- Large, unattractive scar from injury or surgery
- Unhappy with appearance of scar
- Loss of function due to formation of scar tissue
Individual circumstances and many variables can affect the way a person heals and the severity of scarring from injury or surgery. Although all scars are permanent, the goal of scar revision is to make a scar less noticeable by disguising, relocating or minimizing its prominence. There are many ways to perform scar revision surgery but it must be performed after the body has time to heal (usually greater than one year after trauma). Different types of scars require different treatments. The method used is tailored to the individual patient’s needs.
Types of Scars:
Keloid scars are a result of skin’s overproduction of collagen after a wound has healed. These scars usually appear as growths in the scar site.
Unlike keloid scars, hypertropic scars do not grow out of the boundaries of the scar but have a thick, raised texture and may restrict movement of muscles or tendons.
Burns or other injuries that result in the loss of a large area of skin can cause the skin to pull together. The resulting contracture may affect muscles and tendons and restrict movement.
Skin Grafting and Flap Surgery:
Skin grafting or flap surgery is used to treat contractures.
Z-plasty moves the scar from one place to another.
Dermabrasion / Laser Resurfacing:
Dermabrasion or laser resurfacing are methods used remove the upper layers of skin to make rough or elevated scars less prominent thereby making them smoother and less visible.
Steroid injection is often used to treat keloid and hypertropic scars to reduce their size.