Every scar has a different story or reason. It can occur due to an accident or through a surgical procedure but whatever the case is, it is always of a great concern. Scars are visible, sometimes permanent and completely deform the affected part of your body. However, it is possible to revise these stubborn scars and lessen their visibility through scar revision treatment.
There are various techniques utilized to revise scars. Some of them will be discussed below. So, continue reading.
Surgical Scar Revision is a technique that can make the scar less obvious. However, it cannot completely remove the scar. Non-surgical techniques are also available for scar revision. Sometimes surgical and non-surgical techniques are used separately while sometimes they are combined to revise a scar.
While preparing for scar revision, a surgeon usually decides which technique should be used on what type of scar in order to have good results. The assessment of scar depends upon its height, contour, color, light reflection from scar, pliability, texture, vascularity and the scar relation to the lines of the skin.
Types of Scars
In cosmetic surgery, scars are classified as;
- Ideal scars
- Non-ideal scars
Normally, non-ideal scars require revision treatment.
An Ideal Scar
An ideal scar is a scar which is cosmetically more suitable. The characteristics of an ideal scar are:
- It should be good and fine line.
- It should be in line with the creases of skin
- Its color and contour should match the surrounding skin.
- It shouldn’t be in distortion with other structures or scars.
- It should be in level with skin.
- It should be in a fine position on the skin.
The non-ideal scar is the type of scar that needs scar revision and is clearly visible.
- These type of scars are wide
- They are dark and pigmented.
- They are depressed or blistered or are not in sync with natural lines of face and junctions.
Different Scar Revision Techniques
Scar revision doesn’t completely remove a scar but makes it less obvious. It is not specific when to do a scar revision. However, one should wait until the scar is matured enough. It can happen in two to three months and even a year. The time for each scar is different.
There are two types of techniques.
Surgical Scar Revision
Mentioned below are the various surgical scar revision techniques.
It is the most commonly used scar revision technique. With this technique, surgeons can redirect scar into a better position where the skin tension is minimum. Short scars are lengthened with this technique if needed.
In this technique, two triangle flaps of equal size are created and then their position is changed with each other. The length of both flaps is the same which is the key to its good results. The angle and length of these two flaps are kept same in order to avoid mismatch. However, there is a complication associated with this technique. There are chances of detachment of flap due to high tension on the wound.
Fusiform Elliptical Excision
This process involves the removal of skin in order to create a more acceptable scar. While performing the procedure it involves the same techniques as the Z-plasty which includes skin tension, anatomy, tissue movement and suturing technique.
Dermabrasion is commonly used to level and smooth out the texture of a scarred surface and makes it even with skin. It improves the scar by grafts and flaps in order to blend it with the surrounding.
Microdermabrasion procedure is usually performed through a diamond tip or a pressurized aluminum oxide crystal and is used on the scars that are inflated.
Surgery of Large Scars
Large scars which cover an excessively large area are revised using flaps, tissue expansion, Integra artificial skin, flap and skin grafting.
Grafts and Flaps
This technique is used in the area where the surrounding tissues are difficult to mobilize.
Complications with the techniques
There are certain complications associated with surgical techniques which are;
- There is a risk of hematoma formation.
- Infection to the wound is possible like in any other surgery.
- There is a chance of hyperpigmentation. However, this condition entirely depends on patient’s avoidance of sunlight and sunscreen can prevent it.
- There is also a chance of keloid formation.
- Scar can become excessively wide.
- If the stature of the wound is not good then it can cause tension in the wound.
All of these complications can be prevented by choosing a skilled surgeon for scar revision surgery.
Some of the non-surgical techniques of scar revision are as follows;
Camouflaging the scar can greatly help in making the scar less evident. This includes makeup, tattoos and hair.
Intralesional corticosteroids: These agents reduce the formation of scar. However, they do not reduce the size of a scar but rather flatten it.
Intralesional 5-Fluorouracil: Also known as 5-FU, gives good results when combined with radiation, pulse dye laser or corticosteroids. It greatly improves the scar’s looks.
Other Intralesional agents: Agents like intralesional bleomycin, hyaluronidase or intralesional interferon are also used for scar revision.
Cryotherapy is sometimes used alone while sometimes in combination with Intralesional agents or surgical procedure. Cryotherapy combined with the Intralesional agent can quickly destroy the scar in the deeper scale while the damage to the scar’s surface is kept minimum.
A non-ablative pulse dye laser is used to decrease the redness in the scar which is achieved by destroying the blood vessels in the scar. This treatment should be started at the time of removal.
Soft Tissue Filler
Synthetic fillers such as fat and hyaluronic acid etc. are used to fill the depressed scars.
Is scar revision worth it?
Yes, it definitely is! If you have a facial scar, it could greatly demean and undermine your self-confidence. But with scar revision technique, you can change this insecurity into your strength. Both surgical and non-surgical techniques are effective in reducing the visibility of scars. Only, a surgeon can suggest you the most suitable technique in your case. Therefore, we emphasize on the selection of a surgeon. At Dubai Cosmetic Surgery®, you will find highly professional and qualified cosmetic surgeons that treat your scars effectively. So, fill in the form and book your appointment now.