Revision of abdominoplasty scars
The lower abdominal scars in the picture can certainly be improved. The best time to do so is after the inflammation has resolved. The scars are still quite red therefore there is still inflammation. In a few more months the scars will fade some more and that may be a better time to do the revision. While waiting silicone gel sheeting can be helpful. When needed, a revision can be done in the office with local anesthesia. The belly button will be a little harder to improve. The redness there is from tension around the closure. Cutting the scar out and reclosing will only put more tension on thes scar. It will likely be best to just wait. It will improve over time. Silicone gel sheeting may be beneficial also while waiting. It is worth a try. If over time there is little improvement, I would consider steroid injections. These are given directly into the scar and may improve some of the thickness and redness to the area. Best of luck.
I've had great success in my office with the technique of making microscopic holes in the scar with a very sophisticated laser and then dropping small doses of both steroids and anti-metabolites that will aid in scar reduction but without the thinning and scar spreading that we used to see with scar injection of steroid. This laser, also reduces the thickness of the scar because each of these holes evaporates a portion of the scar into air. Because it's done in a fractional method, multiple treatments like this are done at 2 to 4 week intervals 4 to 6 times. Certain certainly certainly certainly silicone gel sheeting in the meantime will help flatten these thicker scars. We've also had good success with intense pulse light in reducing the red color of the scar. But it hasn't been as successful in reducing thickness. Good luck and I hope your result continues to improve.
Is it possible to fix the scars from tummy tuck?
There are several solutions to thick scar after tummy tuck, though often the pattern of healing is influenced by tension and by your inherited healing pattern. If you had a hypertrophic scar after c-section it is understandable that you have one again. You are early in healing and and will improve, but one solution easily tried is silicone scar sheeting to speed the maturation and softening.
Is it possible to fix the scars I now have from my tummy tuck?
EXCELLENT result based upon your medical history! Try IPL.............................................
I think your scars look as expected for
this stage of healing. Given your complexion, these will fade nicely but Mother
Nature takes her time and can take a year or longer. In the meantime, use
silicone strips or scar cream (buy the generic to save $$). Regarding the
vertical scar on your abdomen, this happens to all of us plastic surgeons from
time to time. The good news is after at least 3 months (6 months better) after
the tissues have maximally softened and you are not swelling any more, we can
come back, revise and remove most, if not all of the scar. I have done this and
it is definitely possible. Make sure you keep in contact with your plastic
surgeon to discuss this option. Thanks for sharing!
Poor scarring after abdominoplasty
Poor scarring is partly due to the inherent genetic makeup of the patient, but inflammation and tension also play an important role. Abdominoplasties are closed under tension, which should be much less with a scar revision, and suturing techniques can be used that reduce inflammation, so most scars can be improved. IT is also much easier to prevent bad scars by careful followup in a scar revision procedure. However, scar revisions should be delayed for a full year after surgery to allow the scars to mature. In the meantime, patients can benefit from steroid injections into the scar, and in the first few months from silicone gel or creams.
Five months may seem like a long time but there is still some healing to be done and you can expect the scars to mature over a period up to a year. Silicone sheeting is an option, or using silicone gel. I would also ask your Plastic Surgeon if he/she offers IPL treatment. IPL (intense pulsed light therapy) can be used to reduce the redness and speed up the healing process. I have used that on my post op scars that remain red after 5 months and have seen good results.
Challenging Post-Abdominoplasty Scars
It sounds like your plastic surgeon removed all of the skin that he/she could. Based on your history of previous hypertrophic scarring with your C-sections, I am not surprised that you feel your scars are perhaps a little darker and thicker.
For every surgery, there are things your plastic surgeon can control (tension free closure, atraumatic technique, etc), things that you control (adherence to postoperative recommendations and follow-up, use of recommend scar gels, etc), and there are things that neither one of you can control (genetics, tissue quality, etc).
Your scars are definitely still in the healing phase at 5 months. Revisit with your plastic surgeon and see what he/she recommends (e.g. steroids, pulse dye, silicone scar gel).
Your scars are still immature and have not fully settled out yet. Things to discuss with your plastic surgeon are steroid injections and silicone sheeting.
Best of luck,