Scar revision

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Burns, injuries and incisions at times leave unpleasant scars on the body. Luckily the appearance of these scars can be made less prominent by Scar Revision surgeries (Keloid Revision; Hypertrophic Scar Revision; Scar Repair; Z-plasty; Tissue Expansion). Scar correction operation is not undertaken until the original scars have fully matured which is usually 6-12 months after the first operation. It’s because some scars look very dramatic at first, but fade with time as the underlying injuries heal.

Depending on the type of scar, different surgical procedures are employed for Scar Revision. These are the most popular:

  • Cutting out and closing with stitches. The scar tissue is removed completely and the new wound is sewed by using small stitches. You have to remember that no scar can be removed completely.
  • Z-Plasty. A Scar Revision procedure in which a Z-shaped incision is used. Z–Plasty is used to reposition a scar so that it more closely conforms to the natural lines and creases of the skin, where it will be less noticeable.
  • W-Plasty. A Scar Revision procedure used to prevent the contracture of a straight-line scar in which the edges of a wound are trimmed in the shape of a W and closed in a zigzag fashion. The result is a thin, less noticeable scar.

Patients should have realistic expectations of what the procedure can and cannot do regarding the appearance of scars. There is 90% chance that the scar will look better after Scar Revision, seldom the scar may not look better.