Scar Revision

While many scars will naturally mature and fade, becoming less visible with time, some may become larger and worsen overtime.  People often have scars that may be excessively wide, elevated or indented, irregularly shaped or are discoloured as a result of in hypo- or hyper-pigmentation.  Scar revision at the Canadian Plastic Surgery Centre is possible for individuals if they are unhappy with their scar or if their scar is causing significant irritation.  During your consultation, Dr. Chivers will be able to assess your scar and help determine the best options for revising it to make it less visible.

Candidates

Candidates for scar revision are individuals who are in overall good health and have one or more scars that they find visually unappealing. Every scar is different, but candidates for scar revision usually have one of the following:

  • A scar that is excessively wide.

  • A scar that is irregularly shaped.

  • A scar that notably protrudes or is indented from the surrounding skin.

  • A scar that is significantly lighter or darker in colour than the surrounding skin.

Procedure

Because scars are so different, there are multiple surgical procedures that Dr. Chivers uses to alter the scar’s appearance. The most common procedures include:

  • Re-excision – Cutting away of scar tissue and attempting to revise the scar to make it smaller or less noticeable in appearance.

  • Laser or Dermabrasion – Surgery that removes the outer layer of a scar and assists with de-pigmentation.

  • Skin grafts – Transfer of tissue from one place of the body to the scar area.

  • Tissue expansion – Surgical procedure that expands healthy tissue surrounding the scar in order to replace it.

Scar revision may also involve topical treatments and subdermal injections in order to adjust the colour and smoothness of the scar tissue:

  • Steroid injections – To assist with elevated, hypertrophic or keloidal scars reducing them in size.

  • Lightening creams–To assist with depigmentation.

Whatever the treatment used, the result is scar tissue that more closely resembles the surrounding skin.

Recovery

Scar revision is an outpatient surgery performed under local anesthesia. Unless the scar is on a part of the body that would interfere with daily activities, patients can usually return to work the day after the surgery.

 

For about one to two weeks, you will experience minor pain at the location of the surgery. Additionally, there will usually be some swelling, bruising and odd colouration during that time.

After the surgical procedure, sunblock should be applied for at least 1 year to the incision to prevent pigmentation of the scar. 

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