Should I get another scar revision? Options? (photos)
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Doctor Answers 9
Micro Needling Treatments for Scars
If a patient still has issues with hypertrophic scarring at least 3 months after surgery, we use a combination of Micro Needling and Growth Factor Serum to reduce the thickness of the scars. Our licensed aesthetician performs the treatments in our office. Typically 3-4 treatments are recommended about 4 weeks apart.
Our patients have seen nice improvement with both of these options and we also have them use a silicone based scar gel at home. The best to be achieved is to flatten the scar and decrease the pigmentation. Pigmentation can resolve on its own, but it can take several months.
I would not recommend doing another surgical scar revision, as it is most certainly going to produce the same result.
I wish you the best of luck!
Reza Rod, M.D.
Bad brachioplasty scars even after revision.
However, poor technique will almost always yield bad scars.
I'm not saying your surgeon did a poor job, but I do know that another scar revision by the same surgeon who did your second procedure is probably not a good plan. It could simply be how your skin heals in that location on your body, or it could be the (lack of) quality of the closure, or a combination of both. But you see where this is going. You can't change your skin or how it genetically heals, only the quality and precision of the closure, the suture materials chosen, and the technique. Then the post-operative management should be pro-active not reactive. Start silicone sheeting after two weeks and use it at least 12 hours per day. Paint-on medications are essentiallh worthless. Good luck and best wishes! Dr. Tholen
Thank you for your inquiry and for providing photos. The scars from brachioplasty surgery are one of the limitations of the procedure. One way to think of it is that you are trading an improved arm shape for a scar.
Having said that, we strive to make the scars as thin and inconspicuous as possible. One thing we do for our brachioplasty patients is place the EMBRACE dressing along the incisions for several months post-op. This is a tension-loaded silicone sticker that helps the wound heal with less tension, and often really helps these scars look better and mature/soften faster. Ask your surgeon about it. I like this dressing on the arms, because it's a nice, flat, hairless area and the dressing sticks well. It's worth a try for you.
Best of luck,
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Should I get another scar revision? Options?
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