Scar Revision

What is Scar Revision?

Scar revision is a surgical procedure to revise or repair scars produced by wounds due to different causes. It is designed to reduce visually unappealing effects caused by the healing of some wounds. Scar revision surgery is one of the most important techniques in the field of plastic and reconstructive surgery.

How does Scar Revision surgery work?

Wound healing occurs in a series of orderly phases. When one of these phases does not proceed in a normal manner, it can either cause a delay in healing (nonhealing wonds) or inappropriate healing. For example, the production of too much protein in the remodelling phase of wound healing may cause hypertrophic scarring or keloids. Other factors which can cause an unsightly scar are excessive loss of tissue due to the wound (ulcers and other deep wounds), poor surgical techniques during a procedure (which may cause uneven skin tension, leading to facial asymmetry), or improper wound care (which may lead to infections). 

How is Scar Revision surgery performed?

Scar revision surgery involves excision (removal) of the unsightly scars in alignment with the lines of the face known as relaxed skin tension lines (RSTLs). Unsightly facial scars are scars which are not aligned with these RSTLs, which causes them to be under constant tension by the skin and facial muscles. This makes them prominent and highly noticeable. By making incisions which closely related to RSTLs, the scar formed from the incision is rendered almost invisible. In scar revision surgery, the surgeon makes incisions which follow the contours of the face's natural lines. For example, a scar which lies along the horizontal crease underneath the lip is less noticeable than a scar lying diagonally.

Who is a candidate for Scar Revision surgery?

Persons who have sustained wounds which are traumatic in nature are eligible for scar revision surgery, since most wounds in this category often cause facial deformities. Any wound which have not undergone the normal process of healing (pathological healing) can be subjected to scar revision surgery.

What are the precautions or special preparations for Scar Revision surgery?

The most important factor in scar revision surgery is the timing of the operation itself. Since wound healing is a complex process which may take many moths to achieve, scar revision is usually scheduled approximately 6 to 12 months after the wound in order to allow full healing to take place. Prior to conducting scar revision surgery, the surgeon should have thoroughly assessed the scar and have eliminated nonsurgical methods as of no benefit to warrant the operation.

Psychological counselling should be done on patients who have suffered traumatic injuries, since they usually have associated psychological trauma due to the initial event.

What are the benefits of Scar Revision surgery?

The primary benefit of scar revision surgery is cosmetic. However, it cannot be discounted that this procedure can induce a sense of well-being and/or renewed confidence in a patient. For trauma victims, scar revision surgery takes away the scars associated with the trauma, helping them achieve healing holistically.

Disclaimer: This information is intended only as an introduction to this procedure. This information should not be used to determine whether you will have the procedure performed nor does it guarantee results of your elective surgery. Further details regarding surgical standards and procedures should be discussed with your physician.

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