Understanding Scars After Abdominoplasty Surgery

About Scars

Scars are the body’s natural way of repairing itself after an incision or injury. They form as new tissue rebuilds the wound. The appearance of scars can vary and are classified into three main types:

• Hypertrophic scars: Raised scars that stay within the bounds of the incision.
• Keloid scars: Raised and thickened scars that extend beyond the original incision area.
• Atrophic scars: Depressed scars caused by a lack of collagen.

Abdominoplasty Scars: What to Expect

Dr Kohout employs meticulous surgical techniques to help manage scarring. Common features of scars after abdominoplasty include:

• Incision placement: Low on the abdomen, often concealed by clothing or swimwear.
• Appearance: Initially red or pink, fading gradually over months to a lighter tone.

Healing Stages of a Scar

1. Inflammation Phase (0–6 days): Blood clots form, and the immune system works to close the wound.
2. Proliferation Phase (4–24 days): Collagen production accelerates, forming new tissue.
3. Maturation Phase (21 days–12 months): Scar tissue strengthens and remodels, often becoming smoother and less visible.

Key Factors Influencing Scar Development

Genetics

Every individual heals differently, and genetic factors play a key role in scar formation. It is important to discuss this with Dr Kohout as he may be able to address some of these predispositions during surgery

Skin Type and Tone

Darker skin tones are more prone to hyperpigmentation or keloid formation, while lighter skin types may show redness for a prolonged period.

Surgical Technique

Dr Kohout’s precise and patient-focused surgical techniques help minimise tension on incisions, promoting optimal scar healing.

Post-Operative Care

Adherence to aftercare instructions significantly impacts scar appearance. Patients who follow proper care guidelines typically see better outcomes.

Best Practices for Managing Scars After Abdominoplasty

General Care Guidelines

1. Keep the incision site clean and dry.
2. Avoid picking at scabs or scratching the area.
3. Attend all follow-up appointments to monitor healing.

Specific Recommendations for Scar Management

1. Hygiene: Use mild cleansers as recommended by your surgeon to maintain cleanliness.
2. Minimise Movement: Limit physical activities that stretch or stress the incision area.
3. Moisturisation: Apply approved creams to hydrate the skin and improve elasticity.
4. Scar Massage: Once the incision has healed, gentle massaging can break down excess tissue and improve circulation.
5. Silicone Products: Silicone sheets and gels are highly effective in reducing redness and flattening scars.
6. Sun Protection: Always apply sunscreen with SPF 30 or higher to prevent darkening of scars.
7. Compression Garments: These garments reduce swelling and ensure proper healing by providing even pressure.

Things to Avoid During Recovery

• Avoid Smoking, as it hinders blood flow and slows healing.
• Avoid Excessive sun exposure, which can worsen pigmentation.
• Avoid Intense physical activity, which may strain the incision site.

Further Scar Treatment Options

When Additional Interventions May Be Needed

If scars remain prominent or thickened despite following aftercare, advanced treatments may be considered.

Specific Treatments

1. Laser Therapy
   • Helps reduce discolouration and refine scar texture.
   • Works by stimulating collagen production.
2. Steroid Injections
   • Beneficial for raised or keloid scars.
   • Administered in multiple sessions to reduce thickness.
3. Microneedling
   • Stimulates the production of new collagen, improving the appearance of atrophic scars.
4. Scar Revision Surgery
   • Suitable for severe scarring, this procedure revises the scar to make it less noticeable.

Managing Expectations with Abdominoplasty Scars

Realistic Healing Timelines

Scars take time to mature, with most changes occurring within the first year. While they may not disappear entirely, proper care ensures they fade significantly.

Accepting Natural Outcomes

Setting realistic expectations is vital. Scars are a natural part of surgery, and their final appearance depends on individual healing.

Psychological Aspects

It’s normal to feel uncertain about scars. Dr Kohout’s team provides resources and support to help patients navigate this emotional adjustment.

Further Reading

For additional information, visit Dr Mark Kohout’s website. Explore resources on:

• Recovery tips for abdominoplasty.
• Innovations in scar management techniques.
• Expert advice on skin care after surgery.

FAQs About Abdominoplasty Scars