Mr Omar Tillo
Consultant Plastic Surgeon
There are numerous types of scars which may occur on your body. Every type of scar will require different treatments. Scar types include:
Post-traumatic scars: this will occur as the result of traumatic incidents including an accident, disease, or a previous surgery. This type of scar requires a surgical revision, where the tissue will be re-positioned.
Burn scars: these scars may appear across a large section of skin. Scar removal will involve excising the scar tissue. Healthy, unscarred skin will be lifted and a new incision line will be formed. In cases where this is not an option, tissue expanders or skin grafts will be used.
Hypertrophic scars: these often have a thick texture, and are considered unsightly, which may negatively impact your self-confidence. Hypertrophic scars are treated by removing excess scar tissue and repositioning the scar, allowing it to be less visible.
Keloid scars: when skin overproduces collagen while healing, a keloid scar will form. This will make the scar look much larger than the original wound, and will be raised above the skin. Keloid scars are treated through the removal of the hard collagen within the scar, with the skin then being closed. After the scar revision, the site will need to be monitored in case the keloid returns.
Atrophic scars: these scars are considered to be the opposite of hypertrophic scars. Atrophic scars will generally have an indentation and will lack soft-tissue substance. This type of scar can be treated with a surgical release as well as a fat transfer.
Scar revision can benefit any person whose life is being negatively impacted by their existing scar. This can be as a result of functional or aesthetic concerns. Factors such as age and skin type are usually not a concern, however, some skin types will be prone to worse scars than others.
Centre for Surgery performs a full range of treatments for scar revision, including surgical treatments, fat revision and non-surgical options. In most cases, we will be able to treat your scar the same day as your consultation (subject to suitability).
Scar revision surgery (excision, release and approximation).
Skin and soft-tissue flaps.
Tissue expansion (skin expander treatment).
Skin grafting (split-thickness and full-thickness).
Microsurgical fat grafting.
Your recovery period will vary depending on the size and location of the scar.
You will be able to return home the same day as your procedure, once the effects of the anaesthetic have worn off.
After surgery, you may feel some pain and discomfort. This can be managed by taking pain medication. You may have to wear supportive dressing or garments after the procedure, however, this will depend on the size and location of the scar.
You should be able to resume work within one week. You will need to avoid strenuous activity and exercise for six weeks.
You will need to take care of the surgical area. You will need to avoid too much sun exposure, by either wearing clothes or using sunscreen.
Scars can often leave patients feeling self-conscious and cause low self-esteem, and surgery can be an attractive solution. Patients may have tried other non-surgical options and not have achieved the desired results. In some instances, scars can cause pain or discomfort, and surgery is able to reduce tightness.
The length of the procedure will vary depending on what method was used. Scar revision can take between one to two hours to complete.
Scar revision will be performed under a local anaesthetic. You will be awake throughout the procedure but will not feel any discomfort in the treatment area.
This will depend on the size and location of the scar that has been treated, but patients will generally be able to return to work within one week. Patients may feel pain and discomfort for a few days following the procedure and should avoid strenuous exercise for the following six weeks.
It is important that you take care of the surgical area, particularly while outside in the sun. This can be done by using sunscreen or covering up the operated area. Massaging the site is also an effective way to take care of the area after a procedure. This will help to soften the skin and accelerate hearing.
Those who had skin flaps or grafts will often be required to return for follow up appointments for monitoring of the graft site.
All wounds will have to be kept dry for at least one week after the procedure. Make sure to consult with your surgeon for the exact aftercare you will require.
Depending on the type of surgery you have received, supportive dressing and further garments may be required to be worn on the site of the scar.