Scar revision
What is a scar?
The appearance of scars varies greatly. They can range from thin, skin coloured concealed lines to red, lumpy scars. Many factors determine the appearance of a scar; skin tone, age, the site of the scar, the age of the scar, and how a wound or incision was repaired.
Surgical procedures can be used to remove, change or hide scars. For some patients, general scar management advice is all that is needed; for others injection with steroids are used to improve 'lumpy' scars. If these are not applicable, advice for camouflage techniques is given.
Why have it?
You may wish to try and improve the look of your scar for cosmetic reasons. Scars, as a result of either routine surgical procedures or more often from trauma injuries, can be unsightly. They may be raised, red, and lumpy, and or lie in a prominent position.
Scars may also cause functional problems. At some sites on the body, scars may contract, pulling on surrounding skin and tissues, and in some cases restrict the movement of joints.
Reasons not to have it
Not all scars can be improved or disguised and Mr Roblin will advise you if this is the case with your particular scar.
Aspirin increases the risk of bleeding by preventing blood from clotting. If you are taking aspirin, you will be asked to stop this for at least ten days before the procedure.
Further information
Consultation
Mr Roblin will want information about the scar and the treatment you have received for it at the time and since then.
You will be asked about your general health, information about your medical history and any previous surgical procedures.
Procedure
This will depend on the scar. The scar may simply be re-excised or it may require a different technique such as a 'z' plasty, skin flap or skin graft.
Anaesthetic
Local anaesthetic or general anaesthetic for more extensive scars. 30-60 mins.
Length of stay
Day case
Risks/Possible complications
Early (1-2 days):
Frequent
- Bruising
- Swelling
Infrequent
- Bleeding (haematoma)
- Discomfort
Later (after one week):
Infrequent
- Scars - unsightly, lumpy, stretched. Scars mature and improve for up to 1 year
- Infection
Recovery
Immediately after the operation
- There will be some bruising and swelling
- Pain is usually mild and controlled with standard painkillers
After return home
- Socialising with friends 1-2 days
- Return to work at 1-2 days
- Driving at 1-2 days
- Swelling and bruising up to 1-2 weeks
- Return to gym and strenuous activity 1-3 weeks
- Final result 1 yr (as scar matures)