I had a tummy tuck 5 years ago. The surgeon did not place a tummy bandage over the surgery afterwards because " the nurse" forgot to order it? He made shift a dressing bandage . It had jagged edges from the tear. It embedded into the incision site. I had to to return 1week later. I had a hole as big as a quarter. It tooks 1 year to heal completely closed. Scar tissue was thick. I never complained. Just been dealing w/it. It is a lot less....still..hurts when I stretch/walk/bend. Will it ever go away? Scar tissue is still felt under the the umbilical area. Does the scar tissue ever breakdown on its own after a tummy tuck?
Tummy Tuck Scar Healing Years Later?
Doctor Answers 21
Does scarring get better after a tummy tuck?
At 5 years (or 4 years since the wound healed), your scars are mature and stable. To answer your question, scars do change and soften and lighten a lot as they are in the process of maturing, which can be 1+ years. Things like massage, sun avoidance, silicone gels and tapes can all help encourage scar maturation during the initial healing phases. However, you are pretty far out from surgery and any future changes will likely be very minimal to none. I would recommend talking with a plastic surgeon who can examine you and discuss scar revision.
Scar tissue after 5 years may require a scar revision procedure if it is uncomfortable.
Dear skincaredoctress, Kileen, TX,
From reading your question your current concern appears related to an area that healed from within, or referred to as 'Secondary Healing". That type of healing is usually how most plastic surgeons treat any wound/incision seperation that may occur after the abdominoplasty.
Typically the type of scar that forms from this type of healing may be tighter, and firmer than the scar tissue that healed from the initial surgical closure of the wound. It may also be thicker, or wider.
In my practice I also often allow this type of healing to take place if an area along the incision line seperates. This can occur from a localized infection, undue tension, or from underlying medical problems. In the event that the final scar, after fully healed, is unslightly or firm I will then sometimes offer to surgically remove that area of scar. This involves excising the scar,and performing a fresh primary closure of the uninvolved skin edges. This is otherwise known as a "scar revision".
I hope this helped with your question.
S.P. Maggi, MD, FACS
It's a little unclear from your description about how...
It's a little unclear from your description about how your wound was cared for post-operatively, but it appears that you had some wound healing problems post-op (which occurs in about 5-10% of patients depending on factors like smoking, diabetes and the method used to close your wound). You appear concerned about some of the scar tissue and a bit of pain that resulted from your tummy tuck.
At five years post-op, the scar you do have is likely 'mature' and will not soften or fade with time. It probably won't get any worse either. The scarring around your bellybutton can be troublesome if it has narrowed your belly-button diameter to the point that it makes keeping that area clean a challenge.
In the early post-op period, things like scar massage can do a lot to minimize the bulk of a scar, but it's too late for that.
I think the scar you have is there to stay.
Scott Sattler MD FACS
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Wound Healing Following Tummy Tuck May Last Up To 18 Months
Wound healing is a dynamic process that can last for up to eighteen months following abdominoplasty. At that point, the changes that have occurred in your body are more or less permanent.
It’s hard to know the exact nature of your wound care following your last procedure, but it’s safe to say you’re unhappy with your scar. Under these circumstances a scar revision will probably be necessary. At this time, conservative methods of treatment such as massage, topical agents, and silicone sheeting won’t be effective.
Without a physical exam or pictures it’s difficult to know what type of scar revision will be necessary. In most cases, a simple excision of the old scar and re-closure will be adequate. In other cases, more aggressive flap elevations may be necessary.
If you’re concerned about your scars, consultation with a board-certified plastic surgeon is appropriate. This surgeon should be able to formulate an appropriate treatment plan.
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It sounds like you had some poor or delayed healing in the area below the navel which happens in a small number of patients. I don’t think the dressing had anything to do with it. At this time I would see a Plastic Surgeon for evaluation and scar revision.