Trauma and surgery may cause unsightly scars. In order to combat this the EA Clinic offer a number of different treatment options that may dramatically improve their appearance.
Scar Revision Treatments
The treatment option will be discussed with your doctor and depend on the scar location, size and characteristics. It will also depend on your reasons for having treatment in the first place, i.e. is your scar causing you distress because of its appearance.
We offer three main treatments:
Steroid treatment: An injectable steroid, Triamcinolone is used. It is a quick treatment usually of a 5-15 minute duration once the diagnosis and treatment options have been discussed.
We use small amounts of steroid injections on repeated occasions to reduce or flatten mature scars (Scars which are older than 12months), usually 6 weeks apart.
It is also used in the treatment of keloid scars and after 4 to 6 sessions, 4 weeks apart, should produce satisfying results. The keloids on the whole flatten and symptoms such as tenderness and itchiness reduce or disappear. The darkness of the keloid may reduce.
Surgical scar revision: This technique is used to reposition or reduce the size of the scar. The techniques we use include excision and direct skin closure is the surgical removal of the scar out and closure of the skin with stitches to create a more cosmetically appealing scar.
Excision and realignment is the surgical removal of the scar and a change of direction in order to make the scar lie in the body’s natural relaxed skin tension line. On occasion those with transverse self harm scars on the arm will opt for a long longitudinal scar which has different social connotations.
Laser skin resurfacing: The Pixel Laser is effective in treating acne scarring and pitted scars. It uses heat to remove the very top layer of your skin, stimulating the growth of healthy new skin.
Different scars require different treatments. A few common scars include:
- Burn scars.
- Keloid scars
- Hypertrophic scars, unlike keloids, do not grow out of the boundaries of the scar area, but because of their thick, raised texture, can be unsightly.
Facial scars can be unattractive simply because of where they appear on the face, while others affect facial expressions.
All surgical possibilities will be discussed in the initial consultation along with risks involved for each type of scarring.
The goal of facial scar treatment is to disguise the scar, relocate it, or minimize its prominence.
Important factors to be discussed with your surgeon include:
- Skin type and color
- Ethnic background
- Individual healing rates
Different types of scars respond to different surgery techniques. A person considering facial scar revision must understand that there is no way to remove scars completely.
We usually advise against any scar revision in cases where the scar is less than a year old.
Because scars are highly individualistic and the patient’s attitude toward scars is so personal, maximum improvement in facial scars may require more than one procedure. More than one technique may be employed.
Following is a general description of the surgery. Remember, each patient’s individual needs and features are considered before surgery.
Laser resurfacing is method a doctor uses to make “rough or elevated” scars less prominent by removing part of the upper layers of skin with an abrading tool or laser light. Clearly, the scar will remain, but it will be smoother and less visible.
Keloid or hypertrophic scars are often treated first with injections of steroids to reduce size. If this is not satisfactory, the scars can be removed surgically, and the incisions closed with fine stitches, often resulting in less prominent scars.
There is minimal downtime with Pixel laser or steroid treatment, however you may need to rest up for a day or two after surgical scar excision.
What is scar revision all about?
Scar revision refers to the procedure undertaken for the reduction or removal of scars on the skin so that they are even in tone with the rest of the body.
What kinds of procedures are involved in scar revisions?
Since scars can be of various types, the scar revision techniques could involve topical treatments, injections and surface treatments. The topical treatments include gels, lotions and other similar medications which help heal the scars and prevent further discolorations. In case of deep scars, steroid based injections may be used as fillers. Alternatively, surgical methods such as Dermabrasion, skin peels, grafting and laser therapies are practiced to change the texture, remove pigmentation, and even irregularities by removing the upper layer of the skin in the scarred area.
What to consider when opting for a scar revision treatment?
Before opting for a scar revision, the location of the scar, skin type, impairments if any or the possibilities of any functional impairment, the type of procedure that might be required, and other concerns must be clarified with the doctor. The patient must be prepared with what to expect when heading for the treatment.
What type of scars can be treated through scar revision?
Burn marks, discolorations, irregularities, keloids, contractures, hypertropic scars etc. are some common scar types which can be successfully treated through scar revision.
How to prepare for the treatment?
In order to prepare oneself for the scar revision treatment, a patient must get the necessary tests performed, take medications if any advised by the doctor concerned, do away with alcohol, cigarettes and anti-inflammatory drugs.
What is the best approach to post-treatment care?
The post-treatment care may again vary from individual to individual. The surgeon shall give necessary suggestions to patients with respect to their health conditions, like medications to continue with, sunscreens, physical therapies etc. Patients with connective tissue ailment or vitamin deficiencies may be advised to not smoke and avoid direct sunlight to prevent healing complexities.
What are the risks of scar revision?
Scar revision risks may include allergies, bleeding, infections, discoloration, change in skin sensation, pain, recurrence of scars, and so on.
Is there any specific age limit for scar revision treatments?
There is no specific age for a scar revision treatment and the patient can be of any age group.
Is scar revision permanent?
Mostly, scar revisions are known to be permanent, however due to careless or improper care certain scars such as keloids may recur.
How long can the recovery take?
Though some effects of the treatment can be seen in less than a month’s time, it may take up to a year for the scars to fully recover.
Will the procedure need to be repeated?
Since scars differ in their properties and textures, not all scars get treated in the first attempt and may require a repetition of the procedure.
Are there insurance coverages available for such a treatment?
Generally, aesthetic treatments are not covered by insurances. However, the patient may still contact the insurance providers and see if the treatment can get fully or partially covered by insurance.