Facelift Scars and Incision Placement: What Patients Should Understand
Dr Michael Kernohan, Specialist Plastic & Reconstructive Surgeon in Sydney, discusses incision placement and scar planning with patients before…
Tummy tuck (Abdominoplasty) surgery is a popular cosmetic procedure used to remove excess skin and fat from the abdomen while tightening the underlying muscles. This results in a flatter, firmer, and more contoured stomach. However, as with any surgery, scarring is an inevitable part of the healing process. Abdominoplasty scars vary in appearance, depending on factors like genetics, the specific procedure, and the patient’s ability to heal. This blog will discuss different types of tummy tuck scars, abnormal scars, keloids, hypertrophic scars, and frequently asked questions about these issues.
Sydney Specialist Plastic Surgeon Dr Michael Kernohan is a talented plastic surgeon who performs tummy tuck and other body contouring procedures with an emphasis on minimising scarring. He understands that scarring can be a concern for many patients, and he takes great care to create incisions in less visible locations and to use techniques that promote optimal healing.
Abdominoplasty scars can vary in appearance depending on the specific procedure performed. Here are the common types of tummy tuck scars based on the different tummy tuck procedures:
A traditional tummy tuck, or full abdominoplasty, is a surgical procedure aimed at removing excess skin and fat from the abdomen while tightening the underlying muscles. This procedure results in a flatter, firmer, and more contoured stomach with the cost of post-op scarring. Understanding the nature and appearance of traditional tummy tuck scars can help patients manage their expectations and be better prepared for post-operative care.
The scars resulting from a traditional abdominoplasty have two components:
The primary scar resulting from a mini tummy tuck/ abdominoplasty is a horizontal incision made just above the pubic area. This scar is shorter and usually more discreet than the scar from a traditional tummy tuck/ abdominoplasty, as it does not extend as far across the lower abdomen. The length of the scar depends on the amount of skin and fat removed, as well as the patient’s body shape.
Since a mini abdominoplasty does not involve repositioning the belly button or repairing the rectus muscle, there is no additional scarring around the navel. This is one of the key differences between mini and traditional abdominoplasty procedures.
The scar resulting from an extended abdominoplasty is similar to the horizontal incision made in a traditional abdominoplasty, but it is longer. The incision extends around the flanks or hips, wrapping around the sides of the body. This allows the surgeon to remove excess skin and fat from the abdomen, flanks, and lower back, providing more comprehensive contouring and tightening of the midsection.
In addition to the extended horizontal scar, an extended tummy tuck/ abdominoplasty may also involve a small, circular scar around the navel if the surgeon needs to reposition the belly button due to the removal of excess skin.
Circumferential tummy tuck/ abdominoplasty needs a horizontal incision that encircles the entire waistline. This incision allows your surgeon to remove excess skin and fat from the abdomen, flanks, lower back, and buttocks, providing comprehensive contouring and tightening of the entire midsection. The scar usually follows the natural curve of the body, and it may be concealed by underwear or swimwear.
In addition to the circumferential scar, a circumferential abdominoplasty may also involve a small, circular scar around the navel.
Abnormal scars can form after a tummy tuck/ abdominoplasty procedure, and they may require additional treatment or intervention. These scars are typically raised, discoloured, and may cause discomfort. Two common types of abnormal scars include keloids and hypertrophic scars, which will be discussed in more detail below.
Keloid scars are a type of abnormal scarring characterised by an overgrowth of fibrous tissue beyond the boundaries of the original wound or incision. They are raised, thick, and often dark or reddish-purple in colour. Keloids can be itchy, painful, or tender and may continue to grow over time. These scars are caused by excessive production of collagen during the healing process and are more common in people with darker skin tones.
Several factors may contribute to the formation of keloid scars, including genetics, wound tension, infection, and the location of the injury. Some areas of the body, such as the chest, shoulders, earlobes, and upper arms, are more prone to keloid formation. However, keloids can develop in response to various types of skin injuries, including surgical incisions, burns, piercings, and even minor injuries like insect bites or acne.
Hypertrophic scars are a type of raised, thickened scar that forms as a result of an overactive healing response following an injury or surgery. These scars are characterised by their red or pink appearance and their tendency to remain within the boundaries of the original wound or incision. Although hypertrophic scars may appear similar to keloids, they are generally less aggressive and do not extend beyond the initial injury site.
Hypertrophic scars usually develop within a few weeks to months after an injury or surgery, and their formation can be influenced by factors such as genetics, skin type, the size and depth of the wound, and the location on the body. These scars can be itchy, painful, or tender, especially during the initial stages of healing.
Over time, hypertrophic scars may improve in appearance, becoming flatter, softer, and lighter in colour. However, some hypertrophic scars may persist, and several treatments can help accelerate the healing process and improve their appearance
Disclaimer: All surgical or invasive procedures come with inherent risks, and results can vary widely between individuals due to factors like lifestyle, anatomy, overall health, weight, and nutrition. We encourage you to conduct thorough research and consider seeking a second opinion from a qualified healthcare provider.
To minimise tummy tuck scars and promote the best possible healing process, follow these tips:
Some common treatments include: