Scars are something which are unavoidable. We have plenty of scars due to falls, cuts, and bruises right from our childhood. However, scars at prominent sights or even large scars can cause us psychological distress as they hamper our appearance. Dr Shree Harsh’s scar revision surgery can help achieve a smooth and scar-free skin to boost one’s confidence and get rid of the psychological distress.
Scars are the visible signs that remain after an injury. Scars can be located anywhere on the body since they are a result of an injury. The quality of the scar depends on two factors -
The scars can be either fresh or elevated or depressed. In medical terms scars can be divided into discolouration scars, hypertropic scars, keloid scars or contractures. The scars can be further classified into different types based on different parameters such as:
Fresh scars: Recently formed scars that are still in the early stages of healing. Elevated scars: Raised scars above the skin’s surface, such as hypertrophic scars and keloid scars. Depressed scars: Sunken scars below the skin’s surface, including atrophic scars.
Discolouration scars: Scars that cause changes in skin color, commonly seen after healing from injuries or surgery. Contracture scars: Scars that result from burns and can cause tightening of the skin, potentially restricting movement. Stretch marks (Striae): Scars caused by rapid stretching of the skin, often during pregnancy or significant weight gain. Acne scars: Scars that form after severe or prolonged acne, presenting as various types like ice pick, boxcar, or rolling scars. Post-operative scars: Scars that occur after surgical procedures and can vary in size and appearance based on the surgical technique used. Post-burn scars: Scars caused by burns, which can be challenging to treat, especially if they cover a large area of the body.
The type, size, site and quality of the scar will determine the treatment on the patient. At Pinnacle Cosmetic Surgery, we ensure that your treatment plan is developed and executed according to your needs and comforts.
Scar revision procedure can be performed on people of all ages and genders. An ideal candidate for a scar revision is someone who: Has a scar anywhere on his/her body. Is bothered by the scar. Is physically healthy. Does not smoke. Has realistic expectations from the scar revision surgery. Does not have acne or skin infections at the time of the surgery.
Dr Shree Harsh has listed the various scar revision techniques for a better understanding.
Scar revision: Simple scar revision procedures can be performed under local anaesthesia for smaller sized scars. The doctor may use dermal fillers, injectables or gels to reduce the visibility of the scar and to help it blend in with the rest of the skin. This treatment can require single or multiple sessions depending on the size of the scar.
Fat grafting: Fat grafting is a new technique in scar revision procedures. This is also called “Autologous” fat grafting (meaning the patient’s own tissues are used in the scar revision). Performed under local anaesthesia, this treatment involves liposuction (removing fat from one part of the body) and then injecting the tissues into the scar site. This technique is used to treat post burn scars.
Skin grafting: Skin grafting is similar to fat grafting. Under the skin grafting procedure, the doctor will remove healthy skin from a part of your body and graft it onto the scar site. This makes the scar site look normal and blends in with the rest of the body.
Chemical peels: A chemical peel is one of the most non-invasive scar removal procedures in our clinic. This treatment involves applying the chemical peel to the scar site and then cleansing the peel and skin underneath. Chemical peels remove the old outer layer of the scarred skin and allow new skin to regenerate. This makes the scar seem less visible and abnormal.
Z Plasty: Z Plasty is a reliable surgical procedure for scar revision or scar repositioning. The procedure for Z Pasty helps in lengthening the scar or breaking it and finally camouflaging it with the relaxed tension lines of the rest of the skin. The outcome of a Z Plasty is to make the scar look like a natural part of the skin.
Keloid Scar Treatment: Keloid is a type of scar that grows higher than the skin. Keloids appear after an injury has healed. They can be itchy and painful. There are different treatment options for Keloid Scars:
Intralesional Injections: The surgeon will inject a steroid based intralesional injection at the scar site. The steroid helps break the bonds between collagen fibers. This results in making the scarring smaller. The amount of injection will be determined based on the scar size and other health conditions of the patient.
Surgical Excision: In case of certain keloid scars the doctor may recommend a surgical excision. In this treatment method the doctor removes the keloid during a small surgical procedure and injects intralesional steroids to help in the healing.
Fractional CO2: Fractional CO2 procedure is a scar revision treatment that uses a laser to create micro-injuries in the skin, stimulating collagen production and promoting the replacement of scar tissue with new, smoother skin. It helps to improve the appearance of scars, making them less noticeable and enhancing overall skin texture.
Fractional CO2 treatment can also be used to treat scars caused by burns. By reorganizing the collagen fibers, it effectively enhances the texture of the affected area. It can also be used to treat post-operative scars, post-traumatic scars, keloid, acne scars, and hypertrophic scars.
Fractional CO2 treatment can also be used to treat stretch marks.
As scar revision surgeries vary from person to person according to the technique implemented, the cost varies as well. Hence, there is no ballpark figure. Also, the cost highly depends upon the location of the clinic, the technology used and other miscellaneous expenses. As scar revision is considered as a cosmetic surgery, no insurance covers the cost of the procedure. In case you are wondering whether or not scar revision is right for you, we invite you for a consultation with Dr Shree Harsh. He will discuss the treatment, its benefits, best possible results and any complications involved one-on-one with you.
Dr. Shree Harsh is a board certified internationally trained Plastic Reconstructive and Aesthetic Surgeon. He has been trained in the prestigious and historical department of Plastic and Maxillofacial Surgery at G.M.C.Nagpur from where he completed his M.Ch. in Plastic and Reconstructive Surgery. He cleared his D.N.B. in Plastic Surgery from the National Board of Examination, New Delhi. He was awarded the prestigious DAFPRS fellowship by the Dutch Association of Facial Plastic and Reconstructive Surgery. He has been trained by Dr.Patrick L Tonnard and Dr.Alexis Verpaele at the MACS lift centre- Coupure Centrum in Ghent, Belgium in both Surgical and non Surgical Aesthetic Surgery procedures during his fellowship period. He is trained in oncoplastic breast reconstruction by DIEAP flap under Dr. Peter Vermeulen at OLV hospital at Alst, Belgium.
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