Scar Revision

Scar Revision | Body Plastic Surgery

Scar revision may be one of several different procedures used to change the appearance of an existing scar. During the body’s natural healing processes, scars are often created in order to replace damaged or lost skin tissues. This fibrous tissue replacement can develop on any area of the body following an injury, and they can be lumpy, flat, pigmented or sunken. In some cases, scar tissue can have a serious impact on a person’s range of motion.

Improving the appearance of a scar can ultimately restore normal functionality to the affected part of the body, as well as enhance the patient’s overall physical appearance.

How Can Scar Revision Help with Different Kinds of Scars?

The kinds of scars most commonly treated using a scar revision procedure include:

Keloid scars: thick and irregular clusters of scar tissue that develop on the site of injury, and often extend beyond the edges of the wound itself. These scars are noticeably darker in color than the surrounding skin and could develop a long time after the injury happened. There are non-surgical several procedures available for scar revision for keloid scars, including:

  • Cryotherapy to freeze off the scar using certain types of medication
  • Pressure therapy, which applies a steady force over the area of the scar to improve its appearance
  • Steroid injections administered directly into the scar tissue may help reduce the size of keloid scars

    If a keloid scar proves to be unresponsive to these types of conventional treatments, surgery could be used to remove the scar. Skin grafting is often used in conjunction with this method to replace missing skin tissue.

Hypertrophic scars: are like keloid scars, but they only grow within the boundaries the original injury. They begin to develop a few short weeks after injury and are usually improve over time.

Steroid injections are the scar revision method of choice for managing hypertrophic scarring. They may also be removed using surgical techniques.

Contractures: are scar tissues that develop when a larger expanse of skin is injured or lost. The resulting scar pulls the edges of the damaged skin together, creating a tightly stretched patch of skin. This type of scarring can affect the underlying muscles, tendons and joints and result in restricted movement.

Scar revision in this case includes:

  • Skin grafting, which involves taking a portion of healthy skin from a separate donor site in the patient’s body and attaching this to the affected area where the scar tissue used to be.
  • Skin flaps, which are similar to skin grafts, except that the skin is retrieved with the blood supply intact.
  • Tissue expansion, one of the newest techniques used in scar revision, which involves reconstructing the affected area to increase the amount of available tissues.

A consultation is required prior to any plastic surgery procedure. The cost of services will be discussed during your consultation, while discounts may be available if more than one procedure is performed at the same time.

Body Plastic Surgery Providers

Joshua Elston, MD
Roy Semlacher, MD

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