Our Services: Understanding Scar Revision Surgery
Dr. Colin Hong, a plastic surgeon with in Toronto, recommends that a scar should be examined in detail and scar revision surgery undertaken only when the best results can be achieved. Depending on the type of surgery, patients are given either local or general anesthesia or sedatives. The surgeon will decide on what is appropriate in the situation. Sometimes a combination of surgery and other topical treatments are used to achieve the desired results, and often depends on the size, nature and location of the scar.
Common of scar revision procedures include: topical treatments to aid wound closure and healing, surface treatments such as laser therapy and dermabrasion, injectable treatments used to fill scars that are concave, skin grafting which uses a thin layer of undamaged skin from another part of the body to cover the scarred area, tissue expansion which “grows” new skin by stretching the skin over an inserted balloon-like device and skin flap surgery which involves cutting flaps of skin around the scar that are then sutured together so that the scar is much less noticeable.
These procedures can help improve or diminish the appearance of surface irregularities, discoloration and abnormal pigmentation, thick hypertropic scars which are raised clusters of tissue that develop over a wound, contractures which are scars that restrict movement because they cross a joint or due to their large size and keloids which are thick and puckered
When the Toronto scar revision surgery is performed under local anesthesia, the patient can return home within a few hours of the procedure. Surgery under general anesthesia may require an overnight stay at the clinic or hospital. If the removed scar was large, a pressure bandage may be used over the wound to minimize subsequent scarring. The operating surgeon will decide if regular or dissolving stitches are to be used to close the incisions. Patients may experience some swelling and bruising, which may take between one to two weeks to disappear. The full results from the scar revision surgery may not be immediately apparent for some months.