I Had a TT a Year Ago is It Too Late to Try Silicon Gel? (photo)

The only thing I've been using is mederma and coco butter on my scar because my doctor told me scar treatment wasn't necessary and that we would talk about scar treatment at my 1 year visit if I wasn't happy. It will be one year next month and the scar has recently gotten more sensitive/sore and it's still dark in color. I feel like my scar has even gotten thinker in the last 6 months.

Doctor Answers 5

Scar revision can improve things

Thanks for your question and photo. At a year out, the scar will likely not change a lot even with topicals. I agree with the others who have recommended Kenalog/steroid injections around the umbilicus in particular. This can help with making raised and thickened scars flatter. The abdominiplasty scar would likely need to be excised and reclosed to improve its appearance. Sometimes if there is a lot of tension on this area in the initial closure it can result in widening. You should discuss this with your plastic surgeon. Best of Luck!

Austin Plastic Surgeon
4.8 out of 5 stars 90 reviews

Silicone sheeting one year after TT

Silicone gl or sheeting is unlikely to improve a year old scar. You could try Kenalog injections and, if this does not provide the necessary improvement, then a trial of serial scar revision would be my next recommendation.

Robert L. Kraft, MD, FACS
New York Plastic Surgeon
5.0 out of 5 stars 40 reviews

Terrible scar after tummy tuck

A year might be a bit late to expect much out of silicone gel sheeting, and steroid might be a better option especially around the umbilicus. Scar revision can be very helpful now that the closure is under less tension with immediate application of silicone sheets. Ask your doctor when you might be ready.

Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 42 reviews

I Had a TT a Year Ago is It Too Late to Try Silicon Gel

Thank you for submitting your question.  I usually recommend using silicone sheets over the scar 2-3 weeks after surgery.  I start injecting kenalog (steroid) at round the 6-12 week mark when scars start to thicken.  Scars will remodel for up to 2 years.  I think if your one year out, you may want to consider a scar revision. Discuss your concerns with your Plastic Surgeon. 

Jeff Angobaldo, MD
Dallas Plastic Surgeon
5.0 out of 5 stars 104 reviews

I Had a TT a Year Ago is It Too Late to Try Silicon Gel?

It is probably less likely to be effective this far out, but give it a try. I would sooner begin a series of kenalog injections. Ask your surgeon.

All the best

Jourdan Gottlieb, MD
Seattle Plastic Surgeon
4.6 out of 5 stars 45 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.