Scar Management Options to Reduce Abdominoplasty Scars
When considering a tummy tuck (abdominoplasty), one of the primary concerns for many is the aftermath—specifically, the scars. A tummy tuck can offer good results, tightening and reshaping the abdominal area for a more toned and contoured silhouette. However, the trade-off comes in the form of scars, a natural outcome of the surgical process.
In this blog, Chester Consultant Plastic Surgeon Anca Breahna will get into the nature of tummy tuck scars: what they typically look like, their healing process, and most importantly, the strategies available to minimise their appearance.
Download Anca Breahna’s Tummy Tuck Guide
What is a Tummy Tuck?
A tummy tuck, medically known as abdominoplasty, is a surgical procedure designed to remove excess skin and fat from the abdomen and, in most cases, restore weakened or separated muscles creating an abdominal profile that is smoother and firmer. This procedure is particularly beneficial for individuals who have gone through significant weight loss, pregnancy, or those who have not achieved their desired results through exercise and diet alone.
Candidates for a tummy tuck include those who are physically healthy and at a stable weight, non-smokers, and individuals with realistic expectations about what the surgery can achieve. It’s important to note that a tummy tuck is a contouring procedure that enhances the shape of the abdomen by addressing excess skin and fat that has not responded to traditional weight loss methods.
Tummy Tuck Scars
Understanding the nature and appearance of tummy tuck scars is crucial for anyone considering this procedure. The journey to a more contoured and firm abdomen, while rewarding, does come with its set of considerations, particularly regarding the healing and management of scars.
Tummy tuck scars are a natural outcome of the surgical process, where the skin and fat are incised to remove excess tissue and tighten the abdominal muscles. These scars are permanent but will fade over time.
Location
The location of a tummy tuck scar is along the lower abdomen, running horizontally between the hip bones. This placement is strategic, allowing the scar to be easily concealed beneath underwear or a bikini bottom. In some cases, there may also be a scar around the navel, especially if the procedure involved repositioning the belly button to achieve a natural-looking result.
Length
The length of the scar depends largely on the extent of the excess skin and fat removal. A full tummy tuck scar can span from one hip bone to the other, while a mini tummy tuck, which targets the area below the belly button, results in a shorter scar. The goal is always to keep the scar as minimal as possible while achieving the desired contouring effects.
Variability Depending on the Type of Tummy Tuck
Different types of tummy tucks leave different scars:
- Full Tummy Tuck: Involves a long, horizontal scar from hip to hip just above the pubic area and often a second scar around the navel
- Mini Tummy Tuck: Results in a shorter scar, as it focuses on the lower abdomen
- Extended Tummy Tuck: This procedure is for those with excess skin extending around the flanks to the lower back, resulting in a longer scar that wraps around the hips
- Fleur-de-Lis Tummy Tuck: Aimed at individuals with significant excess skin after massive weight loss, this involves a vertical scar in addition to the horizontal scar, creating a T-shaped scar
Factors Influencing Scar Appearance and Healing
Several factors play a crucial role in the appearance and healing of tummy tuck scars, including surgical technique, individual healing response, and post-operative care:
- Surgical Technique: The surgeon’s skill and the techniques employed during the procedure significantly impact scar quality. Precision in incision placement, suturing methods, and minimising tissue trauma can all lead to less noticeable scarring. Anca often uses techniques that place the incisions along natural skin folds and lines, making the scars less conspicuous as they heal
- Individual Healing Response: Each person’s body heals differently, influenced by genetics, skin type, and overall health. Some individuals may naturally produce more noticeable scars, known as hypertrophic or keloid scars, which are thicker, raised, and more visible. Factors such as age, nutrition, smoking, and certain medical conditions can also affect the healing process and the appearance of scars over time
- Post-operative Care: How a patient cares for their incision post-surgery plays a significant role in the appearance of their tummy tuck scars. Following Anca’s instructions for wound care is essential. This includes keeping the incision clean, avoiding strain on the area, and using recommended scar treatment products. Additionally, protecting the scar from sun exposure is crucial, as UV rays can darken the scar, making it more prominent
Managing Expectations after Abdominoplasty
It’s important for patients to have realistic expectations regarding tummy tuck scars. While they are permanent, the appearance of scars can significantly improve over time, especially with proper care and treatment. The initial months may show red, raised scars, but these typically fade to thin, pale lines within a year or more. Patience and adherence to post-operative care instructions are key to achieving the best possible outcome.
While tummy tuck scars are an inevitable part of the surgical process, understanding their typical appearance, the factors that influence their healing, and the variability depending on the type of tummy tuck can help set realistic expectations. With advancements in surgical techniques and a comprehensive approach to post-operative care, the visibility of these scars can be significantly reduced, allowing the results of the tummy tuck itself to shine through. The journey to healing after a tummy tuck is as important as the procedure, and embracing this process with a positive outlook and diligent care can lead to the most satisfying outcomes.
Anca’s Strategies for Minimising Tummy Tuck Scars
Minimising the appearance of tummy tuck scars is a concern for many patients undergoing this procedure. While scars are an inevitable part of the surgical process, there are several strategies, ranging from surgical techniques to post-operative care and beyond that can reduce their visibility. Implementing these strategies effectively can lead to scars that are less noticeable and more easily concealed, enhancing the overall satisfaction with the tummy tuck results.
Surgical Techniques
The foundation for minimising scars begins with the surgical technique employed by the plastic surgeon. Anca has an extensive experience in abdominoplasty and she is adept at placing incisions in the least conspicuous areas, typically where scars can be hidden by underwear or swimwear. Furthermore, advanced suturing techniques that ensure the skin edges are aligned precisely without undue tension can lead to thinner, less noticeable scars.
- Low Tension Closure: This technique involves closing the incision in a way that distributes tension across the wound, reducing stress on the healing scar. It’s crucial for preventing wide or raised scars
- Layered Suturing: Closing the wound in layers, working from the deeper tissue up to the surface, helps in achieving a more discreet scar by ensuring that the skin heals with minimal tension
Post-Operative Care
Proper care of the wound after surgery is essential in minimising scarring. Following Anca’s instructions meticulously can make a significant difference in the healing process and the final appearance of your scars.
- Compression Garments: Wearing compression garments as recommended helps reduce swelling and supports the healing tissues, which can indirectly contribute to less noticeable scarring
- Scar Massage: Once the wound has healed and with Anca’s approval, gentle massage can help soften the scar tissue, making it less prominent
- Silicone Sheets and Gels: Silicone products are widely recognised for their effectiveness in scar management. They hydrate the scar and reduce its thickness, colour, and texture. Starting these treatments once the wound has closed and continuing for several months can significantly improve the scar’s appearance
- Avoiding Sun Exposure: UV rays can darken scars, making them more visible. Protecting the scar from the sun with clothing or using a high-SPF sunscreen is crucial, especially in the first year after surgery
Scar Treatment Options
Beyond the initial healing phase, there are additional treatments available for scars that are not responding as well as hoped. These options can further minimise the appearance of tummy tuck scars:
- Topical Treatments: Prescription creams containing retinoids or other ingredients can help in improving the appearance of scars by promoting cell turnover and reducing pigmentation
- Laser Therapy: Laser treatments can reduce scar redness, smooth out the texture, and promote the production of collagen, leading to less noticeable scars
- Microneedling: This procedure involves creating tiny punctures in the skin, stimulating the body’s natural healing process and the production of collagen and elastin, which can improve the scar’s appearance
- Steroid Injections: For raised or hypertrophic scars, steroid injections can help flatten and soften the scar tissue
- Surgical Scar Revision: In cases where scars are particularly bothersome or have healed poorly, scar revision surgery might be an option. This involves removing the scar tissue and re-closing the incision, often using advanced techniques to promote better healing
FAQs about Tummy Tuck Scars
How long will it take for my tummy tuck scars to fade?
- Tummy tuck scars go through various stages of healing, and the time it takes for them to fade significantly can vary from person to person. Typically, scars may appear red and raised during the first few months as they are in the active healing phase. Over the next 6 to 12 months, you’ll notice the scars becoming flatter, lighter, and less noticeable. It can take up to two years or more for scars to fully mature and achieve their final appearance. Patience is important, as this process is gradual and varies based on individual healing rates and the body’s response to healing.
Will my tummy tuck scar be visible in a bikini?
- The placement of tummy tuck scars is strategically done so they can be easily concealed by most underwear and bikini bottoms. Anca typically positions the horizontal scar low on the abdomen, running from hip to hip, just above the pubic area. This ensures that, in most cases, the scar can be hidden beneath the line of a bikini bottom. However, the visibility of your scar also depends on the specific style of your swimwear and your body’s unique contours.
Can I do anything before surgery to minimise scarring?
- Preparing your body for surgery can have a positive impact on your healing process and the appearance of scars. Leading a healthy lifestyle by maintaining a balanced diet, staying hydrated, and avoiding smoking and excessive alcohol consumption can enhance your body’s natural healing capabilities. Additionally, discussing any concerns or pre-existing conditions with Anca can help tailor the pre-operative and post-operative care to your specific needs, potentially improving scar outcomes.
Is it normal for my scar to feel itchy or sensitive?
- Yes, it’s normal for scars to feel itchy, sensitive, or even numb in the weeks and months following surgery. These sensations are part of the natural healing process as the nerves in the skin and surrounding areas recover from the surgery. It’s important to resist the urge to scratch, as this can interfere with healing. If the itching is severe or accompanied by signs of infection, such as increased redness, swelling, or discharge, it’s important to contact Anca’s team.
Are there any natural remedies to improve the appearance of tummy tuck scars?
- While there are many commercial products available for scar care, some individuals prefer to use natural remedies. Aloe vera, known for its soothing and anti-inflammatory properties, can be applied to the scar once it’s fully healed to promote softness and flexibility. Vitamin E oil is another popular choice for its antioxidant properties, which can help improve the skin’s texture and appearance. Make sure to discuss any natural remedies with Anca before applying them to your scar, as the primary goal is to avoid irritation and promote optimal healing.
Further Reading about Tummy Tuck Surgery with Consultant Plastic Surgeon Anca Breahna
- Read more about Mini Tummy Tuck Vs Full Tummy Tuck
- Read more about Tummy Tuck after a C Section
- Read more about What Is a Healthy Weight for Tummy Tuck Surgery?
- Read more about What to Expect during Recovery after Tummy Tuck
- Read more about When Can I Exercise after Tummy Tuck Surgery?
- Read more about Treating, Reducing and Minimising Plastic Surgery Scars
- Read more about Who Is the World’s Best Tummy Tuck Surgeon?
Medical References about Tummy Tuck
- Tummy tuck – Mayo Clinic
- Tummy Tuck – American Society of Plastic Surgeons
- Tummy tuck (abdominoplasty) – NHS
- Tummy Tuck Surgery (Abdominoplasty) – WebMD
- Tummy Tuck (Abdominoplasty): Surgery, Recovery, Risks – Cleveland Clinic
Ms Anca Breahna, PhD, MSc, FEBOPRAS, FRCS (Plast) is a highly regarded Consultant Plastic Surgeon specialising in the field of Aesthetic and Reconstructive Plastic Surgery. Anca performs a range of 
