Scar Revision

Scar Revision

What does the term Scar Revision mean?

Long after a wound has healed, unsightly scars tend to remain.  Scar Revision 1They tell tales of trauma, injuries, accidents and previous surgeries even when you don’t want to. If they do not heal properly, they can cause disfigurement and obvious marks that alter the overall appearance of the individual. There are many different types and forms of scars. They can either be low or raised; they can vary in texture, tone, location, size and even shape. Based on the amount of healthy tissue damaged by scarring, there are a number of treatment options available including:

–          Simple treatment involving topical agent applications

–          Slightly invasive surgeries

–          Scar revision surgeries involving techniques that promote wound closure

The basic purpose of scar revision procedures is to reduce the amount and extent of scarring in order to make it consistent with the surrounding healthy skin. It is important to understand that no scar revision surgery can completely obliterate or eliminate a scar; it can however effectively reduce and diminish it, making it aesthetically pleasing.
There are a number of factors that must be considered before applying for a scar revision procedure. An ideal candidate for a scar revision procedure must:

–          Ideally not have any medical conditions and should be physically healthy

–          Not be a smoker

–          Be realistic and optimistic regarding the outcomes of the surgery

–          Not have skin diseases or other conditions that can potentially interfere with healing


Are there are risks and complications associated with scar revision procedures?

All leading plastic surgeons first acquire the complete consent of their patients as part of medical protocol prior to proceeding with surgery. It is important to assess the medical and drug histories of all patients before the procedures in order to ensure that they are indeed eligible for it. Some of the risks and complications associated with scar revision surgeries include the following:

–          Abnormal bleeding and formation of hematoma

–          Infection at the site of surgery

–          Risks and reactions associated with the administration of anesthesia

–          Altered sensation complications associated with cardiac and pulmonary systems

–          Deep venous thrombosis

–          Damage to vessels and nerves resulting from improper technique or accidents during surgery

–          Post surgical persistent pain

–          Delayed healing

–          Changes in the contour of the skin

–          Changes in the skin tone or color

–          Altered sensitivity

–          Allergic reaction to different materials used during surgery

–          Chances of revisional surgery due to unsatisfactory results


What are the steps involved in scar revision surgeries?

The steps involved in conventional scar revision surgeries include:

  1. Administration of anesthesia: Hand surgeries may either be performed on local or general anesthesia. The choice of drug and the mode of administration may be selected based on the preference of the surgeon and the medical history of the patient.
  2. Treatment based on the extent of damage:
    – Topical Treatments: Topical treatments involve the application medicated lotions, gels, specialized tapes and even compression treatments that can assist in wound closure and rapid healing. Not only does this reduce the amount of scarring, but it also effectively decreases the extent of pigmentation.
    – Injection Treatments: These treatments are ideal for scars that are concave or depressed in shape. There are a number of different materials that can be used to fill these scars via injections, but nearly in all cases, the results take about 3-12 months to become evident. One of the most common injection treatments in scar revision includes the use of steroid based compounds which effectively reduces the formation of collagen in the skin.
    – Surface Treatment: This is the most commonly used form of scar revision procedure used today. Surface treatments not only reduce the appearance of unsightly scars, but also diminish prominent pigmentation to make them look less obvious. These treatments involve the removal of the superficial dermal layers to achieve the desired results. Some of the procedures used in this treatment include:
    a. Laser therapy
    b. Dermabrasion
    c. Skin bleaching
    d. Chemical peels
  3. Creating incisions: In case of excessively deep and prominent scars, it is sometimes essential to create incisions in order to remove the scars surgically.
  4. Incision Closure: The incision is then closed with the help of suitable, absorbable sutures which are carefully placed within the natural folds of the skin.

scar revision 2Recovery and results from Scar Revision surgical procedures (Click here to view Before & After Photographs):

It may take up to 2 week for the post surgical swelling and incision marks to dissipate, after which the patient can fully appreciate the results of the scar revision procedure.
The scars seem less obvious in terms of size, texture, pigmentation and shape. The results of the procedure are long lasting and allow the individual to flaunt their smooth, near perfect skin with confidence wherever they go.