There are many variables that affect the severity of scarring, including the size and depth of the wound, the blood supply to the area, the thickness and colour of your skin, and the direction of the scar. No scar can be removed completely. However, plastic surgeons can often improve the appearance of a scar, making it less obvious through injections or Fraxel.
Scar Revision is a surgical procedure, lasting thirty minutes to two hours, depending on the severity of the scar. Most patients leave the same day, but depending on the extent of the surgery, some remain in hospital.
During your surgical consultation, the surgeon will examine you and discuss the possible methods of treating your scar, the risks and benefits involved and the possible outcomes. Please consider that no treatment can completely remove a scar and your expectations need to be realistic. Your scar may look worse at first, but this is only natural and the final results of your surgery may not be apparent for a year or more.
The information below describes the different types of scars and the type of treatment that applies to you.
Keloid scars are thick and itchy clusters of scar tissue that grow beyond the edges of the wound or incision. They are often red or darker in colour than the surrounding skin. Keloid scars usually occur when the body continues to produce the tough, fibrous protein known as collagen after a wound has healed. The scar tissue can be cut out and the wound closed with one or more layers of stitches. This is generally a day surgery performed under local anaesthesia. You should be back at work in a day or two, and the stitches will be removed within a few days.
Hypertrophic scars are very similar to Keloid scars since both tend to be thick, red, and raised. Hypertrophic scars usually stay around edges of the original incision or wound. The surgeon will remove excess scar tissue, and may reposition the incision so that it heals in a less visible manner. This surgery may be done under local or general anaesthesia, depending on the scar’s location and what you and your surgeon decide is the best course of action.
To learn more about non surgical scar treatment please click here.
Please note that in terms of results and expectations, there are numerous variables with every patient, each surgery and every recovery and healing period.