Post-Laparoscopic Surgery: Managing Belly Button Scarring and Care Tips

Umbilical wound after laparoscopic surgery?

Originally, the belly button was indented, but after laparoscopic surgery (which was a month ago), the wound at the belly button has developed a appearance resembling small keloids, and the surrounding area appears a bit dark (not aesthetically pleasing and somewhat alarming).
Can I apply scar cream or use cosmetic gel in the belly button? Or would you recommend avoiding any application on the wound around the belly button? If scar treatment products are necessary, how should they be applied considering the belly button is indented?

Youzi, 20~29 year old female. Ask Date: 2024/07/08

Dr. Zhang Shuhao reply Surgery

One month after surgery, the wound may still be in the remodeling phase.
It is recommended to keep the wound clean and dry, and to return for regular follow-up appointments.
Scar treatment products should only be used after the surgeon assesses that the wound is stable.

Reply Date: 2024/07/08

More Info

After laparoscopic surgery, particularly when the procedure involves the belly button (umbilicus), it is common for patients to experience changes in the appearance of the area. The concerns you have regarding the appearance of your belly button, including the development of what seems like small growths or a "keloid-like" appearance, are not unusual. Here’s a comprehensive response to your questions and some additional insights into post-operative care.

Understanding Post-Surgical Changes
1. Scarring and Keloids: After any surgical procedure, the body undergoes a healing process that can lead to scarring. In some individuals, especially those with a predisposition to keloids, the scar tissue can become raised and thickened. The darkening around the scar may be due to hyperpigmentation, which can occur as part of the healing process.
2. Use of Scar Treatments: It is generally safe to apply silicone-based scar gels or sheets to the scar once the wound has fully healed and there are no open areas. Silicone products are known to help flatten and soften scars. However, when it comes to the belly button, caution is advised. The area is delicate, and you should ensure that the wound is completely closed and healed before applying any products.
3. Application Techniques: If you decide to use a scar treatment, ensure that the area is clean and dry. For a concave area like the belly button, you may need to use a small amount of gel and gently apply it with a clean finger or a cotton swab. Avoid excessive pressure, as this can irritate the skin.
4. Consultation with a Dermatologist: If the appearance of your belly button is concerning, or if you notice any signs of infection (such as increased redness, warmth, or discharge), it’s advisable to consult a dermatologist. They can provide tailored advice and may suggest treatments such as corticosteroid injections for keloids or other dermatological interventions.

General Care Tips Post-Laparoscopic Surgery
- Keep the Area Clean: Maintain hygiene by gently washing the area with mild soap and water. Avoid scrubbing the scar directly.

- Moisturization: Keeping the scar moisturized can help in the healing process. Use a fragrance-free moisturizer to prevent irritation.

- Sun Protection: Protect the scar from sun exposure, as UV rays can darken scars. Use a broad-spectrum sunscreen on the area when exposed to sunlight.

- Avoid Tight Clothing: Wearing loose-fitting clothing can help prevent irritation around the surgical site, allowing for better healing.

- Monitor for Changes: Keep an eye on the scar for any changes in color, size, or texture. If you notice any unusual changes, consult your healthcare provider.

When to Seek Medical Advice
If you experience persistent pain, swelling, or any unusual symptoms around the surgical site, it is essential to seek medical advice. Additionally, if the appearance of the scar continues to be a concern, or if you are considering more aggressive treatments (like laser therapy or surgical revision), a consultation with a plastic surgeon or dermatologist specializing in scar management may be beneficial.

In conclusion, while some changes in the appearance of your belly button after laparoscopic surgery are normal, it’s crucial to approach scar management with care. Using appropriate products and techniques can help improve the appearance of your scar, but always prioritize safety and consult with healthcare professionals when in doubt.

Similar Q&A

How to Manage and Minimize Surgical Scars After Laparoscopic Surgery

Hello, doctor! I just had laparoscopic appendectomy surgery on March 2nd. After the stitches were removed, the nurse applied a cosmetic adhesive bandage for me. However, when I changed the bandage on my belly button today, I noticed that although the sutured wound has healed, the...

Dr. Lu Daokuan reply Plastic Surgery
If you are not satisfied with the results of cosmetic fillers or artificial skin treatments after two months, you may consult a dermatologist or a plastic surgeon.

Post-Laparoscopic Surgery Care: Addressing Common Concerns and Best Practices

Hello Dr. Lee, I underwent laparoscopic surgery to remove a teratoma on April 30th, and I have a total of four incisions. I have some post-operative questions I would like to ask you. 1) I purchased waterproof gel during the surgery, so I have not redressed the wounds since my ...

Dr. Li Zhonghuai reply Surgery
Hello, 21 days post-surgery, the wound should be mostly healed. 3) The wounds around the navel and left abdomen feel firm to the touch, and the skin appears slightly red ==> Please return for a follow-up appointment for the physician to assess for possible infection. 1) If the...

Managing Umbilical Issues After Laparoscopic Surgery: Expert Advice

A long time ago, I underwent laparoscopic surgery, and since then, my belly button has become smaller, and there is a large scar from excessive suturing next to it. After some time, my belly button starts to hurt, emits a foul odor, and becomes red, swollen, and oozes pus. I have...

Dr. Ye Qianyu reply Family Medicine
Hello! It is recommended that you schedule an appointment with a general surgery clinic.

Improving Belly Button Appearance After Endometriosis Surgery: Options and Risks

Five years ago, I underwent laparoscopic surgery for endometriosis, and the scars resemble two belly buttons. Dr. Luo, is it possible to improve this through cosmetic surgery? What would the approximate cost be? Are there any risks or potential complications?

Dr. Luo Qihua reply Plastic Surgery
Dr. Luo's response: Generally, improvement is achieved by excising the old scar and then performing a linear closure. However, a thorough evaluation is necessary before proceeding. As for the cost, it varies depending on the situation, potentially ranging from several thousa...