Scar Removal Surgery

Scars pose a big setback to your appearance, especially the ones, which are hard to cover. They could be on your face, neck, back, hands or any other visible part of your body. Even if you are able to cover those scars, the ingrained side effects would never make you feel at ease. The urge to give your skin the much-coveted freedom from these scars is but normal. The need is hence to look out for a plastic surgeon who could help you fulfill your scar removal objective. Let’s start with the murkier details.
 

What are scars?

The healthy tissues of the body may suffer damage due to an injury, a cut, a disease, tattoo removal, or possibly due to a surgery carried out in the past. As a result, fibrous and thick scar tissues replace these damaged healthy tissues to leave the body with a long lasting scar.
 

Are scars painful?

Scars may not be painful in the beginning, if the destruction of healthy tissues accompanies the damage of related nerves. However, with regeneration of the nerve endings or due to a prolonged internal disease, they may become painful later on. The severity of the pain will depend mainly on the intensity and location of the initial wound.
 

What are some symptoms of pain from scar tissues?

Some of the obvious symptoms of a painful external scar tissue include swelling, itchiness, throbbing redness and sensitivity to touch, etc. Internal scars formed out of a wound, disease or a surgery may also be painful. You can sense it with the discomfort in your joints surrounding that scar. Some common examples may be spinal or knee scar tissues or those formed due to a facial cosmetic surgery.
 

How to get rid of scars?

The treatment of scar tissues varies as per their specific type. What type of scar will form depends most ly on the persons healing tendency.
 

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Atrophic scars

These scars develop when you start losing skin tissues and your body fails to reproduce them, leaving you with depression in skin area. They are mostly the result of chickenpox, acne or a mole removal surgery. Different atrophic scars accompany different treatments. For example,
 
Ice pick scars: The treatment for these vertical, deep, small and narrow scar tissue bands involves cutting them completely. But the procedure may leave behind another scar.
 
Boxcar scars: Subcision is the ideal treatment to get away with these vertical scars having a flat bottom and visible borders. The procedure involves using a needle to pop up the scarred skin and may inflict bruising for around a week. Using ablative lasers is another method, but it can damage the skin surface.
 
Rolling scars: This form of atrophic scar is broad, has rolling edges and its shape resembles a crater. The plastic surgeons use non-ablative lasers to treat these scars. These lasers lead to skin tightening and growth of stimulating collagen for scar removal. The method will leave behind only temporary redness.
 

Hypertrophic scars

These scars come into existence due to excess tension around a recovering wound. Raised, reddish and thick, they result due to collagen imbalance at the place of wound. Hypertrophic scars can be anywhere on the neck, upper arms, upper body, earlobes or shoulders. They may settle on their own with time, but the right treatment can remove them earlier. Some common removal procedures for these types of scars include:
 
Silicone gel sheet: It is best to use at the initial stage of the scar. After the procedure, the patient needs to cover the scars with pads continuously for about 6 to 12 months.
 
Pressure dressing: The doctors use high pressure and elastic dressing to compress the wounds. This method is advisable after skin grafting or if the scar takes more than 2 weeks to heal.
 
Cortisone injections: An important method to cure keloid, it also works effectively to treat hypertrophic scars.
 
Surgery: In certain cases, if the scars are creating excess tension in surrounding tissues or are affecting body moment, surgery becomes inevitable. Else, it could be optional.
 
Other methods: Some other modes to remove hypertrophic scars include laser methods, cryotherapy, superficial x-ray treatment, and using creams and oils.
 

Keloid scars

Keloids can extend their effect on the normal skin that surrounds the scars, making the wound look bigger and longer than the initial scar. These are most stubborn scars and are practically resistant to most treatment options and return after some time. Doctors try different methods to get reduce these stubborn reddish wounds, such as lasers and silicone sheets, cortisone shots, injecting a combination of 5-fluorouracil (5-FU) and cortisone, topical scar cream or massaging. If none of these methods works, excision of these scars would remain the only alternate that will leave you with a comparably tinier scar. It is important to know that inspite of best attempts keloids may be recurrent.
 

Acne scars

At times, even pimples can leave behind scars on your body. The good news is that they are not permanent and are easy to get away with, through several medical treatments or home remedies.
 
Scar removal Products: Skin care products consisting of Salicylic acid, retinoid, Alpha hydroxy acids (AHAs), or lactic acid can be of much help in this regard.
 
Natural remedies: As several home cure tips, you may apply baking soda, shea butter, lemon juice, coconut oil, raw honey or aloe vera gel on the acne scar.
 

Surgical options

An expert dermatologist or surgeon would be the ideal person to perform the right medical treatment depending on the type of scar. Some of the prominent methods are:
● Laser resurfacing
● Surgical scar revision
● Punch grafts
● Dermabrasion
● Microneedling
● Dermal filler
● Corticosteroids injections
● Chemical peels
 

Benefits of scar removal

● With the scars totally wiped out from your body, you may also tend to forget the gory incident behind them and look forward to future.
● A zero scar body will make you feel more confident and high on self-esteem during social interactions.
● You would no more have to use your hair to cover your scars, hence enabling you to do the hairstyle that you always wanted to flaunt.
● For the same reason, you can now wear the dresses of your liking and avoid putting on matchless goggles, caps or scarfs just to hide your scars.
● You will start regaining your skin pigmentation and texture, which in turn enables to restore your natural appearance
● You can get back to your work with more vigor and confidence; none will be commenting on your scars anymore.
● If you are opting for laser treatment, it too has its distinctive advantages. For example, it can remove acne scars, several big scars, gets you rid of wounds completely by heating the subcutaneous skin layers. Moreover, all the laser treatments are quicker and better than others.
 

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Side effects of Scar revision surgery

● Bleeding and Infection can trouble the patient temporarily. The dermatologist would suggest antibiotics to get relief from them.
● Hyper and hypo-pigmentation is a common but short-lived risk that happens mostly in the patients with dark complexion.
● Skin flap necrosis is quite a possibility if the cells of the wounded skin die out due to insufficient blood supply.
 
While you experience any of these risks or side effects of the scar removal treatment, make sure to make your surgeon aware of the condition. He would be the best person to provide prompt medical assistance as per your case.
 

Wrapping up!

A scar revision surgery helps you to get away with your scars and the bitter past associated with it. A body with no scars helps you to get back to your life with added zeal and vigor. The cosmetic surgery of your scar depends largely on its type. This is where an expert dermatologist or plastic surgeon would be the best person to approach. A satisfying and successful surgery gives you a new and scar less life. Most importantly one has to remember that scars cannot be made to disappear. Scar less means less scars not zero scars. Likewise, a failed treatment could leave you with more scars and additional side effects. So, be wise and choose the best plastic surgeon near you.

Surgery Before & After Photos