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Cosmetic Surgery (Expert Forum)
Boosting up a scarline
Answered by
Howard Rosenberg, MD - Cosmetic Surgery
Accent on Aesthetics Plastic Surgery Medical Center
Questions in the Cosmetic Surgery forum are answered by Dr. Howard Rosenberg. Topics include bariatric surgery reconstruction, breast augmentation, chemical peels, cosmetic or reconstructive surgery, face lift, nose reconstruction, and tummy tucks.
Boosting up a scarline
by Janet_P, Sep 24, 2007 11:30AM
I'm a 19 year old ileostomate that's had no luck with stoma sites, and have a long 12 inch incision scar that runs perfectly vertical. This scar has created a small divet/trench in my skin, and my ostomy appliance leaks when I bend and move about too much. If this divet were to be filled, it looks like I could bend and move about much more easily - just to get the skin evened. As it stands, it my appliance definitely feels loosened when I sit / stand with good posture. A dermatologist recommended I talk it over with someone in the know - but I was wondering if it were possible to get a filler either injected or put under the skin (like fat) to even things out?
The ostomy is a temporary type. I don't plan on getting it reversed anytime soon, though when I'm older it might be a nice option someday.
I know I can't repositon my stoma site, because I've had a problem with scar tissue adhesions - and as a result they put Teflon and I think Kevlar strips as well in to keep things in order. So I'm pretty much stuck with what I've got to work with.
What options might be available?
Doctor's Answer
by Howard Rosenberg, MD, Sep 24, 2007 07:10PM
, Sep 24, 2007 07:10PM
You would need to consult with a team including a stoma nurse, a general surgeon and a plastic surgeon about a trial of an injectable filler or the consideration of a scar revision that would be appropriate to see if this provides a water tight seal to the stoma appliance.
