Scar Revision Surgery

Understanding Scars

Scars are visible signs that remain after a wound has healed, resulting from injury or surgery. They can be noticeable due to their size, shape, location, or texture, and may be raised or depressed, differing in color from the surrounding healthy tissue.

When Surgery Becomes Necessary

Scar revision surgery becomes necessary when scars are unsightly, disfiguring, or restrict movement due to skin and underlying tissue pulling together during healing. Contractures, which can occur after a burn or when a wound crosses a joint, restrict movement of fingers, elbows, knees, or neck.

Overview of the Surgical Procedure

Scar revision surgery aims to minimize a scar, making it less conspicuous and blending it with the surrounding skin tone and texture. Treatment options vary based on the type and degree of scarring and can include simple topical treatments, minimally invasive procedures, or surgical revision with advanced techniques in wound closure.

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The cost of Scar Revision Surgery may be covered by private health insurance plans, depending on the specifics of the policy. Check with your insurance provider to understand what is covered.

Related Concerns

Scars can cause various medical issues or complications, such as restricted movement, pain, discomfort, and significant impact on appearance and self-esteem.

Causes of the Issues

Scars form as a natural way of healing lost or damaged skin, resulting from injury, surgery, or other traumatic events.

Treatment Approaches

Treatment options for scars include topical treatments (gels, tapes, or external compression), minimally invasive procedures, and surgical revision with advanced techniques in wound closure, such as complex flap closures and W-plasty or Z-plasty techniques.

Service Overview

Scar revision surgery involves removing the scar while the patient is under local or general anesthesia and carefully re-closing the new incision. The chosen procedure depends on the initial consultation and the surgeon's assessment of the scar's severity.

Step-by-Step Guide to Scar Revision Surgery

1. Anesthesia: Medications are administered for the patient's comfort during the surgical procedure. The choices include local anesthesia, intravenous sedation, and general anesthesia.
2. The treatment: The degree of improvement depends on the severity, type, size, and location of the scar. In some cases, a single technique may provide significant improvement, while a combination of scar revision techniques may be recommended for the best results. ### Conditions Warranting Scar Revision Surgery Scar revision surgery is recommended for individuals with unsightly, disfiguring, or restrictive scars resulting from injury, surgery, or other traumatic events. Lifestyle considerations include the impact of the scar on daily activities, self-esteem, and overall quality of life. ### Benefits of Scar Revision Surgery Potential benefits of scar revision surgery include improved appearance, increased self-confidence, reduced pain or discomfort, and enhanced mobility in cases of contractures or restrictive scars. ### Risks of Scar Revision Surgery Potential risks of scar revision surgery include infection, bleeding, anesthesia complications, and the possibility of an unsatisfactory result or recurrence of the scar. ### Preparation for Surgery Preoperative procedures may include stopping certain medications, avoiding smoking, and maintaining a healthy lifestyle. Your surgeon will provide specific instructions based on your individual needs. ### Pre-surgery Procedures and Checks At the hospital, pre-surgery procedures and checks may include verifying your medical history, confirming the surgical plan, and ensuring you have followed preoperative instructions. ### Postoperative Care Immediate post-surgery care includes monitoring for complications, pain management, and wound care. Home care instructions and follow-up appointments will be provided by your surgeon. ### Recovery and Rehabilitation Recovery timelines vary depending on the procedure and individual factors. Physical therapy and exercises may be recommended to optimize healing and restore function. ### Alternatives to Surgery Non-surgical treatment options for scars include topical treatments, such as gels, tapes, or external compression, and minimally invasive procedures like laser therapy or dermabrasion. ## References
3. West County Plastic Surgeons. (n.d.). Informed Consent – Scar Revision Surgery. [PDF] Retrieved from https://westcountyplasticsurgeons.wustl.edu/pdf/scar-revision-surgery.pdf
4. American Society of Plastic Surgeons. (2023, December 8). Scar Revision Procedure Steps. Retrieved from https://www.plasticsurgery.org/reconstructive-procedures/scar-revision/procedure
5. American Society of Plastic Surgeons. (2023, December 3). Scar Revision. Retrieved from https://www.plasticsurgery.org/reconstructive-procedures/scar-revision
6. Nova Plastic Surgery. (2023, December 5). Scar Revision Through Plastic Surgery. Retrieved from https://www.novaplasticsurgery.com/services/cosmetic-surgery/body/scar-revision/
7. University of Michigan Health. (2023, December 5). Scar Revision. Retrieved from https://www.uofmhealth.org/conditions-treatments/surgery/scar-revision

• West County Plastic Surgeons. (n.d.). Informed Consent – Scar Revision Surgery. [PDF] Retrieved from https://westcountyplasticsurgeons.wustl.edu/pdf/scar-revision-surgery.pdf
• American Society of Plastic Surgeons. (2023, December 8). Scar Revision Procedure Steps. Retrieved from https://www.plasticsurgery.org/reconstructive-procedures/scar-revision/procedure
• American Society of Plastic Surgeons. (2023, December 3). Scar Revision. Retrieved from https://www.plasticsurgery.org/reconstructive-procedures/scar-revision
• Nova Plastic Surgery. (2023, December 5). Scar Revision Through Plastic Surgery. Retrieved from https://www.novaplasticsurgery.com/services/cosmetic-surgery/body/scar-revision/
• University of Michigan Health. (2023, December 5). Scar Revision. Retrieved from https://www.uofmhealth.org/conditions-treatments/surgery/scar-revision