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Scarring is a natural part of your body's healing process, but sometimes trauma, injury, or surgery can result in large or unsightly scars. You should keep this in place at all times except when you shower, unless you are instructed to do something different by Dr. Hirsch. Scars are a very commonly occurring skin flaw that can exist anywhere along the body. IMPROVE YOUR SCAR'S APPEARANCE. If your scar is painful or itchy, causes you to feel embarrassed or self-conscious, is in a location that impedes movement or function, or causes uncomfortable friction, you may want to seek out scar revision surgery or treatment. It is important to keep the revision site clean, and if going outdoors, be sure to cover up and use sunscreen, as the healing tissue may be sensitive to sunburn.
Fixing a contracture typically involves removing the scar and filling the space with a flap or skin graft. Scar revision can help reestablish lost function in the scar area, and can improve the aesthetics of a scar caused by injury, trauma, surgery or a wound. This scarring can be quite painful and also affect the surrounding joints. Don't hesitate to ask any questions or express any concerns you may have. These techniques may be used in tandem with less invasive methods to achieve comprehensive results. Creates more skin for the doctor to use during surgery.
This type of scar is considered more complex than the others because it forms over a greater area of skin. Collagen Induction Therapy can also improve the appearance of damaged, aged skin. Newer, more advanced procedures such as Z-plasty and tissue expansion have shown promising outcomes when treating contractures. The way a scar develops depends as much on how your body heals as it does on the original injury or on the surgeon's skills. While no scar can be removed completely, plastic surgeons can often improve the appearance of a scar, making it less obvious through the injection or application of certain steroid medications or through surgical procedures known as scar revisions. While keloids may be treated if they cause unpleasant symptoms such as itching or stinging, unfortunately, people who are genetically prone to keloids will typically get them again and again over the course of their lives. Sometimes scar tissue forms under the skin as a result of internal wounds, surgeries, or underlying diseases.
If steroid treatment is inadequate, the scar tissue can be cut out and the wound closed with one or more layers of stitches. If your scar looks worse at first, don't panic-the final results of your surgery may not be apparent for a year or more. In the case of contractures, revision surgery typically requires replacing the scar with a skin graft or flap of skin from another area of the body. Scars are visible signs that remain after a wound has healed. Facial scars are often considered cosmetic issues because of their location, even when they are not hypertrophic. Minor scar revisions can help improve contour irregularities (lumps or depressions), color and texture, and size of the scar. In some cases, it's not the size or shape of the scar that is bothersome but rather the color and texture. If a scar develops across a natural crease in your skin, Dr. Carp might reposition it to run parallel with the creases so that it is less conspicuous. Dr. Carp will also discuss with you the benefits and risks involved and the possible results that you can expect. If the surrounding healthy tissue does not have enough reach to replace the contracted scar, the scarred tissue can be excised, i. e. cut and removed to decrease pulling.
Patients frequently need more than one procedure to achieve optimal results. Tissue is expanded (with a balloon of sorts). Keloids are often treated by injecting a steroid medication directly into the scar tissue to reduce redness, itching, and burning. You may be a good candidate for standalone liposuction if you have: - Excess volume in the reconstructed breast without excess skin. It's important to note that scars are permanent and unpredictable and there are many variables, including how your body heals, that can affect the severity of scarring. Depending on the type of scar, different approaches are used to improve its appearance or function. Z-plasty is a surgical technique used to reposition a scar so that it more closely conforms to the natural lines and creases of the skin, where it will be less noticeable. Because of this, the results of scar revision can never be predicted with certainty or guaranteed. If you have a recessed scar or one that appears "pitted, " Dr. Moore may recommend a filler product to create a fuller, even surface. This is generally an outpatient procedure, performed under local anesthesia.
Dr. Neal Goldberg performs scar revision to improve aesthetic appearance of the scar and function of the affected area, essentially replacing one scar for another smaller or less noticeable one. They are the unavoidable results of injury or surgery, and their development can be unpredictable. Hypertrophic scars, however, remain within the boundaries of the original incision or wound. They do not cause any issue other than an unsightly appearance.
It is vital to recognize that no two scars are identical, and that different scarring will necessitate different considerations on the part of your doctor… and you. You may also be given a prescription for antibiotics that you will need to take as long as the drain are present. Smaller revisions may take days to heal, while larger, more invasive revisions may take a week or more. Disclaimer: results may varyJay L. In addition to the mastectomy skin flaps being misshapen and uncomfortable, the mastectomy scar itself can occasionally be hypertrophic (raised) and hyperpigmented (dark).