Do I need another surgery to fix this scar? (Photo)

After a year, your scars have probably improved about as much as they will on their own. In my experience, if you have some looseness to the skin, a scar revision (cutting them out and re-doing them) is usually the best option. If your skin is rather tight, however, then they may end up healing the same way. If that's the case, and your scars are raised and thickened in addition to being red, then steroid injections may help soften them. If they are fairly flat and mainly just discolored and wide, then laser might be the best option. I encourage you to discuss these options with your surgeon to figure out what will be best for you. Good luck.

Thanks for the question. Scars are difficult to predict, but under proper management, can be significantly improved. Widened scars can be caused without adequate post-op compression and superficial support. Revision could be beneficial for you, with a proper plan post-op to manage your healing, swelling, and scar formation. We in our office offer Embrace, a new scar management product to help decrease superficial tension during the crucial first 8 weeks of healing.

Hello rodriguezandrea, thank you for your question. Based on the
information that you have provided, I would suggest an arm scar revision. This
is not an uncommon procedure. Since you have tried creams, compression, and
silicone, I would suggest that a physical arm scar revision will be the best option. Other options may
include: dermapen, dermal needling, or laser treatment. However, I think the
best results will be with a surgical arm scar revision. If you decide to have
the arm scar revision, it is very important to use arm compression for 4-6
weeks after the surgery to help flatten the scar.

Sincerely,

J. Timothy Katzen, M.D.