. All the best!

Ryan Rebowe, MD · Answer

Thankfully, the scars from a BBL or Lipo360 will be minimal with only small scars for the harvest and injection sites. However, I would discuss a steroid injection regimen with your surgeon as this can assist with hyperpigmentation and texture of the scar.

Daniel Barrett, MD · Answer

Dear Keeetz
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

Malik Abaci, MD · Answer

Antiscar gels an massage 3 times daily may help you in the first 3-4 months. And it lasts in the 6th month

Frank Lalezar, MD · Answer

Some patients have a tendency for hyperpigmentation along scars after surgery. For those patients, I use what is known at Cyspera which can eliminate hyperpigmentation and enhance skin hydration with this pigment-correcting cream. With continuous use, you can diminish stubborn dark spots on any skin type and reduce blemishes and acne scars on the face.

Camille Cash, MD · Answer

Incisions from liposuction are very small and tend to heal well.  Over the counter products like silicone sheeting can be used.  The key is consistency.  They should be used daily for several weeks.  To lower the risk of hyperpigmentation keep your incisions protected from the sun.

Mats Hagstrom, MD (license on probation) · Answer

There are two different types of undesirable healing tendencies. Some people can carry which tend to be genetic. The first is hypertrophic scar tissue formation. With hypertrophic scars the scars are raised, thick, hard and often itch. Hypertrophic scars can be reduced by the use of silicone sheeting and minimizing any form of micro trauma, like scratching, or having belts or clothing rub against the scar during the first year.
If hypertrophic scars cannot be managed by the use of topical treatments, then sometimes very careful use of anti-inflammatory. Steroid injections can be helpful, but come with some drawbacks as well.
Steroids should only be used in severe cases, and should be used with great caution.
The other type of undesirable scarring is hyper pigmentation. This does not respond to silicone cheating or steroid injections and the best course of action is to give the area sufficient time before excepting the results as final. Scars can take 12 to 18 months before they stop changing and are mature. If they’ve not faded sufficiently by 1 1/2 years, then at that point, various laser or IPL treatments may be indicated.
For individuals who are prone to having highly visible scars, the placement of incisions for liposuction becomes more important. Each provider has their own way of designing incision patterns, and this is some thing that should be reviewed in detail for individuals who have a history of hypertrophic, or hyper pigmentation type scars.
Even if scars are visible, if placed in inconspicuous places, the stigma or negative aspect can be reduced substantially.
I’ll plastic surgeons have some training and background and skin healing and should be familiar with most modalities to minimize hypertrophic scarring and to some degree the management of hyper pigmentation scars. Personally, I think it’s a mistake to do treatments prematurely and hyper pigmentation Scars since treatments can potentially make them worse.
It’s important to recognize the correct time for intervention, and this is as much art as it is science.
Because delivering consistent quality Liposuction results is more difficult than most people believe, results are permanent any irreversible and there is significant difference in skill and approach among different providers. I suggest patients have multiple in person consultations before considering scheduling surgery.
In the end, there are generally only two variables that determine quality outcomes. The first is patient candidacy, and the second is the skill of the provider.
Most patients have limited ability to change their candidacy for the procedure. What patients do have is the freedom to choose the best provider. To do that I recommend having more consultations then you may think necessary.
Good luck,
Mats Hagstrom MD

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