This topic is about a person who had emergency surgery due to a ruptured sigmoid colon, which led to the creation of a colostomy. They are now considering a reversal of the colostomy and are curious about the success of such procedures and options for cosmetic scar revision. Here are some insights and advice that might be helpful:

1. Reversal Success Concerns
- If the stoma was created due to a one-time event like a rupture, rather than ongoing conditions like Crohn’s or cancer, the chances of a successful reversal are generally good.
- Reading forum discussions on "reversal/takedown" can provide useful information on what to expect during preparation and recovery.

2. Cosmetic Scar Revision
- Many people find that their scars fade over time, and some choose to embrace them rather than opt for plastic surgery.
- While not common, plastic surgery for scar revision after an abdominal ostomy is possible. Consulting forums or a cosmetic surgeon can offer more options.
- If considering surgery, it’s advisable to wait until full healing, both internally and externally, which often takes at least a year. Insurance coverage can vary, so having documentation of medical necessity might be beneficial.

3. Recovery Expectations After Reversal
- Initially, you might experience frequent, loose stools that can contain mucus. Sitz baths can help soothe any skin irritation.
- The abdominal wall may be weaker due to multiple incisions, so be cautious of hernia risks and adjust your exercise routine accordingly.
- Takedown scars might pucker and not lie flat.

4. Emotional and Body-Image Impact
- It’s not uncommon to feel distressed or mourn the loss of your previous physique. Peer support can be incredibly valuable during this time.
- Support belts can help secure appliances but might leave creases, and long-term use can affect the contour of your abdomen.

5. Scar-Care Basics While Healing
- Keep the incision clean, moisturized, and protected from the sun.
- For professional advice, clinics like Visage Clinic can be a resource.

6. Practical Tip
- If you’re curious about what takedown scars might look like, searching for images online can help set realistic expectations before deciding on revision surgery.