Scar Removal – Scar Resection

What is a scar removal?

This is a surgical procedure through which the condition or appearance of a scar is improved.

There are several features of the scars that can be treated with surgical or non-surgical procedures (discoloration, irregular skin surface).

This type of surgery does not harm your health or bodily functions. These may be acne scars, or scars generated by minor injuries or previous surgeries.

Rolling scars are thin groups of scar tissue that develops on the area of the wound. They may grow with time; they may cause flushing of the skin and may become very uncomfortable. These may be hyper or hypo-pigmented.

Compressed scars are longer; these may inflict pain or give an itch in the area. They are located on the edges of the wound or incision. The may come up in any area of the body, but they usually appear where there are reduced adipose tissue such as the shoulders.
Contractures are scars that reduce the movement you are able to do due to the tension generated by the skin and other tissue during the healing. This may occur when there has been and extensive loss of tissue, such as after a burn.

The technique used by Dr. Robles will be determined by the kind of scar you have.

Am I a good candidate?

Scar removal may be performed on patients of any age. The best patients are those that are in good health, who don’t suffer from any medical condition that may endanger their lives or the healing process. They cannot have active acne or other pathologies on the area to be treated. Patients should not smoke. These patients should have a realistic and positive expectation to improve their looks.

What does this treatment consist of?

How much the scar improves will depend on the severity of the case (size, kind and place of the scar). In some cases a simple technique or procedure will give great benefits. In any case, Dr. Robles may recommend a combination of treatments to achieve the best results possible.

External treatments may aid in closing or healing wounds, or even in reducing the capacity of the skin to produce irregular pigments. This treatment will be used to treat superficial wounds as well as to heap the skin heal, where a scar resection is done.

Injectable treatments are usually used to fill scars that are depressed. Depending on the substance injected as well as the characteristics of the patient, the results may last between three months to a year. The procedure needs to be repeated in order to maintain the results. There are other types of fillers, which are steroid-based; these are aimed at reducing the creation of collagen to alter the appearance of the skin, size and texture of the scar tissue.

Dermabrasion, chemical peeling or laser treatments are generally used to improve the aesthetical aspect of scars. These methods may decrease texture and pigmentation irregularities. These will also modify the superior layers of the skin. As a result, new and healthy skin will be able to grow on the area of the scar.

Another procedure to surgically remove a scar is a stitch or skin adhesive to close the wound. Other kinds of closures will be used if the incision affects more than the superficial skin tissue. Those cases require a sub-dermal closing, with self-absorbing stitches, in order to be able to superficially close the incision.

There are more advanced scar removal procedures which include flap techniques. One of these needs a Z form technique with multiple angles. These will create angulated flaps on both sides of the scar that can be repositioned to break the tension caused by the scar.

Are there alternative treatments?

There are alternative treatments, such as using gels or silicone sheets. There are also combined treatments with corticoid injections, 5 fluorouracil, and laser therapies. In any case, these treatments will only remove itches and uncomfortable feelings, but you will never achieve the results of the above mentioned treatments.

How is the recovery?

Once the procedure is finished, the doctor will bandage the area so as to keep the area aseptic. Initial healing will include swelling and discomfort. Dermabrasion or peeling will have the same results, but also extreme sensitivity. You will have to follow all of the indications the doctor gives you as well as avoiding solar exposure.

Initial healing will take between one and two weeks. At this point the stitches will be removed in case it is needed. Healing will continue for several more weeks.

What are the risks?

The most usual risks are those related to infections and those related to using anesthetics.

How long do the results last?

The final results will be seen in time. It may take up to a year for the area to definitively heal. In the mean time, you will need to take very good care of your skin and protect it from the sun to maintain and improve the results.