7 weeks p.o., the Board Certified PS should have made a vertical incision on me and lowered the scar placement. I'm very short waisted. I have 5.75" between center of BB and top of clitoral hood. Scar is 2.25 inches from center of BB. I have more mons than lower tummy. I look freakish. Laser hair removal not an option, too many grey hairs and stretch marks. I'd like it to be lowered 1.25" minimally in the future! Will this be possible? I'm 54, 5'7" 132 lbs.
Answer: High Incision is Tough to Lower Thank you for your pictures. It appears that the design and location of the final incision was executed incorrectly. Lowering your incision would require you to have excess skin which you do not have. This skin can be gain by a two stage procedure. First placement of tissue expanders beneath the skin above the scar. Stretching the skin over several months. The next procedure would be to remove the expanders and re do the tummy tick with a the final closure at a lower level.Dr. ES
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Answer: High Incision is Tough to Lower Thank you for your pictures. It appears that the design and location of the final incision was executed incorrectly. Lowering your incision would require you to have excess skin which you do not have. This skin can be gain by a two stage procedure. First placement of tissue expanders beneath the skin above the scar. Stretching the skin over several months. The next procedure would be to remove the expanders and re do the tummy tick with a the final closure at a lower level.Dr. ES
Helpful 1 person found this helpful
Answer: Starting scar laser treatment with melarase creams will help reduce appearance of scar Abdominoplasty scars can be quite complex, ranging from the simple hypertrophic scar to a multiplane inflamed keloid. Pigmentation, discoloration, chronic inflammation, scar visibility can all occur in the short term. We begin each treatment with combination therapy using Yellow broadband BBL, Vbeam, fractional erbium, intralesional IIT, and scar modulation. Start with a combination of Plato's Scar Serum massaged twice daily after one week of epithelialization followed by Luminase/Exfolase. Scar consultation and revision may be recommended.
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Answer: Starting scar laser treatment with melarase creams will help reduce appearance of scar Abdominoplasty scars can be quite complex, ranging from the simple hypertrophic scar to a multiplane inflamed keloid. Pigmentation, discoloration, chronic inflammation, scar visibility can all occur in the short term. We begin each treatment with combination therapy using Yellow broadband BBL, Vbeam, fractional erbium, intralesional IIT, and scar modulation. Start with a combination of Plato's Scar Serum massaged twice daily after one week of epithelialization followed by Luminase/Exfolase. Scar consultation and revision may be recommended.
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March 18, 2017
Answer: Tummy Tuck scar too high, will a revision to lower it be possible for me in the future? I am sorry to hear about your concerns after tummy tuck surgery. Unfortunately, only time will tell whether there will be enough tissue laxity above and below the scar line to allow for revisionary surgery to lower the scar significantly. This time frame may be somewhere between 1 to 2 years.
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March 18, 2017
Answer: Tummy Tuck scar too high, will a revision to lower it be possible for me in the future? I am sorry to hear about your concerns after tummy tuck surgery. Unfortunately, only time will tell whether there will be enough tissue laxity above and below the scar line to allow for revisionary surgery to lower the scar significantly. This time frame may be somewhere between 1 to 2 years.
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June 18, 2015
Answer: Difficult to Lower a TT Scar The distance from the vulvar commissure to the scar can be decreased by several centimeters, but the distance from the umbilicus (belly button) to the scar can not be reasonably increased.In order to achieve this, a full year at least needs to elapse between surgeries. This will allow your skin to stretch. I do not think that your ideal will be possible, but there is a way to improve the location of the scar. While it is high, it is not "freakish" as you describe. You will need to be creative with underwear and bathing suits, but the pattern of scar that you have is very common following breast reconstruction with abdominal tissue.
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June 18, 2015
Answer: Difficult to Lower a TT Scar The distance from the vulvar commissure to the scar can be decreased by several centimeters, but the distance from the umbilicus (belly button) to the scar can not be reasonably increased.In order to achieve this, a full year at least needs to elapse between surgeries. This will allow your skin to stretch. I do not think that your ideal will be possible, but there is a way to improve the location of the scar. While it is high, it is not "freakish" as you describe. You will need to be creative with underwear and bathing suits, but the pattern of scar that you have is very common following breast reconstruction with abdominal tissue.
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June 4, 2016
Answer: Anchoring sutures Thank you for your post. It is not common for surgeons to anchor the lower incision to the fascia or covering of the abdominal muscles to keep the scar low, however, I do use this technique and agree with it. All the tension on the incision is from above, not below, and thus the scar tends to move toward the area of maximal tension (towards the ribs/bellybutton). This moves the scar higher than desired. I like to keep my scars very low, and feel that anchoring the scar helps accomplish this. The following photo is an example of this.
Helpful 3 people found this helpful
June 4, 2016
Answer: Anchoring sutures Thank you for your post. It is not common for surgeons to anchor the lower incision to the fascia or covering of the abdominal muscles to keep the scar low, however, I do use this technique and agree with it. All the tension on the incision is from above, not below, and thus the scar tends to move toward the area of maximal tension (towards the ribs/bellybutton). This moves the scar higher than desired. I like to keep my scars very low, and feel that anchoring the scar helps accomplish this. The following photo is an example of this.
Helpful 3 people found this helpful
