Scar Revision Surgery

About the process

Scars—whether they're caused by accidents or by surgery—are unpredictable. Scars are known to have profound psychological implications like lowering the self-esteem substantially. The way a scar develops depends as much on how your body heals as it does on the original injury or on the surgeon's skills. Many scars that appear large and unattractive at first may become less noticeable with time. Some can be treated with steroids to relieve symptoms such as tenderness and itching.

Scars may or may not be removed permanently, but in the hands of expert plastic surgeons they can be improved in appearance, made less obvious through the injection or application of certain steroid medications or through surgical procedures known as scar revisions.

The Scar Revision Surgery Advantage

Many scars that appear large and unattractive at first may become less noticeable with time. Some can be treated with steroids to relieve symptoms such as tenderness and itching. For these reasons, many plastic surgeons recommend waiting as long as a year or more after an injury or surgery before you decide to have scar revision.

How much a scar bothers someone depends on person to person. Different types of scars entail different solutions; Surgical or non-surgical. We shall list all types pf scars and their possible treatments in the ‘Procedure’ section.

What is Scar Revision Procedure

Different kind of scars entail different kind of solutions. The treatment procedure involved might not always be a surgical one. It depends on the nature and cause of the scar.

You can enhance your chances of a perfect recovery by choosing a qualified plastic surgeon and closely following his or her advice, both before surgery and in follow-up care. Here we enlist the main types of scars and their possible treatments:

Keloid Scars

Keloids are thick, puckered, itchy clusters of scar tissue that grow beyond the edges of the wound or incision. They are often red or darker in color than the surrounding skin. Keloids occur when the body continues to produce the tough, fibrous protein known as collagen after a wound has healed.

Keloids can appear anywhere on the body, but they're most common over the breastbone, on the earlobes, and on the shoulders. They occur more often in dark-skinned people than in those who are fair. The tendency to develop keloids lessens with age.

Steroid treatment

Keloids are often treated by injecting a steroid medication directly into the scar tissue to reduce redness, itching, and burning. In some cases, this will also shrink the scar.

If steroid treatment is inadequate, the scar tissue can be cut out and the wound closed with one or more layers of stitches. This is generally an outpatient procedure, performed under local anesthesia.

Rest & Recovery

You should be back at work in a day or two, and the stitches will be removed in a few days. A skin graft (see the section on skin grafting) is occasionally used, although the site from which the graft was taken may then develop a keloid.

Results

No matter what approach is taken, keloids have a stubborn tendency to recur, sometimes even larger than before. To discourage this, the surgeon may combine the scar removal with steroid injections, direct application of steroids during surgery, or radiation therapy. Or you may be asked to wear a pressure garment over the area for as long as a year. Even so, the keloid may return, requiring repeated procedures every few years.

Hypertrophic Scars

Hypertrophic scars are often confused with keloids, since both tend to be thick, red, and raised.

Treatment

Hypertrophic scars, however, remain within the boundaries of the original incision or wound. They often improve on their own or with the help of steroid applications or injections.

If a conservative approach doesn't appear to be effective, hypertrophic scars can often be improved surgically. The plastic surgeon will remove excess scar tissue and may reposition the incision so that it heals in a less visible pattern.

Anesthesia and recovery

This surgery may be done under local or general anesthesia, depending on the scar's location and what you and your surgeon decide. You may receive steroid injections during surgery and at intervals for up to two years afterward to prevent the thick scar from reforming.

Contractures

Burns or other injuries resulting in the loss of a large area of skin may form a scar that pulls the edges of the skin together, a process called contraction. The resulting contracture may affect the adjacent muscles and tendons, restricting normal movement.

Grafting/ Z plasty / Tissue Expansion

Correcting a contracture usually involves cutting out the scar and replacing it with a skin graft or a flap. In some cases, a procedure known as Z-plasty may be used. And new techniques, such as tissue expansion, are playing an increasingly important role. If the contracture has existed for some time, you may need physical therapy after surgery to restore full function.

Facial Scars

Because of its location, a facial scar is frequently considered a cosmetic problem, whether or not it is hypertrophic.

Treatment

There are several ways to make a facial scar less noticeable. Often it is simply cut out and closed with tiny stitches, leaving a thinner, less noticeable scar.

If the scar lies across the natural skin creases (or "lines of relaxation") the surgeon may be able to reposition it to run parallel to these lines, where it will be less conspicuous (Z-plasty).

Some facial scars can be softened using a technique called dermabrasion, a controlled scraping of the top layers of the skin using a hand-held, high-speed rotary wheel. Dermabrasion leaves a smoother surface to the skin, but it won't completely erase the scar.

Z-Plasty

Z-plasty is a surgical technique used to reposition a scar so that it more closely conforms to the natural lines and creases of the skin, where it will be less noticeable. It can also relieve the tension caused by contracture. Not all scars lend themselves to Z-plasty, however, and it requires an experienced plastic surgeon to make such judgments.

In this procedure, the old scar is removed and new incisions are made on each side, creating small triangular flaps of skin. These flaps are then rearranged to cover the wound at a different angle, giving the scar a "Z"pattern. The wound is closed with fine stitches, which are removed a few days later. Z-plasty is usually performed as an outpatient procedure under local anesthesia.

While Z-plasty can make some scars less obvious, it won't make them disappear. A portion of the scar will still remain outside the lines of relaxation.

Skin Grafting and Flap Surgery

Grafting involves the transfer of skin from a healthy part of the body (the donor site) to cover the injured area. The graft is said to "take" when new blood vessels and scar tissue form in the injured area. While most grafts from a person's own skin are successful, sometimes the graft doesn't take. In addition, all grafts leave some scarring at the donor and recipient sites.

Flap surgery is a complex 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 site. In some flaps, the blood supply remains attached at one end to the donor site; in others, the blood vessels in the flap are reattached to vessels at the new site using microvascular surgery.

Skin grafting and flap surgery can greatly improve the function of a scarred area. The cosmetic results may be less satisfactory, since the transferred skin may not precisely match the color and texture of the surrounding skin. In general, flap surgery produces better cosmetic results than skin grafts.

ALLURE MEDSPA: The Best place for Scar Revision

You can enhance your chances of getting rid of scars and reduce your risks involved in the surgery by choosing a qualified plastic surgeon and closely following his or her advice, both before surgery and in follow-up care.

Top plastic surgeon Dr. Milan Doshi is renowned for his finesse and precision in cosmetic surgeries and related procedures. Scar revisionis one of the procedures he performs.

While no scar can be removed completely, an experienced plastic surgeon can often improve the appearance of a scar, making it less obvious through the injection or application of certain steroid medications or through surgical procedures known as Scar Revisions.Dr. Milan Doshi at Allure MedSpa ensures that.

Anesthesia

Z-plasty is usually performed as an outpatient procedure under local anesthesia.

Skin grafts and flaps are more serious than other forms of scar surgery. They're more likely to be performed in a hospital as inpatient procedures using general anesthesia.

Privacy & Confidentiality

We at Allure MedSpa care follow highest standards of privacy and confidentiality ensuring additional comfort for our patients.

REST & RECOVERY

In Z-Plasty the wound is closed with fine stitches, which are removed a few days later.

After skin-grafting and Flap Surgery, the treated area may take several weeks or months to heal, and a support garment or bandage may be necessary for up to a year.

After Scar Revision

With any kind or scar revision, it's very important to follow your surgeon's instructions after surgery to make sure the wound heals properly. Although you may be up and about very quickly, your surgeon will advise you on gradually resuming your normal activities.

As you heal, keep in mind that no scar can be removed completely; the degree of improvement depends on the size and direction of your scar, the nature and quality of your skin, and how well you care for the wound after the operation

Cost For Scar Revision Surgery

Allure MedSpa which is renowned for its state-of-the-art internationally acclaimed services, offers affordable and cost effective bariatric procedures. To know more about the cost of your procedure request a consult by filling the form below. Your consultation is your chance to ask questions about Scar Revision and put your mind at rest. Your surgeon will be able to offer you full explanations and answers to all of your queries.

Alternatively, our Counselor will call you at your convenient time. Request a consultation right away:

Testimonials For Scar Revision Surgery

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Quick Facts for Scar Revision Surgery

Are you the right fit for the procedure?

Different kind of scars entail different kind of solutions. The treatment procedure involved might not always be a surgical one. It depends on the nature and cause of the scar.

Your surgeon/ cosmetologist will examine the causes and the nature of your scar and recommend the best option to treat the same.

Comprehensive care, before, during & after surgery

Our dedicated post-surgical section is designed with your comfort and care in mind. Our entire staff from the expert team of anesthesiologists to nurses, will ensure you are treated with utmost care and warmth.

The Aftercare Advantage

Our comprehensive aftercare program focuses on your unique, individual needs. Our team at Allure MedSpa will work with you to provide all the help, support and expert advice and aftercare plan specific to you.

Pre-operative requirements in order to undergo surgery/ Scar Revision

Your pre-operative requirements will depend on the procedure opted for.

As in any surgery, in the case of a Scar Revision procedure, the patient has to undergo certain tests, such as:

  • Routine blood and urine analysis
  • Imaging modality, if the physician deems it necessary.

Patient preparation before Scar Revision Procedure

Depending upon the treatment recommended, your surgeon will instruct you about any preparation required before undergoing the procedure.

 

Book Surgery with Allure MedSpa

  • Plan your travel dates and simultaneously check with us for doctor’s availability on those dates.
  • Send us a copy of your air tickets
  • We shall accordingly plan your consultation and Concierge service (optional) and get back to you with all details

Allure MedSpa concierge service

Allure MedSpa’s clientele comprises of local, out-of-town patients. A good percentage of patients also ‘fly-in’ from out of the country to have surgery with our renowned surgeons.

We are pleased to offer and arrange comfortable lodging, restaurant, and commuting to ensure a memorable pre-and post-surgical experience for our out-of-country patients. Please feel free to contact the Counselor  +91 9869041559 for assistance with any of your travel and planning needs.

After effects

The healing process is gradual and also depends on the nature of procedure performed.

Results will last for

As you heal, keep in mind that no scar can be removed completely; the degree of improvement depends on the size and direction of your scar, the nature and quality of your skin, and how well you care for the wound after the operation. The final results of your surgery may take a year or more too.

Next consultation if required

At Allure MedSpa, our support doesn’t end with the procedure performed. Follow-up with our multidisciplinary team is encouraged, helping you to achieve and maintain optimal results.For more information on weight-loss surgery and our extensive aftercare program or to Book an appointment, call Allure MedSpa at: 022 – 26732961/62/63

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Scar Revision Surgery FAQs

  • What is scar revision?
  • Scar revision reduces the appearance of scars and helps to prevent certain types of scars from recurring, including raised, red keloid and hypertrophic scars. Today, the gold standard for scar revision is laser scar removal.

  • How long does the Procedure take?
  • Depending on the scar the surgery usually lasts for half an hour and is done under local anaesthesia.

  • How long after the surgery can I see the final result?
  • The recovery time can differ. Stitches are usually removed 10-14 days after the surgery, after which we advise you to use creams that helps healing to achieve the best results.

  • At what age can scar revision be performed?
  • Scar revision can be performed at any age.