Scar Revision: Plastic Surgery for Scars – - PowerPoint PPT Presentation

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Scar Revision: Plastic Surgery for Scars –


Scar revision surgery is an important application of reconstructive plastic surgery. This is done to enhance the appearance of the skin surface containing scars, normally on the face. – PowerPoint PPT presentation

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Title: Scar Revision: Plastic Surgery for Scars –

Scar Revision Plastic Surgery for Scars
Scar Revision Surgery
  • Scar revision surgery is an important application
    of reconstructive plastic surgery. This is done
    to enhance the appearance of the skin surface
    containing scars, normally on the face.
  • 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 color of your skin, and the
    direction of the scar. No scar can be removed
    completely however Best Plastic Surgeons can
    often improve the appearance of a scar, making it
    less obvious through injections, IPL
    Photorejuvenation or through surgical procedures
    known as scar revisions.
  • Scar tissue forms as skin heals after an injury
    (such as an accident) or surgery. The amount of
    scarring may be determined by the wound size,
    depth, and location the person's age heredity
    and skin characteristics including color
  • Depending on the extent of the Scar Revision
    surgery , scar revision can be done while you are
    awake (local anesthesia), sleeping (sedated), or
    deep asleep and pain-free (general anesthesia).

  • Medications (topical corticosteroids, anesthetic
    ointments, and antihistamine creams) can reduce
    the symptoms of itching and tenderness.
  • A treatment called silicone gel sheeting or
    ointment has been shown to benefit swollen,
    hypertrophic scars. There is no evidence showing
    that any other topical (applied directly to the
    scar) treatment works. In fact, Vitamin E applied
    directly to the skin may actually cause the wound
    to heal more slowly and may cause irritation.
  • When to have Scar Removal Surgery done is not
    always clear. Scars shrink and become less
    noticeable as they age. You may be able to wait
    for surgical revision until the scar lightens in
    color, which can be several months or even a year
    after the wound has healed. For some scars,
    however, it is best to have revision surgery
    60-90 days after the scar matures.

Scar Revision Surgery - Improve the appearance of
  • The scar may be removed completely and the new
    wound closed very carefully
  • Dermabrasion involves removing the upper layers
    of the skin with a special wire brush called a
    burr or fraise. New skin grows over this area.
    Dermabrasion can be used to soften the surface of
    the skin or reduce irregularities.
  • Massive injuries (such as burns) can cause loss
    of a large area of skin and may form hypertrophic
    scars. These types of scars can restrict movement
    of muscles, joints and tendons (contracture).
  • Scar Removal Surgery removes extra scar tissue.
    It involves a series of small cuts (incisions) on
    both sides of the scar site, which create
    V-shaped skin flaps (Z-plasty). The result is a
    thin, less noticeable scar, because the way the
    wound closes after a Z-plasty more closely
    follows the natural skin folds.

  • Skin grafting involves taking a thin (partial, or
    "split thickness") layer of skin from another
    part of the body and placing it over the injured
  • Scar Revision Surgery involves moving an entire,
    full thickness of skin, fat, nerves, blood
    vessels, and muscle from a healthy part of the
    body to the injured site. These techniques are
    used when a large amount of skin has been lost in
    the original injury, when a thin scar will not
    heal, and when the main concern is improved
    function (rather than improved appearance).
  • Tissue expansion is used for breast
    reconstruction, as well as for skin that has been
    damaged due to birth defects and injuries. A
    silicone balloon is inserted beneath the skin and
    gradually filled with salt water. This stretches
    the skin, which grows over time.

Problems that may indicate a need for Scar
Revision Surgery include
  • A keloid, which is an abnormal scar that is
    thicker and of a different color and texture than
    the rest of the skin. Keloids extend beyond the
    edge of the wound and are likely to come back.
    They often create a thick, puckered effect that
    looks like a tumor. Keloids are removed at the
    place where they meet normal tissue.
  • A scar that is at an angle to the normal tension
    lines of the skin.
  • A scar that is thickened.
  • A scar that causes distortion of other features
    or causes problems with normal movement or
  • The results from the Scar Revision surgery are
    immediate however, the old scar has been altered
    or removed and a new scar is forming -- it is up
    to you and the plastic surgeon to continue
    maintenance and therapy in some cases, such as
    silicone sheeting or corticosteroid injections.
  • Our forum is to provide you the best Plastic
    surgery results at low cost. Our expert cosmetic
    surgeons are few of the best cosmetic surgeons in
    USA. Do you have a question you would like answer
    immediately or would like to talk to our
    patients? Visit, post
    in the forum or chat with us.