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, poor healing, or previous surgery.
Overview of Scar Revision
Scarring is a natural part of the healing process after an injury. The depth and size of the wound depending on age, genes, sex, and ethnicity. Often raised or recessed, differing in color or texture, or just visibly noticeable, scars are the visible representation after a wound or surgical incision has healed. Scar revision surgery is a procedure to improve the appearance of a scar. Scars can be unsightly and can cause patients to feel self-conscious and affect self-esteem.
Type of Scar Revision
- Scar excision: cutting out the scar and closing the incision. A new scar will form, but it should be less visible than the original scar.
- Z or W-plasty: cutting a series of triangular flaps through the scar in a “Z” or “W” pattern
- Punch graft: is useful for small, deep scars such as acne scars- the surgeon punches out a core of skin containing the scar and fills it with a core of unscarred skin from another area
- Autologous fat transfer or collagen injection: is used to rise, or fill in sunken scars.
- Skin grafting: skin is taken from a healthy part of the body and transplants it to the injured area.
- Dermabrasion and laser resurfacing: the surgeon removes the topmost layers of the skin
Scar Revision Recommended For:
- People who are bothered by a scar anywhere on the body
- People who are physically healthy
- People who do not smoke
- People who have a positive outlook and realistic goals for the scar revision surgery
- People who do not have active acne or other skin diseases in the area to be treated
Before Scar Revision
The surgeon will take a medical history of the patient. He also takes a photograph of the scar and examines it and talk about different options with the patient Patients should not eat or drink anything 12 hours before the surgery. They should not smoke 2 weeks before and after the surgery.
During Scar Revision
During surgery, the patient will be given local or general anesthesia based on condition. This procedure lasts between 1 to 3 hours. Patients will be dismissed on the same day of the surgery or stay the night and they will be able to go back to work in about 3 to 7 days.
After Scar Revision
Localized swelling, discoloration or discomfort are common and may take 1 to 2 weeks. It may take several months for the final results to become apparent.