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Sorry to see that you are having difficulty. I agree with the previous authors. This is an unfortunate sequelae of your body composition and not a complication nor reflection of the caliber of your surgery/surgeon. Furthermore, it may happen again with addition surgery. Nevertheless, of the remedies mentioned, the one most likely to benefit you, at this point, is Embrace. However, to be most efficacious, Embrace is applied two weeks post op. In other words, you must have the incision re-excised and then begin treatment at approximately two weeks later. Kenolog may cause the scar to flatten but it will still be wide. And it may develop unsightly prominent vessels in the scar as well (called telangiectasias). Silicone strips and dressing are slow, cumbersome, and will once again yield a flattened, wide scar. ALL of the treatments require your complete compliance with the regimen. In order to be effective, you cannot opt out because of the treatments inconvenience or because it doesn't mesh with your outfit.Having said this, I do believe that it is a worthwhile undertaking. You may also consider extending the treatment to your belly button. Good luck and please send follow up photos.
Keloid scars are characterized by their growth potential and increased degree of inflammation within the skin. Unlike non-inflamed scars, keloids have the potential for growth beyond the original footprint of injury. Our office specializes in the management of keloids, whether single or multiple, using a combination platform that includes lasers, RF, scar modulation, Parke-Davis Scar Protocols, and injection therapy. Some keloids will require surgical intervention as an initial step for treatment. Best, Dr. Raffy KaramanoukianRealself 100 Surgeon
You might want to consider silicone gel strips or even steroid injections. However, the steroids may cause the skin to lighten.
Bestest,You may want to look into brachytherapy where they run a catheter specifically in the scar area to deliver localized radiation after excision. Perhaps a better option than beam radiation in terms of reducing your overal radiation exposure.I hope this was helpful,Dr. Daniel BarrettPlastic and Reconstructive SurgeryBeverly Hills, CA
It looks like you have more of a hypertrophic scar than a true keloid. I would recommend massage, silicone scar gel and/or sheeting, and kenalog steroid injections as a first step. Fractional erbium lasering can also be helpful in flattening the scar. I would not consider revision surgically until trying these other remedies.
From the photograph it is clear you did not have a keloid. The scar is still thickened because of what appears to be ongoing healing. My advice is for the time being is to leave it alone.
There are many approaches to dealing with hypertrophic scars. After a tummy tuck, I have my patients tape the wound for six weeks. This has been shown to improve the appearance of scars in some people. If there is some question of whether more attention is needed after this point, I have the patient's apply silicone sheeting. If this is not satisfactory after 3 to 6 months, either steroid injections into the scars or excision with radiation can be tried.
Your scar appears to be more of a hypertrophic scar rather than a true keloid scar.I certainly wouldn't jump in with further surgery or radiotherapy (which I believe is a last resort). Further surgery could make it worse.I would use conservative treatment for many months before deciding on further options. I would advise massage & silicone gel/tapes for 6 months or so, and maybe some steroid injections. All the best
eryag fractional laser with triamcinolone cream.do not have scar incision, do not get radiationthe latest tx is erb yag laser and triamcinolone and 5futape scar at all times
Your scar is wide, but depending on exactly what it is (keloid vs hypertrophic scar), the therapy can be very different. For keloids, often we can cut out the old scar and start with series of steroid injections. If that fails, then I typically get radiation involved. I would get a pathologic diagnosis of this first though- steroids can make hypertrophic scarring worse and radiation is rarely used. My advice is to pick a small segment of the scar, cut it out, re-close with as little tension as possible, inject with steroid, and watch and wait. In the meantime, you will get pathology back on your scar and they can tell you exactly what's going on.
Dear Maria's, It is very common for patients to develop significant back strain and backache following abdominoplasty and tummy tuck surgery. The usual reason for this is that the abdominal work and the tummy tuck, which included placation of the rectus abdominis muscles or suturing together...
It is common for labia in women and the scrotum in males to become bruised, black and blue, after a tummy tuck. The simple explanation is that even a few drops of deep blood move down fascial planes with gravity and lymphatic flow to this area. It will resolve in most cases rather promptly....
Some surgeons use compression garments and some surgeons do not. I have gone back-and-forth with the use of these but now use them routinely. I have my patients were their garments for six weeks 23 hours a day. Please check with your particular surgeon as to his or her protocol concerning...
