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What is scar revision surgery?
Scar revision surgery is the type of plastic surgery that attempts to improve the appearance of a scar. In general, however, is it incorrect to call it a fix? Because it is not possible to guarantee results since it depends on the patient's biological factors.
Who is the professional able to perform scar revision surgery?
This surgery must be performed by a trained .
Indications for scar revision surgery
Scar revision surgery is indicated for:
Enlarged scars or those with an undesirable appearance
Hypertrophic scar, i.e. raised, rosacea, limited to wound edges, with itching and pain, which eventually stops growing and regresses with time, may regress with compression and massage
Keloid scar, i.e. raised, violet, invades surrounding tissues, usually has itching, pain and burning, does not regress, continues to grow, does not improve with massage and compression, regardless of the surgical technique, may recur.
Contraindications for Scar Revision Surgery
Patients with poor healing, active infection in the scar area, chronic use of corticosteroids, and connective tissue diseases are contraindicated for .
How scar revision surgery is performed
Surgical removal of the scar is done through incisions along the entire length of the scar. Depending on the case, the incision is made approximately one millimeter inside the scar and in other situations approximately one millimeter outside the scar.
After making the incisions, the removes the entire scar using a scalpel or delicate scissors. Scar removal is not usually done in depth beyond the fatty tissue of the skin, as all fibrosis and scar tissue itself are usually removed.
Internal absorbable stitches are performed, and the external part can be done with intra-dermal stitches (which are completely hidden inside the incision) or simple stitches. You can also choose to close the incision using a biological tape with glue, which seals the incision completely. This allows the patient to bathe and wet the operated area on the same day. can be done under general anesthesia or local anesthesia and sedation.
Before surgical removal, however, there are treatment alternatives, such as:
Duration of Surgery
The duration of depends on the size of the scar. Small scars of up to four centimeters take approximately 30 minutes, while scars of between four and 15 centimeters can take up to an hour.
Preoperative scar revision surgery
No preparation is necessary for scar revision surgery, it can even be done without fasting, if general anesthesia is not used.
Postoperative period after scar revision surgery
The scar takes at least a year to mature. Throughout the recovery, you should follow up with your to monitor and guide post-operative care. In addition, even after surgery, it may be necessary to use ointments, creams or even local compression, according to the guidance of .
Possible Complications of Scar Revision Surgery
In scar revision surgery, infection, opening of stitches and bleeding may occur, but these are rarer complications.
Before and after scar revision surgery
The final result appears after a year, but after two to three months a great improvement can be observed. For many months the scar is reddened, and this is normal. However, it is possible to expect an improvement in the appearance of the scar, but it will not always be completely removed.