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Scar Treatment

Scar Revision Surgery

Scar correction is surgery to enhance or reduce the presence of scars. It likewise reestablishes function, and amends skin changes (distortion) caused by an injury, wound, or past surgery. Scar revision surgery is intended to minimize the scar so that it tends to merge with your surrounding skin surface and matches the tone.

Scars are visible signs that stay after an injury has healed. They are unavoidable consequences of damage or surgery, and their improvement can be unpredictable. Poor healing may add to scars that are self-evident, unattractive or disfiguring. Indeed, even an injury that healed well can bring about a scar that influences your appearance. Scars might be raised or recessed, distinctive in color or texture (from encompassing healthy tissue ) or especially noticeable because of their size, shape or location.

Why the Procedure is Performed

Scar revision surgery is performed to reduce the disfigurement of the patient's face or other body part. Sometimes it is done on the areas like bones, joints etc, where scars interferes with functioning or even causes pain. The shortening or fixing of the skin and basic muscles that may go with scar formation is known as contracture. Contractures may meddle with a scope of movement and different parts of joint functioning, and additionally, deform the state of the hand or other body part. Contractures of the face regularly influence the muscles that control facial expressions especially in cases of burns.

Scar revision surgery might be considered as either a cosmetic/restorative or reconstructive procedure depending upon whether the patient's worry is basically identified with appearance or whether contractures is affective the functioning.

The scar revision procedure your surgeon will choose will depend on upon your sort of scar.

Keloid Scar

Keloids are thick, puckered, bothersome bunches of scar tissue that develop beyond the edges of the injury or incisions. They are frequently red or darker in color than the surrounding skin. Keloids happen when the body creates an intense, specialized protein known as collagen after a wound has healed.

Keloids can show up anywhere on the body, however they're most common over the breastbone or on the ear cartilage, and on the shoulders. They happen more commonly in dark skinned individuals than in the individuals who are fair. The tendency to develop keloids diminishes with age.

Keloid scars are frequently injected with steroid injections to diminish the size. Silicone gel/sheets along with pressure garments help in settling the scar to become better. In case of chance the scars don't respond to injections, they can be treated by CO2 laser. This is generally an outpatient technique, performed under local anesthesia. Surgery is the last resort as it can reform again. So it is not the best option in keloid scars.

Hypertrophic Scars

Hypertrophic scars are frequently mistaken for keloids, since both have a tendency to be thick, red, and raised. Hypertrophic scar are those scars that, stay inside boundaries of the original incision or wound. For treatment it might take a year or more with the assistance of steroid applications or injections. Pressure garments along with silicone gel/ sheets are helpful in settling hypertrophic scars.

If they don't respond to steroid treatment, they might be removed surgically. In this procedure, your plastic surgeon will remove overabundance scar tissue and reposition the incision so it mends in a less visible pattern. This surgery might be performed under local or general anesthesia. CO2 laser is also helpful in such case. But whether to remove surgically or not will depend upon surgeons decision.

Acne Scars

Scars created by active acne sometimes hard to treat. On the face, it is at times highly visible so it becomes important to remove these scars or to lift them to ordinary skin level. Dermabrasion and chemical peels have been utilized to decrease the general profundity of scars and to tighten the skin. Recently laser resurfacing has been utilized for the same reason and has turned out to be exceptionally effective. It ought to be stressed that these treatments don't totally remove the scars and, best case scenario give a moderate change from the original disfigurement of skin due to acne.

Burn scars

More profound burns have a tendency to heal with scars. Youngsters are especially severely influenced and endure thick red hypertrophic scars as an aftereffect of scalds. The primary course of treatment is with pressure garments; however, silicone gel/sheets can be useful. Surgery is performed to reconstruct or revise extremely serious scars with skin grafts and to lessen the pressure effects on the scars especially if contracture has formed.

Contracture Scars

Contracture scars may develop when a large area of skin is harmed, generally from a burn and when the skin pulls together, puckers and forms contracture. The scar may limit the development of surrounding muscles and ligaments.

Contracture scars might be treated with skin grafting or Z-plasty . This type of surgery is called reconstructive plastic surgery.

Risks

While scar revision is typically safe, there is always the likelihood of complexities. These may incorporate bleeding, infection, or the reformation of an unsightly scar.

You can lessen your risks by picking a qualified and experienced plastic surgeon and firmly taking after his or her recommendation, both before surgery and in follow-up consideration.

Recovery

Recovery differs for every patient, and the healing procedure happens in stages.

After the surgery is over, you will be shifted to a recovery area and closely monitored. For most outpatient procedures, patients are allowed to go home following a couple of hours. For more complicated procedures that are performed in the hospital, for example, skin grafting or flap surgery, a short stay might be required.

It is characteristic to experience some uneasiness after facial scar revision surgery; your surgeon can prescribe you some pain killers to make you feel more comfortable. You will likewise encounter some swelling, bruising and redness after surgery, most of which is settles in one to three weeks time.



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