Once the skin sustains a full thickness cut, it always heals with scarring.
A scar is the tissue glue that our body forms to seal up the wound. The nature of the glue, the amount and type varies from person to person and depends on his genetic type. Some people are bad scar formers while some are good scar formers. At Aesthetics Medispa we understand this process and know how to manipulate the healing to give the best looking scar.
A bad scar is one which is visible from afar. A good scar is one which one has to go really close to see. Our objective of scar revision is to make the scars look the best or hide them in invisible areas.
A bad scar could be a hypertrophic scar or a keloid. A keloid happens because of inherent tendency of excessive scar formation. It keeps on growing , becomes very hard, tight and itches. Such scars if cut and removed tend to come back very aggressively. There are special techniques for handling such scars. Majority of the other bad scars are hypertrophic scars. Such scars can be revised.
Scar revision surgery may be advised if you have a bad looking scar. It can be hypertrophic or atrophic. Scar revision may involve simple excision of the scar and repeat fine closure, or Z plasty, W plasty etc. What is important is the post surgical care. WE may advise you to apply either silicone sheet, or silicone gel over the scar for a few months. Or we may advise you LASER to reduce the redness of the scar. Atrophic scars are best treated with fractional pixel lasers or erbium yag. Please read FAQ's for more information.
Who should seek scar revision surgery?
Any person with a scar that looks ugly or is visible from a distance should seek scar revision surgery. The scar may be raised red, hard, pigmented or thinned out depressed, stretched but still visible from a distance.
What should I do?
It is important to consult an Aesthetic Plastic Surgeon at Aesthetics Medispa first to allow him to analyse the nature of the scar, its location, type and ways to improve it. Many scar revision techniques depend on the location of the scar and the type of tissues around the scar. Without actually seeing the scar, either in a photo or in reality, it is hard to decide the technique for revision. The Aesthetic Plastic Surgeon will then advice the course of treatment.
What are the options for improving the scar?
The options extend from non surgical to surgical. Non surgical options include, massage with special oils, application of silicone sheet or silicone gels, pressure, steroid injections, Dermaroller microneedling, Erbium yag pixel lasering, or surgical scar revision.
What is the likely outcome after treatment?
The outcome after treatment will vary according to the treatment used and your consultant will tell you what to expect. The consultant will tell you if and how significant the improvement will be.
Is it possible to completely remove the scar?
It is important to realise that full elimination of scar is not possible. With all scar improvement techniques, only improvement is possible.
Will I see an improvement immediately after the treatment?
It depends on the technique used. After surgical revision, an improvement may be visible immediately, but more improvement will be visible with time. Scars, after treatment, may take approximately six months to one year to show complete improvement.