I have bumps on both sides after scar revision surgery, how do I manage? I have scar revision surgery before 4 weeks but now there are bumps at both ends of scar. It goes when stretching the scar and scar is not also good. How should I manage?

Dr. Dean Kane Q & A. Q. I have bumps on both sides after scar revision surgery, how do I manage?  I have scar revision surgery before 4 weeks but now there are bumps at both ends of scar. It goes when stretching the scar and scar is not also good. How should I manage? A. ​Every scar is different. Each person and each body or face site that the skin is cut or punctured will heal with a different quality of scar. Some are flat and thin but many are thick and ropey, red or pigmented brown. Some pull causing a contracture or are lumpy. There are many different treatments depending on the quality of your scar(s) which I will address below. Your scar revision appears to be in a good position to remodel into a smooth and near excellent result, but it must go through a year or more of ” healing time”.  Additional factors adding to your frustration maybe your family background of thicker, oiler and deeper pigmented skin and your youthful hormone levels. When it bothers you, consider the following options: 1.    Waiting for the scar to “mature” i.e. become soft and flat 2.    Massaging the scar, using scar creams and silicone sheeting to soften it 3.    IPL and vascular laser and light therapies to reduce the redness and ‘ropeyness’ 4.    Steroid injection to reduce the growth and lumpiness 5.    Retinoids, hydroquinone skin therapy to reduce the thickness and pigmentation 6.    Surgical removal and revision of the scar. A scar is permanent and many times becomes imperceptible. Time and patience, of course will help scars improve. Many skin therapies from cleansers, toners, moisturizers and acne formulations to the gold standard  ZO Obagi Therapeutic Skin Health line are best over the long term. Consider camoflage make-up by Jane Iredale or Linda Seidel. The non-surgical medical level care including: – laser hair reduction and brown spot removal, – blu-u light therapy for acne, – v-beam laser for red capillaries, rosecea and acne therapies, and  – photo dynamic laser therapy with levulan. Consider Laser Light  technologies at one time to provide fresher, smoother, younger skin rejuvenation using the magic of: – IPL (intense pulsed light for reduction of red and brown spots and skin tightening), – Fractional Erbium Laser (for acne scars, fine lines, large pores and skin tightening). – Chemical peels range from salicylic to glycolic to retin-A to VIPeel and TCA. I trust this has been helpful. Return to your surgeon or consider a second opinion from a well experienced Board Certified Plastic Surgeon, Facial EN Surgeon or Dermatologist. Sincerely, Dean Kane, MD, FACS
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