a surgical procedure
in which a plastic
to make the
scar less obvious
may also be
of that part
of the body.
are the different types of scars?
Scars - Keloids are thick, itchy, unsightly
clusters of scar tissue that grow beyond
the borders of actual wound. Keloids
are formed due to excessive production
of collagen by the body after the scar
has healed. These scars sometimes appear
red compared to the surrounding skin.
Keloids are more common in dark skinned
people and are more likely to develop
in the earlobe, along the border of
the jaw, the shoulder and the skin over
the breast bone.
Hypertrophic Scars - Hypertrophic scars
look like keloid scars except the fact
that they tend to remain within the
boundaries of the wound or incision.
Contractures - Contractures occur when
a scar pulls on the edges of the skin
making a tight area. These contractures
can produce functional limitation and
can affect the muscles, joints, and
tendons. Contractures are usually common
after burns and are also referred to
as Burn Deformity. When a large area
of skin is lost due to a burn, the surrounding
intact skin pulls together to make up
for the lost area of skin, thus forming
a deformity that can limit your movement
or function of that part of the body.
is an ideal candidate for Scar Revision?
you have any type of scar (as described
above) on any part of the body that bothers
you or impairs function or limits movement
of any of your joints, then you are an ideal
candidate for Scar Revision.
does surgical Scar Revision involve?
on the type of scar, different surgical
procedures are employed for Scar Revision.
These surgical procedures for Scar Revision
will be performed under local or general
anesthesia. Depending on the extent of the
scar, Scar Revision may take any where from
1 - 5 hours. It would certainly be worthwhile
to find an experienced and reputable plastic
surgeon as Scar Revision techniques requires
immaculate skills and expertise of the plastic
surgeon. Some of the Scar Revision procedures
that are used popularly include:
removal of Keloid Tissue - Surgery directly
removes the keloid tissue and a skin
graft may be used to cover the area.
Skin Grafting is performed by taking
a piece of healthy skin from another
area of the body (called the donor site)
and attaching it to the surgery area.
Laser Surgery - Different lasers are
used to smooth, flatten or remove abnormal
discoloration of the overlying skin
of the scar.
Skin Grafting - The procedure of skin
grafting involves replacing the damaged
area of the skin by healthy area taken
from other part of the body.
Skin Flap Surgery - Flap surgery is
a procedure in which skin, along with
the underlying fat, blood vessels, and
sometimes the muscle, is moved from
a healthy part of the body to the injured
Z - Plasty - is a Scar Revision procedure
in which a Z-shaped incision is used.
Z - Plasty is used to decrease the skin
'pull' in case of a contracture. This
technique can also be used to try and
blend the scar in the natural creases
and folds of the surrounding skin.
Tissue Expansion - The technique of
tissue expansion is used in conjunction
with Skin Flap Surgery. In this technique
the amount of existing tissue is increased
for re-constructive purposes.
to prepare pre-operatively for surgical
hospitalization is not necessary for Scar
Revision procedure. However, make sure that
you inform your plastic surgeon about your
health conditions and all the prescription
and non-prescription medications that you
are taking (including vitamin, mineral and
herbal products). Stop smoking at least
2 weeks before the surgery and do not smoke
for at least 2 weeks after the Scar Revision
is the recovery period like after surgical
sure to make arrangements for someone to
drive you home as you will be sent home
the same day after Scar Revision. You will
heal gradually and be able to resume your
daily activities within a week or so. The
final results of your Scar Revision surgery
will take a very long time to become completely
apparent. The stitches will be removed within
3 - 5 days after Scar Revision surgery.
is the outcome of surgical Scar Revision?
goal of surgical Scar Revision is to make
your scar less noticeable. There is 90%
chance that the scar will look better after
Scar Revision, seldom there might not be
any change and in 1% of cases your scar
may actually look worse after Scar Revision.
of Scar Revision
Revision is performed not only for esthetic
reasons, it is also performed for reconstructive
and functional reasons. Keloids and contractures
are not just unattractive and ugly to look
at, they can be extremely limiting if they
are are on your hand, around your mouth
or on a joint surface. Scar Revision does
not just make them less obvious, it can
also improve the function of the affected
of Scar Revision
Allergic reaction to anesthesia
Recurrence of scar
Risks of not having a Scar Revision
There is no guarantee that surgery will
improve the functional limitation that
is most often seen from contractures.
However, when performed by an experienced
surgeon, Scar Revision can definitely
change that and make your movements
to Scar Revision
Injections - Steroid injections can
reduce itching, redness and burning
sensation in the scar tissue and may
even reduce the size of the scar.
Cryotherapy - The scar tissue is frozen
off by medications
Localized pressure - Pressure is applied
to the scar with a pressure bandage
to reduce the size of the scar. This
method is not too effective.
to "Cosmetic Surgery"