Scar revision is the method of eliminating your old scar and creating a new one that is more aesthetically pleasant.
The scar revision procedure involves making the scar area numb with local aesthetic injection, the old scar will be removed, the resulting wound will be repaired either in a straight line or in a multiple zig zag pattern if found necessary. This will give you the best possible results.
The improved scar may take many weeks to flatten, loses its redness and begins to look better than before. The healing phase will take a minimum of 3 months, for the scar tissue to soften and mature into its best ultimate form.
Some scars have divots or hollowness directly underneath them. These are significantly improved by fillers, such as fat injection or dermal graft to improve on the contour of the scaring. Refer to fat injection or lipofilling.
Patients usually go home the same day. They return one week after surgery for wound check. The second postoperative visit is 6 weeks after.
Keloid scar is purple color raised and wide scar that can results from many factors including infection, bad wound healing, harsh tissue handling and improper suturing technique. Certain anatomic areas such as middle of chest, sternum, shoulders and ear lobes are more prone to keloid scaring than other anatomic areas. Asian and African are genetically predisposed to keloid and hypertrophic scaring.
Treatment for Keloid scaring ranges from Steroid injection, surgical intralesional excision, pressure technique, hydration therapy, silicone sheet (sica care sheet) and radiotherapy.
The treatment is customized to the patient’s scar type (unsightly scar, wide scar, hypertrophic scar or keloid scar) and anatomic position.
Commonly patients require multimodality treatment for the management of their keloid scaring.