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Scar Revision

Scar revision is surgery to improve or reduce the appearance of scars.It may also help to restore function, and corrects skin changes (disfigurement) caused by an injury, wound, or previous surgery.

Scar tissue forms as skin heals after an injury (such as an accident) or surgery. The amount of scarring may be determined by the wound size, depth, and location; the person's age; heredity; and skin characteristics including color (pigmentation).
Depending on the the extent of the surgery, scar revision can be done under local anesthesia or general anesthesia.

When to have scar revision done is not always clear. Scars shrink and become less noticeable as they age. You may be able to wait for surgical revision until the scar lightens in color, which can be several months or even a year after the wound has healed. For some scars, however, it is best to have revision surgery 60-90 days after the scar matures.

Scars that are treated:
  • Post Injury scars – face,neck,arms,tummy.
  • Burns scars
  • Acne/Pimple scars
  • Chicken pox scars
  • Operating scars: neck,chest, abdomen,face.


  • Scar excision & local flap:This rotates surrounding normal skin into the defect created by removing scar.Most commonly used when correcting the scars on the nose.
  • ‘ z ’ Plasty
  • ‘ w ’Plasty
  • Split thickness skin grafting: It involves taking a thin layer of skin from another part of the body and placing it over the injured area. This technique is used when a large amount of skin has been lost in the original injury, when a thin scar will not heal and when the main concern is improved function.
  • Full thickness skin grafting: This is best on the face as it has excellent colour match.
  • Dermabrasion: It involves removing the upper layers of the skin with a special wire called burr or fraise. New skin grows in this area.

Treatment of problem scars done at Aesthetique are:
  • Hypertrophic Scars
  • Keloid Scars:This is a very common condition in our population.We see atleast 2 new cases each week.Most cases have to be treated conservatively.Surgery can often result in a worse scar.
The final results are usually seen at 1 year.
No scar can be removed completely but most can be improved. How much the scar improves will depend on the direction and size of the scar, the age of the person, the skin type and color, and hereditary factors that may affect the healing process.
Risks and problems:
  • Infection
  • Scar hypertrophy
  • Keloid Formation
  • Painful Scars

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