Dear Alexandra.Texas in Patterson, Thank you for your question about the permanence of scars following a body lift surgery. It's important to understand that scars from any surgery, including a 360 circumferential lower body lift, arm lift, thigh lift, breast augmentation, or buttock lift, are indeed permanent. However, while they never completely disappear, they do fade over time and become less noticeable. Minimizing Scarring: Surgical Technique: Your plastic surgeon's method, including the type of sutures used and ensuring minimal tension during closure, plays a significant role in scar appearance. Postoperative Care: Wearing a compression garment for 6 to 8 weeks post-surgery is crucial. It helps minimize swelling and supports scar flattening. Silicone-Based Treatments: Applying silicone-based creams and silicone strips to the scars can be effective for up to two years. Silicone is medically recognized for its scar-minimizing properties and is superior to other products. Scar Revision Techniques: Scar revision involves replacing an old scar with a new, typically less conspicuous, one. Techniques include steroid injections, FU, dermabrasion, micro-needling, FRAXEL Laser, or surgical scar removal. However, these methods do not completely erase scars but can improve their appearance. Trade-off Consideration: Opting for a lower body lift involves a trade-off: exchanging excess skin for a scar. Many patients who undergo reconstructive surgery after massive weight loss report preferring the presence of scars over living with excess skin folds. In conclusion, while scars from body lift surgeries are permanent, various techniques can effectively minimize their appearance, and they do fade over time. The decision to undergo such procedures often involves weighing the benefits of removing excess skin against the inevitability of scarring. I hope this provides clarity on your concerns about scarring post-surgery. Sincerely, Dr. Katzen