The severity of a scar depends on many variables. A scar may develop an undesired appearance as a result of blood supply to the area as it heals, the depth of the wound, or the color and thickness of the skin. Additionally, the way a wound is closed initially contributes to its appearance.
Scar revision can make a scar less noticeable. Several types of scars respond well to revision procedures:
- Keloid scars – scar tissue that forms in a thick, puckered form and may be itchy. Keloids occur when the body continues to produce a fibrous protein after the wound heals. The keloid grows beyond the edge of the wound itself and may be red or darker than the surrounding skin.
- Hypertrophic scars – similar to keloids, hypertrophic scars are thick, red and raised above the skin, but remain within the outline of the original incision.
- Contractures – occur when a large area of skin is lost, such as with a burn, and the skin pulls together to close the wound. This closure often impacts the adjustment of muscles and may restrict movement.
Patients prone to keloid or hypertrophic scarring are typically advised to avoid cosmetic surgery, as poor scarring can be detrimental to aesthetic surgical outcomes.
The Scar Revision Procedure:
- Keloid and hypertrophic scars are corrected either by the injection of a steroid medication into the scar or the surgical removal of the scar tissue and re-closure of the wound. The steroid medication may effectively alleviate the itching and redness, and in some cases may lessen the size of the scar. Steroid medication and removal may be used in combination to discourage the development of new keloids or hypertrophic scars.
- Contractures are often corrected with a skin graft or tissue expanders.
- Facial scars are corrected by cutting out the undesired scar and closing the incision with delicate stitches to create a thinner, less noticeable scar.
- A Z-Plasty repositions a scar to make it less noticeable by aligning it with natural lines in the skin. A Z-Plasty may also be used to loosen a contracture as an alternative to a skin graft. The scar is removed by making incisions on each side of the scar creating small, triangular skin flaps. The flaps are arranged to cover the wound in a z-shaped pattern.
Scars will not disappear completely but will become less noticeable and more tolerable in appearance as the revision heals.
Get More Information About Scar Revision in Eugene, Oregon
If you're considering a scar revision procedure, please send us an email or call our office at 541-687-8900. Dr. Daniel can answer your questions and provide the best care possible.