Do not use hydrogen peroxide or alcohol, which can impede the healing process. The best way to avoid abnormal scarring (especially if you are prone to developing keloids and hypertrophic scars) is to care for your wound properly. Statistics show that patients between the ages of 20 and 30, those with a family history of atypical scarring, and those with darker skin are more susceptible to getting hypertrophic and keloid scars than those with lighter skin. The causes of these abnormal scars are not entirely known. Keloid scars are large, shiny round nodules that can appear at the incision site and surrounding areas a few months to a year after surgery. Hypertrophic scars don't extend beyond the incision's boundaries, while in contrast, keloid scars do. These scars result from an overproduction of collagen during the healing process, where extra connective tissue forms in the scarred area. Hypertrophic scars are raised, thickened scars that usually do not extend more than four millimeters above the skin's surface. There are two types of abnormal scars that can develop after a tummy tuck: hypertrophic scars and keloid scars. Plastic surgeons often provide their patients with scar-care routines and offer laser treatments to help shrink these scars faster and more efficiently. Therefore, as the scars heal, they fade into a lighter pink or silvery grey color. Those with light-colored skin are prone to bright red scars, whereas those with more melanated flesh might develop darker ones. It will take your scar a year to mature, but it will progressively lighten once it does. You will notice the scar become thinner, smoother, lighter as the blood supply around it decreases. The healing process has reached its final stage once the collagen on your tummy tuck scar has matured. One Year Post-Tummy Tuck: Scar Maturity and Final Healing Stages Contact your surgeon as soon as possible if your scar is turning blue, develops drainage, or opens up. The collagen-production stage can take between three to six months. Since the body is supplying more blood to the area, it will look raised and might feel rough to the touch. New collagen will develop over the next few months, causing the already formed scar to appear redder and lumpier. The first stage of scar formation takes approximately one month, during which you will begin to notice your linear scar becoming pinker in color. This collagen fills in the gaps and seals the wound. Your body will start to produce collagen to mend the broken tissue. Immediately after surgery, your scars will be invisible, as that stage has not yet begun. The first healing stage after a tummy tuck is scar formation. The First 3 to 6 Months: Scar Formation and Collagen Production Tummy tuck scars heal in stages, and each phase requires unique attention. Tummy tuck surgeons place the incisions low enough to be easily hidden in the panty line, but patients still want to know what to expect as their tummy tuck scars heal. They typically span from hip to hip but could extend farther depending on the tummy tuck method. Abdominoplasty scars appear as horizontal lines on the lower abdomen, between the pubis and belly button. Although tummy tucks produce stunning results, patients worry about scarring-which is completely understandable! Scars are a scary prospect, especially since they become more noticeable and prominent in the early healing stages before they begin to fade.
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