Scar tissue forms as skin heals after an injury or surgery. Scar revision is surgery to improve or reduce the appearance of scars. It also restores function, and corrects skin changes / disfigurement caused by an injury, wound or previous surgery.
The amount of scarring may be determined by the wound size, depth, and location; the person’s age; heredity; and skin characteristics, including color / pigmentation. Not all the factors that affect a scar are completely understood. The final look of a scar depends on many factors, including the skin type and location on the body, the direction of the wound, the type of injury, age of the person and his or her nutritional status. Depending on the extent of the surgery, scar revision can be done under local anesthesia / sedation or general anesthesia.
When to have scar revision done is not always clear. Scars shrink and become less noticeable as they age. You may be able to wait for surgical revision until the scar lightens in color, which can be several months or even a year after the wound has healed. For some scars, however, it is best to have revision surgery 60 to 90 days after the scar matures. Each scar is different. It is important to remember that scars cannot be completely removed.
Problems that may indicate a need for scar revision include:
Treatment options may vary based on the type and degree of scarring and can include:
Although scar revision can provide a more pleasing cosmetic result or improve a scar that has healed poorly, a scar cannot be completely erased.
There are many different types of scars which need different types of treatments :
Exposing the scar to too much sun may cause it to darken, which could interfere with future revision.
As with all surgeries, it is important to follow all instructions to help maximize recovery and healing. Your doctor will advise you on all activity restrictions, depending on the type of surgery that was performed. Scars cannot be removed completely. Many factors will be involved in the degree of healing of your particular scar, with some scars taking more than a year to show improvement in appearance following surgery.
A scar is the body’s natural way of healing and replacing lost or damaged skin. A scar is usually composed of fibrous tissue. Scars may be formed for many different reasons, including as a result of infections, surgery, injuries, or inflammation of tissue. Scars may appear anywhere on the body, and the composition of a scar may vary–appearing flat, lumpy, sunken, or colored. It may be painful or itchy. The final look of a scar depends on many factors, including the skin type and location on the body, the direction of the wound, the type of injury, age of the person with the scar, and his or her nutritional status.
Surgical scar revision is an option available to patients faced with scars originating from injury or through surgery. Depending on the severity of the scar, revision of the scarred tissue may aid in the restoration of both form and function.
First and foremost, you must be in good health, have no active diseases or serious, pre-existing medical conditions, and you must have realistic expectations of the outcome of your surgery.
Examples of scars most commonly treated include: hypertrophic scars, keloid scars, wide scars and contracture scarring.
Most minor scars can be treated by injecting a steroid medication directly into the scarred tissue This form of treatment generally results in a reduction of redness, and size.
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