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Scar Revision Surgery

Scar Revisions

What are scar revisions?

Scar revisions are used to reduce the appearance of scars and restore functions or correct deformities caused by injuries.

Benefits of scar revisions –

  • Reduction in visible appearance of scars

  • Improved skin tone

  • Improved skin function

  • Reduced deformities

  • Types of scar revisions –

    1. Keloid scar revision –

    What are keloid scars?

    Keloid scars are dark coloured clusters of scar tissue that appear thick, rounded and irregular and develop on the site of the wound and grows beyond the border of the wound.

    Treatment for keloid scars –

    • Cryotherapy – Cryotherapy includes freezing the scars with the help of liquid nitrogen.

    • Steroid Injections – Steroids injections are used to reduce itching, burning sensations and redness caused by the scars. They could also be used to reduce the size of the scars.

    • Pressure therapy – Pressure therapy involves wearing pressure bands on the scars till they stop growing.

    • Laser therapy – Laser therapy can be used to reduce the appearance of keloid scars.

    • 2. Contracture scars –

      What are contracture scars?

      Contracture scars occur when large areas of skin are damaged and lost. The scars appear pulled/ tight because they pull the edges of the skin together.

      Treatment of Contracture scars –

      • Skin grafting – skin grafting can be done to cover missing skin with the help of healthy skin retrieved from donor sites on the body.

        • Skin flaps – Skin flaps can be used to cover areas of missing skin that have damaged vessels and poor blood supply.

        • 3. Dermabrasion –

        What is Dermabrasion?

        Dermabrasion is a non-invasive therapy used to exfoliate the outermost layer of the skin with the help of micro crystals. It promotes production of elastin and collagen for a smoother and healthier skin.

        Benefits of Dermabrasion –

        • Exfoliates damaged skin

        • Promotes growth of elastin and collagen

        • Helps skin look plump, supple and healthier

        • Treats pigmentation and discolouration and improves skin tone

        • Smoothens rough skin

        • Decreases visual appearance of scars and stretch marks

          4. Fractional Laser –

          What is Fractional Laser?

          Fractional laser is a technique that involves dividing laser beams into microscopic portions to target one portion of the skin at a time. It is a non-invasive technique and effectively treats damage caused in the dermal and epidermal layers of the skin

          .

          Benefits of Fractional Laser –

          • Treats surface and deep scars.

            • Triggers production of collagen.

              • Causes less discomfort.

                • Tightens the skin and makes it look supple and youthful.

                  • Gives long term results.

                  • 5. Micro-needling radio frequency –

                    What is Micro-needling radio frequency?

                    Micro-needling radio frequency heats the affected or the targeted areas by passing radio frequency energy through micro-needles penetrated in the skin. This process triggers the production of elastin and collagen that helps reduce the appearance of scars and makes the skin look youthful.

                    Benefits of Micro-needling radio frequency –

                    • Treats scars and stretch marks.

                    • Treats fine and deep lines and wrinkles on the skin.

                    • Tightens the skin.

                    • Reduces visible appearance of open or enlarged pores.

                    • Controls secretion of sebum.

                    6. Subcision –

                    What is Subcision?

                    Subcision is a minor surgery used to treat cutaneous scars and wrinkles by inserting hypodermic needles in the skin. The hypodermic needles break the fibrotic strand that tethers scars to the underlying tissue and causes a wound in a controlled environment. This helps produce new collagen and improves the appearance of the skin.

                    Benefits of Subcision –

                    • This procedure can treat acne scars, chicken pox scars, injury or trauma scars, wrinkles and dimples caused by cellulite.

                    • Treats deep scars and wrinkles by creating more space for collagen.

                    • Requires less treatment and healing time.

                    7. Platelet rich plasma rejuvenation –

                    What is platelet rich plasma rejuvenation?

                    Platelet rich plasma rejuvenation (PRP) is an effective skin rejuvenation and scar revision procedure. The procedure is non-surgical and is carried out by using the patient’s own blood platelets to stimulate growth of new skin cells.

                    Benefits of platelet rich plasma rejuvenation (PRP) –

                    • Helps restore facial volume.

                    • Improves the texture and tone of the skin.

                    • Improves complexion of the skin.

                    8. Chemical Peels –

                    What are Chemical Peels?

                    Chemical peels are used to treat acne and acne scars. They exfoliate the dead skin cells in a controlled manner and remove or reduce the appearance of acne and acne scars. The strength of the peels depends on the severity of the skin condition.

                    Benefits of Chemical Peels –

                    • Effective treatment of acne and acne scars.

                    • Treatment of Fine lines and wrinkles.

                    • Scars due to exposure to extreme sunlight can also be treated using chemical peels.

                    • They reduce visible appearance of pigmentation.

                    What one should expect from scar revision –

                    • Some scar revisions may leave burning or stinging sensation after the treatment.

                    • Some treatments make the skin peel and appear flaky till the skin heals completely.

                    • What one should do before scar revision –

                      • Consult the doctor for pre-treatment measures.

                      What one should do after scar revision –

                      • One should take good sun protection measures after the treatment.

                      What is an anti-ageing therapy?

                      Anti-ageing therapy/ therapies are the ones that help reduce signs of ageing by slowing or reversing the process of ageing.

                      Why should one undergo anti-ageing therapy?

                      The skin cells become progressively damaged with time. With age, the damage continues occurring to an extent that it cannot be repaired by the body. Anti-ageing therapies are used to significantly reduce the appearance of the damage that the skin undergoes with increasing age.

                      What to expect out of an anti-ageing therapy?

                      Share medical history and skin healing behaviours with the doctor. Some procedures cause stinging or burning sensations after the therapy. Make sure you inform your pain threshold to the doctor and take the prescribed medication.

                      What should you do before an anti-ageing therapy?

                      Avoid exposing the treated skin to extreme sunlight. Follow the skin routine as advised by the doctor. Avoid makeup and chemicals that could cause infections.

                      What should one do after an anti-ageing therapy?

                      One should take good sun protective measures after the treatment.

                      Types of anti-ageing therapies –

                      • Serum and Stem Cells treatment – Serums and Stem cells treatment moisturises the skin deeply and improved the elasticity of the skin making it look younger and healthier.

                      • Botox treatment – Botox acts as a filler to smoothen the wrinkles and makes the skin look supple and plump.

                      • Salicylic acid – Salicylic acid unclogs the pores in the skin that have been blocked when sebum combines with dead skin cells without affecting the sebaceous glands and the production of sebum.

                      • Chemical peels – Chemical peels are an effective method of skin rejuvenation and anti-ageing. They trigger exfoliation of the dead or scarred skin and help produce new skin cells. Peels with different levels of strength are carried out depending on the severity of the condition.

                      • Mesotherapy – Mesotherapy is a non-invasive form of treatment that introduces anti-oxidants into the skin. It also helps produce new skin tissue and normalizes the skin tone.

                      • Lasers Therapy – Laser therapy helps remove dead skin cells and excess oils that clog the pores. Laser therapy also stimulates growth of collagen and makes the skin look plump and young.

                      • Carbon peels with switched laser – A combination of carbon peels with switched laser helps shrink the oil glands, break pigmentation and clean the pores.

                      • Microdermabrasion – Microdermabrasion is a non-invasive technique to clean the pores and increases the elasticity of the skin.

                      • Q Switched Laser – Q Switched Laser helps treat pigmentation by releasing the pigment into the skin to be naturally absorbed by the body.

                      • Ultra Violet Light – Violet light therapy helps in re-pigmentation and reduces the size of the discoloured patches on the skin to make the skin look even toned and healthy.

                      • Filler Injections – Filler collagen injections help reduce the appearance of scars, fine line or wrinkles.

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