Scars that form because of different traumas may become an aesthetic problem, especially if, due to an abnormal healing process, the scar is keloidal or hypertrophic (enlarged, frequently darker than the skin) or hypotrophic (contracted, frequently lighter than the skin). Various techniques are used to treat scars that depend on the age, size, depth, location and other characteristics of the scar. Some simpler hypertrophic scar revision options are corticosteroid injections and laser therapy, while filler injections and lipofilling are used for treating hypotrophic scars. If simpler methods are insufficient, the patient may consider surgery to remove the old scar and post-surgery treatment to make the new scar as invisible as possible.
Course of surgery and recovery
Scar revision means that an old scar is removed, the surrounding tissues are shifted and tightened and the wound is closed layer by layer. As a rule, this surgery is performed under local anaesthesia and it lasts 1–2 hours.
Following an operation performed under local anaesthesia, the patient is allowed home some hours after the procedure; in case of general anaesthesia, the patient is allowed home the next morning after the operation. It is advisable to limit physical exertion for 2–6 weeks and the area of the scar should be protected from sunlight for at least 3 months.
The final result will be visible within 6–12 months and it can largely depend on the quality of the care of the scar during its formation process. The result is permanent.
Operations are performed by plastic and reconstructive surgeon Dr. Mart Eller.