What is a scar?
Scar revision is a plastic surgery procedure that is performed to improve the appearance of scar, regardless of its location on your body.
Types of scars
Certain forms of subtle scars, skin surface irregularities and discoloration can be effectively improved by surgery or treatments recommended by Dr. Sadove. Due to its nature, these scars do not cause physical discomfort or impair normal body functions. These types of scars include acne scars and other types of scars that resulted from prior surgery and/or minor injury.
Hypertropic scars are the important types of scar that is characterized by development of thick clusters of scar tissues at the wound site. Commonly, hypertrophic scars are red colored with raised appearance that become wider over time. Hypertrophic scars can be either hyperpigmented (dark colored) or hypopigmented (pinkish or light colored) in nature. Certain body areas make bad scars including the sternum, shoulders, elbows, and knees.
Keloid scars are larger in size, compared with hypertrophic scars and grow beyond the limits of the original wound. Keloid scars can be itchy or painful. They may extend beyond the edges of primary site of wound or incision. Keloid scar can occur anywhere on the body, but commonly in the shoulders, face, neck, chest and ears.
Contractures are one of the types of scars that interferes with free unrestricted movements due to pulling together of skin and related tissues during healing process. Contractures occur commonly after a burn, in which, a large amount of tissue loss was lost. It can also caused when a large wound occurs across a joint that restricts the movement of elbows, fingers, neck, knees, and genitals. “Z” plasty’s called local tissue rearrangements are often performed under local anesthesia in the office for these types of problems.
Based on the type of scar, Dr. Sadove will choose the most appropriate technique to improve your scar.
All scars are red until the completion of healing. Healing requires increased blood flow and thus wounds are red until healing is more complete. Children are prone to longer periods of redness than adults. All “normal” scars will lose redness with the passage of time.
Many scars that have increased surrounding pigmentation will benefit from laser treatments to reduce the brown color.
Pressure therapy has been proven long ago to modify scars. The silicone patches sold in pharmacies can be very helpful to flatten and fade scars if applied early in the wound history and used aggressively.
You will want an experienced plastic surgeon like Dr Sadove to evaluate your situation and give you the best advice tailored to your individual situation.