Scar revision is a treatment to reduce the appearance of scars, which are marks left on your skin after wounds heal.
The goal of scar revision is to help your scar more closely match the color and texture of your surrounding skin. But it won’t completely eliminate your scar. Scar revision is usually cosmetic, but sometimes, severe scars are painful or make it hard for your body to function.
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Anyone who has an unwanted scar may consider scar revision. Some common reasons for scarring include:
Some scars require layered closure. Layered closure is often used where excision extends to tissue below the skin surface or in areas with a high degree of movement. The first step, or layer, requires sub-dermal closure (below the skin surface) with absorbable or non-removable sutures. Layers of closure continue to build, concluding with closure of the remaining surface wound.
Advanced techniques in scar revision include complex flap closures and W-plasty or Z-plasty techniques. Flap closures may reposition a scar so that it is less conspicuous or improve flexibility where contracture has restricted mobility.
The initial healing phase of a surgical scar revision may include localized swelling, discoloration or discomfort and may take 1 to 2 weeks. Healing will continue for several weeks and as the new scar heals it will slowly refine and fade. The final results of your scar revision surgery will be long-lasting, however it may take several months for your final results to become apparent and in some cases it may take a year for the new scar to fully heal and fade.
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