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Reconstructive Surgery -> Scar Revision -> Scar Revision FAQ Frequently Asked Questions ?What is Scar Revision Surgery?Surgical scar revision is the surgical excision of a scar followed by reconstruction of the wound with either reapproximation of the tissue, flap reconstruction, or Z-plasty. Most of these procedures can be done on an outpatient basis with local anesthesia and sedation. Am I a candidate for scar revision? The most important factor in determining whether or not to pursue scar revision is to truly think about how much a scar bothers you. The other important factors include the size and depth of the wound, the blood supply to the area, the thickness and color of your skin, the direction of the scar, and the tension of the wound, and your bodies response to healing. If you tend to scar poorly, you’re chances of having an unacceptable scar after scar revision surgery is higher. A keloid; what is it, who gets it, and what causes it? A Keloid is a raised overgrowth of fibrous scar tissue that forms outside the lines of the original wound. One can develop a keloid but they are more common in young women and African Americans but some people have a genetic tendency to form keloids. A keloid can be caused by injury to the skin, a burn, acne,body piercing, or a surgical incision. Are there other ways to treat scars besides surgery? Conservative treatment of scars should be the first measure of treatment, even for problematic scars. Treatments with lotions, gels, silicone sheeting, collagen implants, dermabrasion, and certain medications such as steroids can all be used to treat scars. What kind of procedures are used during scar revision surgery? In many cases, simple excision and re-closure of the wound will greatly improve the result. The z-plasty tends to heal with less tension, and replaces a straight line scar with a broken line scar. This is one of the most common and successful techniques of dealing with facial scars. Grafts and flaps are more complex procedures for complex scar revisions. Disclaimer: |