Scars Correction


Scars may come up due to several pathological procedures (acne, varicella, skin ulcers), due to trauma with or without tissue loss, burnts and other causes. Because of this, scars may be found in any part of the body.

Scars can also appear after a surgery, in those cases their location is usually reduced to abdomen, breasts, inner and upper thighs, face and neck.

Patients usually question doctors because of the disgusting visual aspect of the scar, which may sometimes cause asymmetries and malformations.

What does scarring depend on?

They are always unpredictable, no matter they are caused by an accident or surgery. The way in which a scar evolves depends both on how your body heals and the surgeon’s skill.

There are many things that may affect how severe a scar is, including size and depth of the wound, the thickness and color of your skin, and the shape of your scar. The appearance of a scar is related to personal aspects, which vary from one patient to another.

May a scar be completely removed?

Even though no scar can be eliminated completely, plastic surgeons can frequently improve the appearance of a scar, turning it less obvious, either by injecting steroid medications or with a surgical procedure known as scar revision.

When should I treat a scar?

We recommend you to wait some time after the scar has been formed because it may change its color and aspect. Some become less visible in time, bear in mind clear and realistic expectations, and check with your surgeon for different treatment options.

Are there any risks?

Even though a scar revision is usually very safe, there is always a chance of complications. These may be infections, hemorrhages, reactions to anesthesia, or scar recurrence. To avoid these potential problems you have to listen to what your plastic surgeon told you and follow them to the letter before and after the surgery.

What are the keloids?

Keloids are very thick scars which grow over the limits of the incision or wound. They are usually red or darker than the skin around them. Keloids appear when the body continues to produce a fibrous protein called collagen once the wound has already healed.

How are keloids treated?

Keloids are usually treated by injecting steroid medications directly into the scar to reduce redness, itch and burnt. In some cases, this can also flatten the scar.

If the steroid treatment is not suitable, the scar may be dried and the wound is closed with one or more stitches. The treatment is generally ambulatory with local anesthesia. You may go back to your regular activities in one or two days and the stitches will be removed after a few days. Sometimes, a skin grafting can be performed, although the place from which the graft is done may develop a new keloid.

No matter the treatment used, keloids tend to reappear, sometimes even larger than before. To try and avoid that, both techniques are usually combined. You can also wear a pressure band or silicone drape over the wound for a year. Still, the keloid may reappear, which would require additional treatments every once in a while.

What are hypertrophic scars?

Hypertrophic scars are usually confused with keloids, since both tend to be thick, red and elevated. Nevertheless, hypertophic scars usually improve on their own, but since the process may take over a year, it is assisted with steroid injections.

If the conservative treatment proves to be uneffective, hypertrophic scars can usually be improved surgically. The plastic surgeon removes the scar and closes the incision to make the scar less visible.

How is a contracture scar treated?

Burnts and other wounds that cause a lot of skin loss may form a scar that stretches the skin, a process called contraction. The resulting contracture may affect underlying muscles and tendons, this limits the regular movement of joints.

Correcting a contracture or bridle usually requires the resection of the scar as well as placing a skin graft or a flap. In some cases, a procedure called Z-plasty. There are other techniques which use tissue expansion to obtain more tissue and improve the contracture. If the condition is chronic and has been present for a long time, it may need physiotherapy after the surgery to restore functions.

Facial scars

Because of their location, facial scars are usually considered aesthetic issues, whether they are hypertrophic or not. There are many ways to improve how a scar looks. The most common one is to dry up and stitch the scar.

If the scar is perpendicular to the natural folds of the skin (also called relaxation lines) it is possible to reposition it so that it goes parallel to these lines, which would make it less obvious.

Some facial scars may be softened by using various techniques, such as special lasers, dermabrasion and z-plasties. Each case must be evaluated individually.