Scar revision And Keloid revision And Hypertrophic scar revision
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, or previous surgery.The revision may improve the appearance of the scar or restore function to a part of the body that may have been restricted by the scar.
A scar is the body's natural way of healing and replacing lost or damaged skin and is usually composed of fibrous tissue.When the skin is in the process of recovering from an injury, whether the result of an accident, surgery, a burn, or acne,or many other reason, scarring will occur wherever multiple layers of the skin have been affected. Once a scar forms, it is permanent but may be made less visible or relocated surgically through Scar revision Surgery/Z-plasty.
There are various treatment options that may be used for scar revision. The type of treatment you have will depend on the type and extent of scars being revised.
There is no way to remove scars completely. However, a skilled surgeon can definitely improve the appearance of the scar by disguising it, relocating it, or minimizing its prominence.
Skin colour and type, age, and the size of the scar, are important factors that go on to decide the outcome of a surgery to remove a scar.
Different types of scars respond to different plastic surgery techniques. Timing of the surgery is another important factor. The younger the scar, the more satisfactory is the result of the surgery. Therefore, if you want to have your scar removed, do not wait, until as advised by the doctor.
Types of scars -
1. Keloid scars:
Keloids are itchy clusters of scar tissue that grow beyond the edges of the wound or incision. They occur when the body continues to produce the tough, fibrous protein known as collagen after a wound has healed. They are more common in dark-skinned people.
Keloids are treated by injecting a steroid medication directly into the scar tissue to reduce redness and itching. However, the disheartening fact is that keloids have a tendency to recur, sometimes even larger than before, thus requiring repeated procedures.
2. Hypertrophic scars:
These scars, unlike keloids, remain within the limits of the original wound. They often improve on their own, though it may take a year or more. They may also require steroid applications or in some cases may have to be improved surgically.
3. Contractures:
Burns or other injuries that result 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.
Improving 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.
4. Facial scars:
Mostly, facial scars are cut out and closed with tiny stitches, leaving a less noticeable scar. Some facial scars can be softened using a technique called dermabrasion, that leaves a smoother surface to the skin, but does not completely erase the scar.
Scar treatment procedures -
No scar can be completely removed. They will always leave behind a trace, but a number of procedures can improve their appearance.
Surgery -
Surgery will never completely remove a scar but can be used to alter its location or shape to make it less noticeable. Surgery is at times necessary to remove a scar on skin near a joint where it restricts movement, but it will leave another scar.
Laser surgery & resurfacing -
The use of laser on scars is still on an experimental phase, as the safety or effectiveness has not yet been proven.
Steroid injections -
A course of steroid injections into the scar may help flatten and soften the appearance of keloid or hypertrophic scars.
Z-Plasty -
Z-plasty is a surgical technique used to relocate a scar so that it more closely matches to the natural creases of the skin, where it will be less noticeable. In this procedure, the old scar is removed and new incisions are made on each side, creating small triangular flaps of skin.
Skin grafting -
Grafting involves the transfer of skin from a healthy part of the body to cover the injured area. All grafts leave some scarring at the donor and recipient sites.
Make sure that your expectations from any surgery are realistic. You cannot expect that old scars will completely disappear; however, they will always turn flatter, paler and softer.
Home Remedies for Scars
* A mixture of sandalwood paste and black gram paste helps reduce the intensity of scars if started early. This is effective Home Remedy for Scars
.
* Rubbing your skin with ice cubes helps to tighten the skin.
* You can use cucumber and lemon juice on your scars. This is another good Home Remedy for Scars
* Vitamin E oil when applied on the scarred skin may do wonders for your skin.
* To prevent deepening of the scars, apply aloe vera gel, cod liver oil or vitamin E oil.
* Applying cocoa butter is also a good remedy in getting rid of the scars. This is also effective Home Remedy for Scars
Some of the potential risks of scar revision surgery include:
A scar is the body's natural way of healing and replacing lost or damaged skin and is usually composed of fibrous tissue.When the skin is in the process of recovering from an injury, whether the result of an accident, surgery, a burn, or acne,or many other reason, scarring will occur wherever multiple layers of the skin have been affected. Once a scar forms, it is permanent but may be made less visible or relocated surgically through Scar revision Surgery/Z-plasty.
The visibility of the scar following the surgery depends upon the size of the scar, the depth of the original wound, the thickness of the patient's skin, the direction of the scar and the color of the patient's skin.
There are many different types of scars, including the following:
- keloid scars
- hypertrophic scars
- contractures
- Atrophic Scar
There are various treatment options that may be used for scar revision. The type of treatment you have will depend on the type and extent of scars being revised.
- Chemical peels
- Laser skin resurfacing
- Dermabrasion
- scar Removal Before And After
There is no way to remove scars completely. However, a skilled surgeon can definitely improve the appearance of the scar by disguising it, relocating it, or minimizing its prominence.
Skin colour and type, age, and the size of the scar, are important factors that go on to decide the outcome of a surgery to remove a scar.
Different types of scars respond to different plastic surgery techniques. Timing of the surgery is another important factor. The younger the scar, the more satisfactory is the result of the surgery. Therefore, if you want to have your scar removed, do not wait, until as advised by the doctor.
Types of scars -
1. Keloid scars:
Keloids are itchy clusters of scar tissue that grow beyond the edges of the wound or incision. They occur when the body continues to produce the tough, fibrous protein known as collagen after a wound has healed. They are more common in dark-skinned people.
Keloids are treated by injecting a steroid medication directly into the scar tissue to reduce redness and itching. However, the disheartening fact is that keloids have a tendency to recur, sometimes even larger than before, thus requiring repeated procedures.
2. Hypertrophic scars:
These scars, unlike keloids, remain within the limits of the original wound. They often improve on their own, though it may take a year or more. They may also require steroid applications or in some cases may have to be improved surgically.
3. Contractures:
Burns or other injuries that result 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.
Improving 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.
4. Facial scars:
Mostly, facial scars are cut out and closed with tiny stitches, leaving a less noticeable scar. Some facial scars can be softened using a technique called dermabrasion, that leaves a smoother surface to the skin, but does not completely erase the scar.
Scar treatment procedures -
No scar can be completely removed. They will always leave behind a trace, but a number of procedures can improve their appearance.
Surgery -
Surgery will never completely remove a scar but can be used to alter its location or shape to make it less noticeable. Surgery is at times necessary to remove a scar on skin near a joint where it restricts movement, but it will leave another scar.
Laser surgery & resurfacing -
The use of laser on scars is still on an experimental phase, as the safety or effectiveness has not yet been proven.
Steroid injections -
A course of steroid injections into the scar may help flatten and soften the appearance of keloid or hypertrophic scars.
Z-Plasty -
Z-plasty is a surgical technique used to relocate a scar so that it more closely matches to the natural creases of the skin, where it will be less noticeable. In this procedure, the old scar is removed and new incisions are made on each side, creating small triangular flaps of skin.
Skin grafting -
Grafting involves the transfer of skin from a healthy part of the body to cover the injured area. All grafts leave some scarring at the donor and recipient sites.
Make sure that your expectations from any surgery are realistic. You cannot expect that old scars will completely disappear; however, they will always turn flatter, paler and softer.
Home Remedies for Scars
* A mixture of sandalwood paste and black gram paste helps reduce the intensity of scars if started early. This is effective Home Remedy for Scars
.
* Rubbing your skin with ice cubes helps to tighten the skin.
* You can use cucumber and lemon juice on your scars. This is another good Home Remedy for Scars
* Vitamin E oil when applied on the scarred skin may do wonders for your skin.
* To prevent deepening of the scars, apply aloe vera gel, cod liver oil or vitamin E oil.
* Applying cocoa butter is also a good remedy in getting rid of the scars. This is also effective Home Remedy for Scars
Some of the potential risks of scar revision surgery include:
- Bleeding
- Bruising
- Infection
- Feeling unsatisfied with the final results
- Negative reaction to anesthesia
- Reactions to medications
- Breathing problems
- Scarring
- Blood clots
- Keloid formation
- Swelling
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