Scar Revision

About Scars

How do Scars Form?

Scar are formed when skin grows over a relatively intense wound.

The healing process of human skin is very complex. Although important advances have been made on the subject, still the treatment of scars poses a difficult problem for surgeons.

Scars are permanent,  they can only be improved but will not disappear.

The quality of the scar is dictated by various factors, some dependent on the patient and others on the scar itself. Scars can not only be unsightly but can sometimes produce tissue contractures that can interfere with the normal function of the affected area of the body.

Scaring can occur:

*    After a cut, burn or sore
*    After some infections such as chickenpox
*    After severe acne
*    From any type of surgery

In my practice I believe in choosing the most simple procedure when performing any plastic surgery which reduces risk of complications and scaring.

Book your natural look consultation today and let us see how we can improve the appearance of your scars.

What is Scar Revision?

Scar revision is a procedure where the unsightly look of scaring is improved for cosmetic purposes.

It is important to note that the healing ability of a patient can affect scarring.  Keloid scarring is a type of disorder that produce thick tumour-like scars that grow beyond the original limits of the scar.  This type of scarring is more common on Oriental and Afro Caribbean patients.

Hypertorophic scarring is a more common condition.  It produces red thickened scars that are itchy or painful but as opposed to keloid scars they don’t grow beyond the limits of the original scar.

Sometimes patients who struggle with keloid or hypertrophic scarring can request scar revision after:

*   Cosmetic surgery
*   Melanoma removal; or
*   Excessive malignant mole removal surgery

Scar Revision Difficulties

Scar revision can be complicated due to the scar’s direction, size and position.  Factors like infection or tethering of scars to deeper tissues and excessive tension of the edges of the blemish also affects their quality.

Scars that are difficult to improve include:

*    Scars that cross normal skin lines on the face and over joins
*    Those located over the breast bone in the mid line
*    Scaring on the ears
*    A very large or wide scar
*    The ability to the patient’s skin to heal properly

Scar Revision Surgery

Surgical treatment of scars consists of the removal of the old scar and careful re-suturing. In some cases it may be necessary to:

*    Change the direction
*    Free tethered scars, or
*    Provide volume to a depressed scar

Hypertrophic scars are treated with a a course of injections that in the most cases softens the scar, reduces the redness and relieves the pain and itchiness.

There are other preparations for example silicone gels and tapes that might be useful in the treatment of hypertrophic scars.

Keloid scars are a very difficult condition to treat sometimes in selected cases they can be removed surgically followed by other treatments to reduce the probability of recurrence.

The danger of keloid scars is that very often, surgical removal can produce an even bigger scar than the original.

My approach to cosmetic and scar revision surgery is to provide the patient with a natural look afterwards.
Book your natural look consultation today and let us see how we can improve the appearance of your scars.