In some cases, a skin graft can be used to cover a scar. During your consultation, your plastic surgeon will recommend which scar revision treatment can best meet your unique needs and expectations. To learn more about scar revision treatments, or to schedule a consultation, please contact Pure Aesthetics today. Sydney City 02 Macquarie University 02 Scar revision. Surgery of the Skin: Procedural Dermatology.
Editorial team. Scar tissue forms as skin heals after an injury such as an accident or surgery. How much scarring there is depends on: Size, depth, and location of the wound Your age Skin characteristics, such as color pigmentation Depending on the extent of the surgery, scar revision can be done while you are awake local anesthesia , sleeping sedated , or deep asleep and pain-free general anesthesia.
There are several ways to improve the appearance of scars: The scar may be removed completely and the new wound closed very carefully. Scar massage and pressure therapy, such as silicone strips. 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. A laser may be used to soften the surface of the scar, and stimulate new collagen growth within the scar. Very large 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. Surgery removes extra scar tissue.
It may involve 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 a Z-plasty may re-orient the scar so that it more closely follows the natural skin folds and releases tightness in the scar, but lengthens the scar during the process. Skin grafting involves taking a thin layer of skin from another part of the body and placing it over the injured area. Skin flap 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.
This treatment is often effective in conjunction with steroid injections for keloid scars. Pressure therapy. Pressure therapy involves a type of pressure appliance worn over the area of the keloid scar. These may be worn day and night for up to 4 to 6 months. If the keloid scar is not responsive to nonsurgical management options, surgery may be done. One type of surgery directly removes the scar formation with an incision, and stitches are placed to help close the wound.
Sometimes, skin grafts are used to help close the wound. This involves replacing or attaching skin to an area that is missing skin. Skin grafts are done by taking a piece of healthy skin from another area of the body called the donor site and attaching it to the needed area.
Another option for keloid scar treatment is laser surgery. Scars may be treated with a variety of different lasers, depending on the underlying cause of the scar.
Lasers may be used to smooth a scar, remove the abnormal color of a scar, or flatten a scar. Most laser therapy for keloid scars is done in conjunction with other treatments, including injections of steroids, use of special dressings, and the use of bandages. Multiple treatments may be required, regardless of the initial type of therapy.
Radiation treatment is often used in conjunction with surgery to decrease the risk of recurrence of a keloid scar. Learn from plastic and reconstructive surgeons, Julie Caffrey and Scott Hultman , as they discuss state-of-the-art approaches to treating burn scars, including using lasers, fat grafting and nerve surgery.
Hypertrophic scars are similar to keloid scars; however, their growth is confined within the boundaries of the original skin defect. These scars may also appear red, and are usually thick and elevated. Hypertrophic scars usually start to develop within weeks after the injury to the skin. Hypertrophic scars may improve naturally, although this process may take up to a year or more. In treating hypertrophic scars, steroids may be the first line of therapy with this type of scar, although there is not one simple cure.
Steroids may be given as an injection or by direct application. These scars may also be removed surgically. Often, steroid injections are used along with the surgery and may continue up to 2 years after the surgery to help maximize healing and decrease the chance of the scar returning. Contractures are an abnormal occurrence that happens when a large area of skin is damaged and lost, resulting in a scar. The scar formation pulls the edges of the skin together, causing a tight area of skin.
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