Will I Have Scarring After Plastic Surgery
One of the most common questions we receive at Dr Hertess Plastic Surgery is ‘'Will I have scarring after plastic surgery?”. The short answer, yes you will. Plastic surgery scarring is a natural part of the healing process following plastic surgery, but its appearance can vary depending on factors such as surgical technique, skin type, and aftercare.
While plastic surgeons strive to minimise scarring through precise incisions and advanced closure methods, some level of scarring is inevitable. However, with proper wound care, scar management treatments, and time, scars can often fade significantly. Understanding the factors that influence scarring and the available options for scar reduction can help patients achieve the best possible aesthetic outcome.
Surgical Technique
The strategic placement of incisions, careful handling of tissues, and specific selection of sutures all play essential roles in minimising the visibility of scars and ensuring the best possible healing outcomes. By employing advanced surgical techniques and precision in wound closure, plastic surgeons can help reduce tension on the skin, promote seamless tissue repair, and enhance the overall aesthetic result.
Skin Type
Skin type significantly affects scarring after plastic surgery, influencing healing based on pigmentation, thickness, elasticity, and sensitivity. Darker skin tones are more prone to hyperpigmentation, keloids, or hypertrophic scars, while fair skin may retain redness longer. Thicker skin, such as on the chest or back, often forms more prominent scars, whereas thinner skin heals with finer scars. Highly elastic skin can lead to widened scars, while variations in collagen production may cause raised or indented scarring. Oily or sensitive skin may also impact healing, with a higher risk of irritation or breakouts around incisions. Understanding these factors helps Dr Hertess tailor techniques and aftercare to minimise scarring and support optimal results for her patients.
Aftercare
Proper wound aftercare is essential for optimal scar healing after plastic surgery, as it helps reduce inflammation, prevent infection, and promote smooth tissue repair. Keeping the incision clean and moisturised minimises the risk of complications that could worsen scarring. Following Dr Hertess's instructions—such as avoiding excessive movement, applying prescribed ointments, and protecting the wound from sun exposure—can significantly improve the final appearance of the scar. Massaging the scar once healed and staying hydrated can further support skin regeneration. In contrast, poor aftercare, such as picking at scabs, exposing the wound to bacteria, or skipping sun protection, can lead to darker, raised, or widened scars. Diligent post-operative care is key to achieving the best aesthetic outcome.
Can plastic surgeons avoid scarring?
Plastic surgeons cannot completely avoid scarring because the body’s natural healing process involves the formation of scar tissue. While skilled surgeons can minimise scars through precise techniques, proper incision placement, and careful aftercare, some level of scarring is inevitable. Factors such as skin type, healing ability, and the location of the surgery also influence the final appearance of scars. Despite advances in surgical methods, it's impossible to entirely prevent scar formation, but experienced surgeons like Dr Hertess work to make them as subtle and well-hidden as possible.
Tummy Tuck Scar
Abdominoplasty scarring (tummy tuck scar) is often questioned the most as it can be one of the most visible forms of scarring in cosmetic and plastic surgery. Scarring from a tummy tuck, or abdominoplasty, is often more visible because the procedure involves a large incision across the lower abdomen, typically from hip to hip. This incision is necessary to remove excess skin and tighten the abdominal muscles. The visibility of the scar can be influenced by factors such as skin type, healing process, and how well the incision is cared for post-surgery. While the scar is strategically placed in the bikini line to remain as discreet as possible, it can still be more noticeable in some patients, particularly those with darker skin tones or poor healing responses. Following proper aftercare instructions can help reduce the prominence of the scar over time.
This patient had a very positive outcome with minimal scarring from their Abdominoplasty surgery.
Surgical scar treatment & management
CO2 laser treatment is an effective option for improving the appearance of surgical scars. This laser works by resurfacing the skin and targeting the scar tissue, stimulating collagen production and promoting smoother, more even skin. The fractional CO2 laser creates micro-injuries in the skin, encouraging the body’s natural healing process while improving the texture and colour of the scar. It’s particularly beneficial for scars that are raised, textured, or discoloured, offering a non-invasive solution to reduce their visibility and improve overall skin quality.
It’s completely normal to feel concerned about scarring when considering cosmetic or plastic surgery—after all, everyone hopes for the best possible aesthetic outcome. The good news is that with modern techniques and proper scar management, visible scarring can often be significantly minimised.
Booking a consultation with Dr Hertess will give you the opportunity to discuss your concerns, learn about the steps taken to reduce scarring, and receive personalised advice tailored to your skin and procedure. With expert guidance, you’ll have all the information you need to make confident, informed decisions on your plastic surgery journey.
“The plastic and female reconstructive surgeon that females trust, relate to, and are empowered by. At Dr Hertess Plastic Surgery, we are passionate about offering quality cosmetic and plastic surgery procedures alongside long-term support from our professional and experienced team."
