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Scar tissue

Will this leave much of a scar or should I have it re-done?
Poster
  • Male | 57 years old

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Featured Answer

1 UpVoted this answer
Scars take time to mature. Sutures help to narrow the scar line while the body reinforces the collagen in the wound. When the sutures are removed early, the scar line will smooth and then as the collagen remodels, the scar line will narrow. There is little role for immediate scar revision and only after 1 to 2 years would/should a scar be redone, and only if it is wide, thick or restricting movement.
1 UpVoted this answer Jason Hess, MD, FACS Plastic Surgery, San Diego
It will probably heal well with an acceptable scar if the sutures are removed by day 5 after the procedure.
Gurmander S. Kohli
1 UpVoted this answer Jason Hess, MD, FACS Plastic Surgery, San Diego
Not much scar has formed at this time, so there is no way to tell what the outcome will be. The suturing is irregular, and in my opinion not of the quality usually expected from a plastic surgeon, who would usually have the sutures more evenly spaced and all approximately the same tension. Some of these sutures appear too tight that may cause more scar than necessary. If there is a layer of monofilament, absorbable sutures under the surface that usually allows removal of the skin sutures earlier, and likely will minimize the scar formation, if the patient cares for this area as instructed. Once the sutures are ready to be removed and are out, I believe the skin tension should be relieved to some extent by the application of steristrips across the incision and left in place several more days. Just from this photo it's impossible to predict what the final scar will look like in 6-12mo. from now. There's just not enough information given to make a good guess. If it's in the right location, in a good patient who will follow instructions and do their part to help the healing, no scar revision may be needed. There are so many factors we don't know just from this photo and can't be predicted during the healing period that to predict what the final scar will look like, is at this time mostly a guess. But just from this photo, I judge the repair to be a little rough.
Joseph W Hayhurst
Your incision looks like it is angry, with weaping, and external sutures. How old is your incision and how long have your sutures been in place? Looks like you are going to need a revision especially if the incision line opens up
Arian Mowlavi
The area has just been repaired so the answer to your question will be determined once it is completely healed. This could be up to 18 months. You can use a silicone product as directed, scar massage, and avoid uv radiation to the area for optimal healing.
Judging from the picture, this looks like your brow?

If so, the suture line appears to run "with the grain" of the skin. This means that it follows Langer's lines. Langer's lines are lines of relaxed skin tension. This means the skin laceration follows the wrinkles or lines of the skin. When a skin laceration or excision occurs parallel to these lines, it generally heals with less scarring than if it were "against the grain". I would recommend having the sutures removed 7-12 days following repair. At six weeks following the procedure, you an use silicone strips or silicone gel nightly to improve scarring. When silicone strips or gel is used appropriately, you may not require a "revision". Silicone strips are available over the counter at most pharmacies.

Good luck!
Your incision is probably less than a week old. You will need to wait 6 months before judging the

quality of your healing. You need to wait.
All wounds will leave a scar. Let it heal, mature and settle. Chances are the scar will be acceptable. If it is not, the time for revision is 6 months. Re-doing it now will stir things up and likely make it worse.
Brian Boyd
It appears the sutures are very fresh, so you will need to wait until the scar is healed before going any further.. In addition, it is hard to tell where, exactly, the scar is located.
Francis R. Palmer
From this photo it is difficult to tell what part of the body is involved..The scar appears to be parallel to langer's lines, consequently it will probably heal very well..Please follow your surgeons advice and instructions
Csaba L. Magassy