CHOOSE YOUR TREATMENT Scar Revision Surgery
Every time your skin and underlying tissue is damaged or cut you will be left with some degree of scarring, both in the top layer of the skin and
underneath.The appearance of the scar will often depend on your body’s ability to heal itself.Your skin colour, type, your age and your lifestyle (particularly smoking) can all have an impact on how well you will scar. Scar revision surgery aims to improve the appearance of a scar, although nothing will be able to remove it completely.
Who does it? ● Plastic Surgeon
Who is suitable?
If you have a scar that is affecting your confidence then it is worth seeing an experienced practitioner to discuss your options, but it is crucial to realise that, with scar revision surgery, you will be replacing one scar with another (hopefully improved) scar.
If scar revision surgery isn’t for you and the scarring is relatively mild, there are some non-surgical alternatives.
These include topical treatments, such as steroid creams and silicone gels that claim to fade scars, and skin rejuvenating treatments that aim to remove the top surface of the layer of the skin and stimulate new tissue
growth.The latter treatments include Skin Peels (p 127), Microdermabrasion (p 108), Medical Micro-Needling (p 105), and Skin Resurfacing – Energy Assisted (p 129). The appearance of atrophic scars – a sunken pit often left after acne – might be improved with Dermal Fillers (p 84).
What’s the treatment like? This is a surgical procedure that aims to improve
the appearance of the
scar.That might be achieved by changing the direction or position of the scar so it lies in a skin crease or along a facial contour so it is less obvious.
Keloid scars - the red, raised and angry-looking scars - can be treated by cutting out the hard fibrous collagen that makes them so bumpy. Contracture scars (often caused by burns) can affect mobility so, for this surgical procedure, flaps of healthy skin might be used to break up the contracture scars.
What happens afterwards?
You will still be left with a scar – although hopefully one that has been improved in appearance and sited in a less obvious place – so follow your surgeon’s instructions in terms of scar massage and the use of silicone gel treatments that should reduce healing time.
There are minimal risks associated with this surgery except patient dissatisfaction with the final result.
Will I have a scar? Cost From £500
EkkyLite Laser Assisted Skin Healing System
The risk of scarring is a consideration when planning any surgical procedure but this might all be about to
change.The EkkyLite treatment is provided at the time of surgery and is quick and painless.
Mr Hugh Henderson at the Spire Leicester Hospital was the UK's first plastic surgeon to routinely offer the system: "The EkkyLite Laser offers the best prospect of improved scar quality of any device or technique since the introduction of silicone gel to scar control."
The system works by using a laser to heat the skin around the wound once it has been closed to a constant level for a short period of
time.This causes the body to over-produce naturally occurring proteins
124 The Cosmetic Surgery Guide
which alter the healing process and lead the skin to repair itself with less of the hard, fibrous collagen that is normally found in scar tissue and more of the soft, supple collagen.
Research has shown that wounds treated with this or similar lasers, heal around 30 per cent faster, are around 50 per cent stronger and the resulting scars are significantly improved compared to untreated wounds.
AFTER
Yes, but hopefully it will be an improvement on the one you had before.
BEFORE
www.advantechsurgical.com
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