Scar Removal

Scar Removal

Scar removal is a surgery performed to reduce the scar's appearance. The following are some of the benefits of scar revision:

  • Improve the scar's cosmetic look by making it less noticeable and blending it with the surrounding skin tone and texture.
  • Make any disfigurement disappear or be negligable
  • Lessen the itchiness of the scar.
  • Restore function to a body part that a scar may have hampered.

What is a scar?

After an injury, tissue inflammation, infection, or surgery, a scar is a visible sign that persists after the skin/wound has healed. It is the body's normal reaction to replace skin that has been injured. Scars are made up of fibrous tissue and can appear anywhere on the body.

Types of Scars and Their Treatment

Discoloration or surface irregularities

These scars do not affect the function or create physical impairment. Acne scars, as well as scars from minor injuries or surgical wounds, are examples. Scar removal may include surgical procedures, topical therapies, and other surface treatments, such as:

  • CHEMICAL PEELS equalize skin imperfections by infiltrating the skin's surface, I color and texture it.
  • DERMABRASION is the mechanical polishing of the skin
  • LIGHT OR LASER THERAPY promotes the growth of new healthy skin at the scar site.

Contractures

Contractures happen when there is a lot of tissue loss, such as after a burn that leaves a scar. The borders of the skin and the underlying tissue draw together while creating a contracture scar, resulting in a tight skin region. This shrinks the skin and affects the tendons, muscles, and joints, limiting movement, particularly in the fingers, elbows, knees, and neck.

Contracture scars can be treated surgically using the following procedures:

  • SKIN FLAPS OR SKIN GRAFTS FOR CONTRACTURES: After the Scar removal, this procedure entails reconnecting or replacing skin to the area lacking. Skin grafts entail taking a portion of healthy skin from a donor site (another part of the body) and grafting it to where it's needed. Skin flaps similarly require the removal of a healthy piece of skin from the donor site, but the skin has its own blood supply with the flaps. Blood veins, muscles, and fat beneath the donor skin are used for skin flaps. Flaps are commonly employed when the area lacking skin lacks enough blood flow due to damaged vessels or their placement.
  • TISSUE EXPANSION FOR CONTRACTURES: This procedure entails increasing the amount of existing tissue for reconstructive reasons. It's frequently done in conjunction with skin flaps.

Hypertrophic scars

Hypertrophic scars appear as a dense clump of scar tissue growing immediately from the incision site. They are frequently raised, red, and painful, expanding over time. Following a skin injury, these scars usually appear within a few weeks. They can be hypopigmented (paler) or hyperpigmented (darker).

Hypertrophic scars can be treated with steroids, given topically or intravenously. Surgical removal of hypertrophic scars is also an option. Following surgery, steroid injections may be given to assist healing and lessen the risk of the scar returning.

Keloid scars

Hypertrophic scars are smaller than keloid scars. They appear as a thick, rounded, irregular clump of scar tissue that grows at the wound site on the skin but extends beyond the original incision or wound's boundaries. They are itchy or unpleasant and are red or darker in color than the surrounding normal skin.

Keloids develop when connective tissues (fibroblasts) and skin cells grow to repair damage. They are most common in locations with minimal underlying fatty tissue, such as the face, ears, neck, shoulders, and chest, but they can occur anywhere on the body.


Treatment for keloid scars include:

  • CRYOTHERAPY : The scar is frozen off with medicine in this treatment. For best outcomes, it is frequently used with steroid injections.
  • LASER : Laser may be utilized to cure scar depending upon the underlying cause. Lasers can be used to smooth the spot, flatten it, or erase the scar's odd hue. For keloid scars, laser treatment is frequently used with other treatments such as steroid injections, specific dressings, and bandaging. Obtaining the desired outcomes often necessitates multiple laser sessions.
  • PRESSURE THERAPY : This entails wearing a pressure device on the keloid scars 24 hours a day, seven days a week, for four to six months.
  • STEROID INJECTIONS : These are injected directly into the keloid scar tissue to reduce keloids' redness, itching, and burning sensations, as well as the scar's size.
  • SURGERY : This may be a viable choice if nonsurgical therapies for keloid scars are ineffective. A direct incision can be used to remove the keloid scar, and stitches can close the wound. Skin grafts are another surgical technique for closing the wound. After treatment, radiation therapy is frequently used to reduce the likelihood of the keloid scar reoccurring.

Risk Factors of Scar Revision

Risk factors of scar revision include:
  • Bleeding
  • Deep vein thrombosis
  • Infection
  • Keloid formation
  • Persistent pain
  • Prolonged healing
  • Recurrence of scar
  • Separation of the wound
  • Skin discoloration and swelling
  • Skin sensitivity