Scar Revision is also called Keloid revision, Hypertrophic scar revision, or Scar repair. It refers to the surgical procedure that is used to improve or minimize the appearance of scars, restore function, as well as correct disfigurement resulting from an injury, lesion, or previous surgery. A scar tissue is formed as skin heals after an injury such as that from an accident or surgery. The amount of scarring however is case to case for it may be determined by the size, depth, and location of the wound; the age of the person; heredity; and skin characteristics like color pigmentation. There are many types of scars but one that demands most of surgeons’ services are those that are called facial scars.
Seen up front and over the top, facial scarring is a very delicate subject for many people. In fact, children do not know how to verbalize their discomfort about this and men are taught to not say a thing because a “real” man would just take it like a man. Facial scarring is more than just physical for it leaves even deep emotional scars that are unseen. They are also a cause of unintentional emotional issues that perhaps do not surface till later in life. According to many plastic surgeons who deal with this type of scar revision, although it is not just a simple aspect to cosmetic surgery, it is ultimately said to be the most gratifying. The issue with scar revision is to avoid incurring any more scar, and to eliminate or reduce the already existing one. Doctors know that incisions are difficult to hide, and even more difficult to deal with when the scars are on the cheeks or jaw line. That is why, because of its location, a facial scar is frequently considered a cosmetic problem. However, there are several ways to make a facial scar less noticeable though often it is simply cut out and closed with tiny stitches.
If you have a scar, however, that lies across the natural skin creases or the “lines of relaxation”, then you are lucky for the surgeon may be able to reposition it to run parallel to these lines, where it will be less conspicuous. In this case you will undergo a Z-Plasty, which is a surgical technique used to reposition a scar so that it more closely conforms to the natural lines and creases of the skin. Other than being less noticeable, this procedure can also relieve the tension caused by contracture. However, not all scars lend themselves to Z-plasty and it requires also an experienced plastic surgeon to make these crucial judgments. It is called such because the procedure removes and makes new incisions on each side of the scar, creating small triangular flaps of skin. These flaps are then rearranged at a different angle, giving the scar a “Z” pattern. This Z-plasty is usually performed as an outpatient procedure made under local anesthesia. However, though Z-plasty can make some scars less obvious, it won’t make them disappear because a portion of the scar will always still remain outside the lines of relaxation.
Risks for Surgery
Scar revision, in the nature of its emotional consequences, is a particular surgery that inherently leads many to believe that it is immediate. Undeniably, the heavy emotions associated with scar revision cause many to want to see results immediately. However, often times the surgery is part of a series of procedures that has to be done over time to for an optimal outcome. Inspite of this, bear in mind also that no scar can be removed completely.
Apart from that, there are also risks for any anesthesia which include reactions to medications as well as problems breathing. Risks to surgery include: bleeding, infection, blood clots, scar recurrence, keloid formation (or recurrence) and dehiscence (separation) of the wound.
However, you can reduce your risks by choosing a qualified plastic surgeon and closely following his or her advice, both before surgery and in the follow-up care. But more than just the surgeon, you also have to consider that there are factors external to your operation. In dealing with scars, it is important to remember that anytime an incision is made, a scar may result, regardless of your age or health condition. Fate has it that your skin will predetermine how a scar will be dealt with, and this has no bearing whatsoever on the skills of your surgeon. Therefore, there are no guarantees in this procedure and surgery at the very most, will only minimize the scar and not really erase it. There are also situations where the scar has been made worse through surgery. Although this is a pretty uncommon case, it is a risk that you must also consider.
Still, as with any scar revision, it’s very important to follow your surgeon’s instructions after surgery to make sure the wound heals properly. Although you may wish to be up and about very quickly, I’m sure your surgeon will advise you on gradually resuming your normal activities. If your scar looks worse at first, don’t panic for the final results of your surgery may not be apparent for a year or more. To find a reliable plastic surgeon who performs this procedure, you can visit the online referral service of the American Society of Plastic Surgeons (ASPS). The ASPS was founded in 1931 and is the largest plastic surgery organization in the world and the foremost authority on cosmetic and reconstructive plastic surgery. All of the ASPS physician members are certified by the American Board of Plastic Surgery (ABPS) or the Royal College of Physicians and Surgeons of Canada.