What is a Scar Revision?
Not all scars are as well hidden and concealed as they can be. Scars can be a result of an accident, delayed wound healing, skin conditions including acne, and surgery. A poor scar is not necessarily a result of the previous repair being done poorly but is rather is a function of the problem leading to the scar in the first place.
Scar revision is to reorient scars so that they fall into natural shadows and highlights, along existing structures, or within normal wrinkles and folds, all of which to minimize the appearance of the scar itself. Scar revision can be very creative and is often not routine but designed specifically for the idiosyncrasies of the defect itself.
Many scar revisions can be performed in the office setting using local anesthesia only.
Typically, scars start to look narrow and thin almost immediately, but then turn red and raised at about three weeks. At approximately six weeks the normal stiffness and pulling of the new scar starts to soften, flatten, lighten and mature over the next three months to year depending on the location and extent of the scar.
Certain creams and massage of the scars are recommended after scar revision to optimize the overall appearance of the final healing. There is little magic, however: mother nature does the optimal job of wound healing. Sun avoidance and sunblock are critical in the final appearance of the scars. Vitamin E should not be used as it widens scars if used in the first six weeks after scar revision. Sometimes silicone gel sheets applied to the scars for several months after revision will help the scars to flatten.
Sometimes, injections of abnormal scars will help to flatten and lighten the scars. Poor scars should be evaluated by your surgeon as there may be any number of reasons why scars are not optimal. Once those factors are known, poor scars in the future may be avoided.