Did you know!
Scars, whether they’re caused by accidents or by surgery, are unpredictable. The way a scar develops depends as much on how your body heals as it does on the original injury.
What is the normal behaviour of scars?
The natural history of scars is that they are initially red, with time they lose their redness, become more mature and paler than the normal skin on white skin and on black skin can become darker than normal skin.
scars are usually red, itchy raised scars which are confined to the limits of the initial injury or incision. They tend to regress and become better with time.
are also raised scars but they usually extend beyond the limits of the original wound. They are more difficult to treat. Keloid scars are more common in black skin and may be worse in certain black families. The most common sites where these raised scars develop are in between the breast area (the sternum), the shoulders and earlobes.
scars can be treated by excising the scar and use of zig-zag operation (z-plasty) underneath the skin to elevate that level of skin. More recently fat transfer or injectable synthetic fillers can also be used to elevate the scar.
Other methods of revising the scars include:
Simple excisim and proper re-stitching may suffice. Small flap operations or Z-plasties where the skin is rearranged, skin grafts, dermabrasion, use of lasers to reduce the redness, staged or serial excision, tissue expansion where balloons which are progressively filled with saline and put on the normal skin to expand it enough to excise the scar and close the wound directly and free tissue transfer where skin and other soft tissue is transferred by microvascilar techniques from one part of the body to the involved area.
What are the risks of scar revision?
This will depend on the type of treatment received but is similar with any surgery such as bleeding, infection, wound breakdown. There is always a risk of recurrence..