Sanjay Grover, M.D., FACS
- 360 San Miguel Drive
Newport Beach, CA 92660
- Tel: Click for phone number949-759-9551
- Fax: 949-706-5624
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I underwent a tummy tuck in 2006. I'm curious as to how I can have my scars revised (scar revision). I'm totally satisfied with the tummy tuck, however I have a 360 degree scar that's visible in a bathing suit (male). Can the scar be totally revised or will there always be a scar around my waist?
It sounds as though you underwent a lower body lift or belt lipectomy. Either way, scars are permanent, and you have a mature scar now that it has been four years. However, scars can be revised. You can revise the entire scar without going through the same recovery as your initial operation. It is possible that your revised scar may turn out finer than your original scar. However, depending on your skin type and genetics, you could end up with a worse scar if you have a tendency to keloid. Post operative taping, steroid injections, and silicone sheets or gel may also help your scars. One other favorable point to undergo a revision is that you should not have the same tension there as you did with your original surgery. Tension is an inciting factor to poor scars. You may be able to lower your scars a small amount.
After having a facelift, what is the likelihood that skin necrosis will cause permanent scarring? The area affected is about 1/2 inch wide and about 1 1/4 inches long, just in front of the ear.
Full-thickness injuries, or necrosis, following a facelift are not common in non-smokers or unless there was an untreated expanding hematoma. Your plastic surgeon can help reassure you as to the depth of injury. Expectant, conservative management is usually best. Scar maturation can take some time (greater than one year). A superficial injury, however, can heal very well. Hopefully you are a non-smoker. If you do smoke, please stop.