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Scar Revision Melbourne

Scar Revision

Scar revision involves removal, reduction or reorientation of a scar to a more favourable position.

Scars form as part of the normal healing process after injury or surgery. Most settle as a fine pale line, but some become highly visible, stretched, raised, itchy, break-down or contract to restrict movement. 

The quality of scar formed depends on a number of factors, including:

  • Your age and overall health
  • A family history of prominent scars and genetic predisposition
  • The severity, depth and type of wound
  • The time it takes for the area to heal 
  • The position on the body and incision orientation
  • The degree of skin pigmentation

Normal scars are lumpy for the first 3-4months, red for 12-months, and take up to 18-months to fully mature. As the scar develops, it contracts, and the redness recedes to become pale and inconspicuous.

Hypertrophic scars are red, raised, itchy or painful. These develop in areas of high mobility or strain, such as on the shoulders, chest or back. They show mild improvement with time.

Keloid scars grow beyond the original wound or incision and lead to a firm, thick, red or raised scar which may be tender or itchy. Those with burns, injuries from a young age, or some racial groups are more likely to develop keloid scars which commonly occur on the ears, shoulders, trunk, or between the breasts.

Scar contractures are bands that form a web across a joint or body region. These restrict movement and can form around the face, neck, armpit, elbow, wrist, hand, fingers, groin, knees, ankle and toes.

Common scar revision treatments include:

Excision to remove, reduce or reposition the scar and leave healthy tissue that is neatly repaired in layers. The resultant scar is less prominent. 

Skin grafting to resurface the scar bed by replacing it with healthy skin from another body region. This may be as a thin split thickness skin graft (SSG) or full thickness skin graft (FTSG).

Skin flap surgery to resurface large areas affected by scar contractures that limit movement. After the scar is released, healthy tissue is moved from an adjacent region to cover the area and allow more movement.

Fat grafting where fat is removed from a body region and injected beneath the scar to improve the quality and texture of the scar and surrounding skin.

Dermabrasion which involves mechanically removing the damaged surface skin to allow new healthy skin to regrow. As the area heals, the scar visibility reduces.

Micro-needling where fine needles puncture the skin and scar, causing a fresh healing response with new collagen. As the area heals, the scar visibility reduces.

Laser resurfacing whereby superficial skin, scar tissue and fine blood vessels are removed. It is effective in reducing the prominence, redness or irregularity of scars, including those from acne or keloid scars. 

Silicone gel and regular massage of the scar to help it soften and fade whilst healing.

Scar revision procedures reduced the visibility of scars and improve movement caused by scar contractures. Results are kept as natural as possible.

Scar healing depends on your genetic tendency and is influenced by the extent and severity of injury. A variety of scar revision treatments may be used to obtain the optimal result, and the healing process with final appearance may take several months.

Keloid and hypertrophic scars may stretch or recur, and infected wounds may slow healing and require antibiotics. Facial scars, including those from trauma and acne, can be of concern and scar revision can improve their appearance by reducing restriction or distortion.

Ideal candidates for scar revision procedures have scars that limit mobility and movement or cause discomfort, itch or pain; do not smoke, are in good health, are not taking blood-thinning medication and have realistic expectations.

Following scar revision, it is important to maintain the results you have achieved. This maintenance will include living a healthy lifestyle and not smoking, as well as regular skin care and sun protection with a high-SPF. For optimal results, peels, regular muscle-relaxing injections and fillers may be recommended.

Scar Revision Dr Jeremy Richardson

BOOK A CONSULTATION TODAY

If you would like to schedule a consultation with Dr Jeremy Richardson regarding scar revision procedures, contact us today on (03) 9486 6721.

"How you feel about yourself matters"

Dr Jeremy Richardson