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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.