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Scar correction surgery: procedure improves appearance of these marks

Scar correction surgery: procedure improves appearance of these marks

Scar correction surgery is the type of plastic surgery that tries to improve the appearance of a scar. In general, however, it is incorrect to call it a "correction", as it is not possible to guarantee results since it depends on the biological factors of the patient.

Who is the professional fit to perform scar correction surgery?

This surgery should be done by a trained plastic surgeon.

Indications of Scar Correction Surgery

Scar correction surgery is indicated for:

  • Enlarged or undesirable scars
  • Scar hypertrophic, ie, elevated, rosacea, limited to the edges of the wound, with itching and pain, which eventually stops growing and regresses with time, may regress with compression and massage
  • Keloid scar, ie elevated, violaceous, invades neighboring tissues, usually has itching, pain and burning, does not regress, continues to grow, does not improve with massage and compression, regardless of surgical technique, may recur.

Contraindications of scar correction surgery

Patients with difficulty in healing, active infection in the scar area, chronic use of corticosteroids and connective tissue diseases are contraindicated for scar correction surgery.

How is scar repair surgery performed?

Surgical removal of the scar scar is made by means of incisions throughout its length. Depending on the case, the incision is made approximately one millimeter inside the scar and in other situations approximately one millimeter outside the scar. After performing the incisions, the surgeon removes the entire scar using scalpel or delicate scissors. Removal of the scar is not usually done in addition to the fatty tissue of the skin, since only fibrosis and scar tissue are usually removed.

Absorbable internal points are made and the external part can be made with intra-dermal points (which are completely hidden inside the incision) or single stitches. One may choose to close the incision also with the use of a biological tape with glue, which seals the incision completely. This allows the patient to be able to bathe and water the area operated on the same day.

Prior to surgical removal, however, there are treatment alternatives, such as:

  • Local compression: in which special meshes used for long periods or silicone plates
  • Local injection of steroids into the scar
  • Radiation therapy
  • Surgery followed by beta therapy
  • Specific creams and ointments prescribed by the plastic surgeon

Duration of surgery

The duration of the correction surgery depends on the size of the scar. Small scars of up to 4 centimeters take approximately 30 minutes, while scars between 4 and 15 centimeters can take up to one hour.

Preoperative Scar Scar Surgery

No preparation is required for the surgery. correction of scarring, it can even be done even without fasting if general anesthesia is not used.

Post-operative of scar correction surgery

The scar takes at least one year to mature. Throughout recovery, you should follow up with your plastic surgeon to monitor and guide post-operative care. In addition, even after surgery it may be necessary to use ointments, creams or even local compression, according to the expert's advice.

Possible Complications of Scar Correction Surgery

In scar correction surgery infection may occur , opening of stitches and bleeding, but are more rare complications.

Before and after the scar correction surgery

The final result appears after one year, but with two to three months a great improvement is already observed. For many months the scar will turn red and this is normal. However, it is possible to expect an improvement in the appearance of the scar, but complete removal will not always occur.

Sources

Plastic Surgeon Marcelo Wulkan (CRM: 108732), member of the Brazilian Confederation of Plastic Surgery, International Confederation for Plastic, Reconstructive and Reconstructive Surgery, International Society of Aesthetic Plastic Surgery and American Society of Plastic Surgeons


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