Sometimes surgery may be required to improve a scar. In this case, the surgeon will remove excess scar tissue, and reposition the incision so that it heals in a less visible pattern. This scar removal surgery is usually done under local or general anesthesia in the doctor's office.

Treatment using special creams are applied directly to the scar. The cream softens the scar tissue and promotes healing by working on the collagen fibers and realigning them. Massage may also be recommended, especially after breast surgery. This also helps to break up the scar tissue.

Scars, especially old scars, may be treated with PhotoDerm, a non-invasive, laser-like device that emits an intense flash of light that works directly on the scar by reducing the blood vessels present in the scar tissue.

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This operation was designed for patients who have undergone gastric bypass surgery and are at least a year post operative. Their weight loss should also be stable for more than nine months. After gastric bypass, patients feel better—but they often do not think they look better because their dramatic weight loss has resulted in sagging skin. A plastic surgery procedure known as belt lipectomy can complete their transformation.

The surgery is designed to remove the remaining fat and skin that remains around the entire mid section of the body—front, sides, and back. The procedure requires turning the patient three times during the procedure in order to reach the areas of the back and under the arms. Recovery takes about six weeks. For additional information, please visit the pages on liposuction and tummy tuck.

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