What Can You Do to Get the Best Possible Scar?

[@cassandradouglas9139]

my doc that did my tummy tuck trained with you and you can barely see my scar. love it

[@ThePoshTrainer]

Who is your doctor

[@stephaniecovington1857]

What office does he practice surgery

[@AA-ei5he]

Dr. Miami - You will never know how helpful your videos are for those of us prepping for surgery. I’ve taken so much advice from your videos and have my Ogee Scar Treatment ready for after my procedures next month. Your in-depth explanations of scars, of the healing process, of compression, and actually showing us inside the OR for different procedures, along with all your do’s and don’ts videos have set me up for true success and I’m actually “ready for it.” Thank you so much - you’re an incredible resource for those of us looking for expert advice, and the reasons WHY of so many surgery topics. Bless you, Dr. Miami! ❤

[@DrWilliamMiami]

Thank you. That is so nice of you to say.

[@lanyceholliday2840]

Best and most educational Surgeon ever! I’m currently in school for surgical technology and hope to scrub for him one day and get dolled 😩🙏🏾saving for my Lipo 360 and bbl as I type between working and school it’s all gonna pay off soon🤞🏾

[@ddvicious]

You bring so much comfort answering all the questions we thought of and didn’t

[@DrWilliamMiami]

If you have other questions please leave it in the comments. It is very helpful for me to know what patients want to learn.

[@benrobertson1109]

thanks dr william - you're a champion

[@tramelparker2085]

Thanks!

[@lindafavor2334]

Am always eager to learn more about surgery it helps me in the decision making and also the day to day life, thanks Dr Williams 👍👍👍👍

[@mpalmer7800]

Doc he had no choice but to give the OG King an amazing scar!!!

[@guera70ful]

We learn so much from you. Thank you doctor!

[@DrWilliamMiami]

Happy to hear that! It's my pleasure.

[@akoj3262]

Thank you so much! It sucks when the wound is at the back and the one helping DOESNT listen *pull hair*. Told him to apply pea size silicon for surgery wound and he applied 1mm size for a 3cm scar and dont even bother to massage. ARGK I am also doing acupuncture now to my wound. My wound was actually deep but pretty dry (they prescribed 1 course antibodies and then the seaweed gel, cant rem the medical name to fill up the hole) and I quickly went to the TCM for medicine which really speed up the process (very surprised!) . Once i started on the TCM herbs, my wound healing speed up. I also moved from daily cleanup by nurse to alternate days then to twice a week. When the wound is abt to heal up, I started acupuncture. So the concept is that our blood circulation is poor and having acupuncture will improve the blood circulation ard the area, making the cells generate... i guess similar to massage. My wound is red at the moment. Surface is okay. I also tried to test with Japan horse oil. *Very adventurous user here.... So lets hope for the best

[@jbfox2024]

So during 12 months of healing does the faja apply enough pressure to help the scar to heal well? Are all the scars located with the faja area? If not what do you use apply pressure to the scar to help it heal well? Would these same techniques improve old scars?

[@cassandraosbourne2840]

Dr. William what are you thoughts with adding Collagen to drinks and or smoothies. Not much research to say it actually makes a difference.

[@lisabrown3340]

I have watch several of your video in the last few months. Thank you for taking the time out. However I haven't seen a video about drainage. Could you do a video about drainage. What is it, how and why there's drainage and how to care for drainage after surgery. It would be greatly appreciated. Thanks 😊

[@DrWilliamMiami]

Try this video--it may be what you are looking for. kzbin.info/www/bejne/g6O2pouIZtSjna8

[@ymtransportllc6921]

They don’t tell you and if your from out of town you better stay till they take them off cause of you leave to your home town they won’t take them off for you and you can take a home test for covid cause they charge $50

[@MrSarnez]

MASSAGE, silicone, and pressure. Should we use something between the scar and the the faja?

[@michellerodriguez6007]

Hi Dr. Williams ❤ Thank you for this video. By the way I love all of your videos ❤. You done my TT on Dec 9th 2021. I did massages wore silicone strips and the scarring gel, however my scars are still wide and black. I'm a very light skin person. Please help me on what can I do to make thia un noticeable. I want you to do other procedures but I want to make sure I have a better result this time. I can't wait❤❤❤❤❤❤❤

[@DrWilliamMiami]

The best therapy we have for scars is massage and silicone (scar gel and silicone strips). There are a lot of laser therapies that have been proposed to help scarring but there is not good data from studies to suggest one over the other. They are expensive and not certain to work. I would massage and apply silicone for another year and if they are not where you want them I would see a dermatologist to see if they can try a laser to help. There are many, many lasers so I would start with one that they suggest and do a small area and see if you get benefit before diving right in.

[@tchina27]

Hi Dr. William! Thank you for the video! If u had to pick a scare cream for scars from lipo+360 (someone that is very prone to hyperpigmentation) would you go with Mederma Advanced Scar Gel or ScarAway Silicone Scar Gel?

[@DrWilliamMiami]

Kelocote.

[@tchina27]

Thank you!!

[@NormaRamirez-yb8or]

Buenos dias ase 3 semanas demi cirujia tummy tuck aun no he echo masaje estoy usando el tape pero e mirado videos algunas mujeres dicen qe empiezan hacer masaje al dia siguiente ami me dijieron qe no lo aga todavia estoy confundida acerca de eso

[@ThePoshTrainer]

Does taking collagen supplements help scarring ???

[@dystopian-future]

This is an incredible video thank you! I had a 3mm mole removed on upper vermilion of lip, right on the cupid's bow, via hole punch biopsy 2 weeks ago. The excision mark looks to be diagonal/vertical. Can I massage this small area with just my finger? Also, in what direction do I massage - vertical, diagonal, horizontal, in circles? How long should I massage for and how often each day? I'd appreciate so much if you could answer these questions. Thank you Dr Miami!

[@DrWilliamMiami]

Thank you. I am not Dr Miami btw. I can't answer for you specifically ,but I can tell you what I tell my patients. I have my patients massage their incisions in ALL directions for two minutes twice a day for 12 months. Seems like a long time. It is. I usually have them start at 2-3 weeks when the incision is BUMPY and LUMPY. That's normal. The more massage the better. I just have patients use their fingers and if their incision is in the lip area it is easy because they can massage from inside and outside at the same time by placing one finger inside the mouth and the other outside the mouth on the lip. Make sure to ask your surgeon what their preferred scar protocol is.

[@dystopian-future]

@@DrWilliamMiami Thank you so much for this amazing info Dr William. I appreciate it greatly and I'm so glad I found your channel! Thank you!!!!

[@First_thyme_cook]

So are there any options ( besides a tattoo) for a hyperpigmentated scar after a tummy tuck? (My scar is not raised and thin but too dark)I heard of bleaching maybe laser, what are your thoughts?

[@DrWilliamMiami]

There are lightening agents out there--Hydroquinone is one of them. You doctor can prescribe it or there are lower strength formulations over the counter included in makeup products. I am a big fan of laser and I know patients have used that in the past for hyper pigmented scars--I would defer to a dermatologist for any laser therapy. Maybe I will get a dermatologist on an upcoming BTM Podcast in the future. The podcast is not released yet but coming soon!

[@surgeryqueensrd4518]

@@DrWilliamMiami 😇😇

[@shanielleh6329]

L

[@gloriazamudio9906]

What kind of silicone?

[@halitripplett7317]

Can you discuss proper massages , the do’s and don’t

[@kayshawnsimmons5585]

good question 🤔

[@collinesharma9481]

Dr one request if you can upload a video on umbilical hernia repair along with full tummy tuck please. I am 49 mom of 2 grown up kids n having this umbilical hernia since delivering my second child 17 yrs ago. It has never caused pain but i wish to get a nice flat tummy with bellybutton i havent seen since long!

[@DrWilliamMiami]

I will do that. It is a great idea. The video will likely have to go on my Only Fans account though because in order to show it properly I will not be able to blur things and it will be very graphic.

[@collinesharma9481]

@@DrWilliamMiami i have already subscribed to your channel so will it be then visible to me?

[@itsjustus5808]

Thank you for sharing this information. You've mentioned scars that are raised. I have a question about a scar that is indented quite a bit due to having a wound vac attached to it after having an appendectomy and a colon resection. These 2 surgeries were performed within days of each other. Would an indented scar be one that would have the potential for a scar revision? Thanks in advance for your thoughts.

[@DrWilliamMiami]

Yes, absolutely. Those usually have better results than scars that are raised.

[@itsjustus5808]

@@DrWilliamMiami , thank you for responding so quickly! That is encouraging to know.

[@giuseppescicchitano-hf3ou]

Dear Dr. how often and for how long per massage session should a scar be massaged? How long after the stitches are removed is it possible to start massaging? Thank you so much as always for your precious video contents!

[@DrWilliamMiami]

I usually suggest to my patients to begin massage at 3 weeks after surgery. That way the scar is strong enough to tolerate so good massage. And to continue that for a whole year!

[@giuseppescicchitano-hf3ou]

@@DrWilliamMiami could you please tell me if It is possible to use a professional electric roller for massaging?

[@DrWilliamMiami]

I don't know what a professional electric roller is. Can you email me some more information on it please--I would love to know. My email is [e-mail]

[@tiarabrown3154]

Really hope you see my comment on the necrosis video 😭

[@tawanahkey4563]

Dr Miami. You are a TRUE EDUCATOR. TY for your service to the Community. Not only do you provide Great content. You actually take the time to Answer our questions!! Do you do virtual consults?? I'm in Cleveland

[@DrWilliamMiami]

Thank you. I don't do virtual consultations. I did for a while but they are too difficult to schedule, and too hard for me to see. I prefer to view still photos--you are welcome to email me [e-mail]

[@johannaramsey]

Silicone tape or gel? Does it matter?

[@butterflysandoval722]

Doctor William, You are the best, but the coordinadors behavior are wired:( I supposed have e Bbl on May, but I keep calling the office and nobody answered them, someone text with different numbers but they don’t answer so wired. Please have someone call me. Rosa Sandoval.

[@DrWilliamMiami]

You can call 786-633-0896 and they will help you.

[@chandelier4615]

He’s good 👍🏽

[@lynh2455]

Hey Dr! Is thin duoderm good to use on Lipo Scars ? After i finish leaking and the scars have closed up ?

[@b7k1l8yn]

What about Cordran Tape? I've seen this works also

[@DrWilliamMiami]

I think it is better for care of athletic injuries. Our data shows that silicone, rather than steroids, work better for scar care.

[@Thatwealthygworl]

Just like being in school again. I love it!!

[@DrWilliamMiami]

I loved school! I always get teased from my family that would have been happy just staying in college my whole life.

[@tishabarrie214]

I have a scar tissue from the surgery you did, I love my surgery but I hate the scars, they very disturbing 😫 it itchy too.

[@DrWilliamMiami]

Massage helps with itchy scars as well. Give them time they can take 12 months to heal. We can always look at a year to re-evaluate them.

[@tishabarrie214]

@@DrWilliamMiami Ohk great 😊 I will get in contact with you/office to see what we can do, if it still there after a year. Btw thank you for responding🙏🏾

[@stephaniecovington1857]

​@@tishabarrie214what's location of his office

[@laticiawilson7520]

Dr William when you get your dog ears removed should you wear your faja for compression

[@DrWilliamMiami]

yes

[@emilypope4327]

I am 11 months out from tummy tuck and I’m not happy with the scaring results, it is raised in certain areas of the cut and dark, is it to late to start with the massages and silicone application?

[@mssoulmate2012]

I wonder if silicone is best for people of color as well with scar healing?

[@DrWilliamMiami]

No difference in the literature between saline and silicone in terms of scar healing in any patient population.

[@pb8202]

Dr William I have my BBL scheduled with you in June Im traveling from California and I wanted to ask if staying in MIA for 10 days after surgery is enough?

[@embracingchange1130]

It is enough time. I traveled back home 5 days later with no problems.

[@DrWilliamMiami]

That's perfect.

[@pb8202]

@@embracingchange1130 I hoped it would be enough time, did you drive or fly home? I’m so worried about that flight back home it’s about 9 hours 😩

[@elisamdo]

@@pb8202 it’s actually only about 5.5 hours (nonstop) between CA and MIA. Remember, they are 3 hours ahead of CA which is what makes it *appear* like the flight is longer when flying to MIA.

[@guera70ful]

Dr how soon after surgery can we start with the massages?

[@DrWilliamMiami]

3 weeks after surgery. The wound is strong enough at that point to permit massage and then you will do it for two minutes, twice a day, for twelve months.

[@embracingchange1130]

@@DrWilliamMiami if we waited THAT long we would be hard as a ROCK and that is extremely painful to have to break up all that scar tissue/ fibroblast ( speaking from experience after going just 3 days no massage) but everyone heals differently.

[@alishasilant1646]

♥️♥️♥️🥇🥇🥇🥇🎖🎖👍👍👍👍👏

[@butterflysandoval722]

I want to make sure that people whom a text are u worker, cause there are a lots Of scammers trying to still peoples money😭

[@franzesharris9419]

- Done . Mufuxinmonstaa 💕 Made my wishhhhhhh 💕