Introduction to Scar Removal/Scar Revision
Scar removal is designed to smooth out and flatten scarred skin and reduce the appearance of scarring.
Who is suitable?
Many patients come to us after surgery as they suffer from wide surgical scars that can be helped by scar treatment. Some patients suffer from simple scarring such as thin or wide scars, lumpy scars, dark or pigmented scars or red scars.
However, some of our patients suffer from complex scarring such as hypertrophic scars (red, raised and sometimes itchy scars), keloid scars (thick, fibrous and overgrown scars), pitted scars (for example acne scars), tight scars (where the scar has contracted and tightened and as a result bunches up the skin) and atrophic scars (where the tissue underneath has sunk).
The procedure and risks
Scar removal or revision is performed by a highly qualified plastic surgeon using the delicate techniques and advanced principles of reconstructive Plastic Surgery. Many scars can be moved to a more hidden location and lumpy or thick scars can be flattened by this procedure. There are many ways to remove scarring, and they are listed below:
Surgical scar removal (excision) is a very common method of scar removal. Many patients who suffer from wide or lumpy scars have surgical revision using the delicate techniques of advanced reconstructive plastic surgery and as a result, a finer scar can be produced. While surgical scar removal can’t completely remove a scar, the appearance can usually be improved significantly.
Silicone gel, or silicone sheet application is well known to reduce the appearance of hypertrophic or keloid scars. This method requires silicone gel application and it takes a few months for reduction. It can also be combined with pressure garments to flatten the scarring.
Keloid or hypertrophic can also respond to microinjections of steroids (TCA) directly into the scar tissue and this can reduce the appearance of the scarring.
Fat transfer involves harvesting a patient’s own fat and using it to fill a defect or to correct a contour deformity. Some patients who have suffered radiation damage may benefit from fat transfer to the scarred area.
Our surgeons at Sthetix are among the most experienced in the country when it comes to advanced fat transfer techniques. Fat transfer is a specialist technique, which is only available in a limited number of highly specialised centres in the country.
Laser to remove colour (pigmentation)
Lasers can be used to reduce scarring as they use light energy to target colour pigments in the skin. This method can reduce the colour in red or darkened scars and allow the scar to blend better with the surrounding skin. Here at Sthetix, we use only medical grade lasers operated by laser specialists.
Laser Skin Resurfacing
This is another type of laser scar treatment that can also be used to improve the appearance of scars covering large areas of skin (for example acne scarring).
The application of pressure to improve scars is commonly used in the treatment of certain types of scars. Our specialist Consultant Prosthetist fabricates custom-made garments and devices, which are then used to apply pressure to the required area. These can be used with or without the addition of silicone sheets.
As your wellbeing is our number one priority so we offer a comprehensive and personalised aftercare package, which is included in your treatment.
After your surgery, we will provide you with post-operative care instructions and you will have 24-hour access to trained staff that will be on hand to advise you should you have any questions or concerns.
After the surgery, we will arrange appointments for follow-up examinations with your surgeon to monitor your progress and check that you are recovering well.
Your surgeon will see you after 6 weeks for a follow-up and if necessary, for subsequent appointments until you are fully recovered. These follow-ups are standard and will be provided at no extra cost.
In the unlikely event of a problem, we’ll make arrangements for you to be seen by trained staff and (if needed), by the surgeon who performed the procedure. As the Sthetix surgeons live and work locally, you can always see your surgeon at relatively short notice. After the surgery our surgeons don’t leave the country or the local area. Very rarely, a surgeon may leave the local area for other commitments but if this happens, we will ensure that there is another trained plastic surgeon from our team available to provide you with comprehensive care.
In the unlikely event of a complication directly related to your surgery, we would provide or arrange further surgery and/or treatment at no extra cost for up to 1 year from the date of your original surgery.
How long does it take to recover from surgical scar revision?
You can return to work immediately but the area of operation can take up to 2 weeks to fully heal.
When can I drive?
You can drive whenever you feel confident enough to perform an emergency stop without discomfort. Please check with your insurance company before you drive.