Scar revision surgery refers to a group of procedures that are done to partially remove scar tissue following surgery or injury, or to make the scar/s less noticeable. The specific procedure that is performed depends on the type of scar; its cause, location, and size, and the characteristics of the patient’s skin.
There are three different stages of a scar:
- Inflammation. This phase begins right after the injury and lasts until the wound is closed. It is the body’s way of preventing infection, because a wound is not sterile until it is covered by a new outer layer of skin.
- Transitional repair. Scar tissue is formed during this phase to hold the wound together. The length of this phase depends on the severity of the injury.
- Maturation. This phase usually begins about seven to 12 weeks after the injury occurs. It is also the phase in which problem scars appear. Under normal conditions, a repair process takes place in which the development of new skin is combined with breaking down the scar tissue that was formed in the second phase of healing. A problem scar is likely to develop when the repair process is interrupted or disturbed.
Dr Pillay will go over some thorough details once you have come out of surgery.
The initial healing phase of a surgical scar revision may include localized swelling, discoloration or discomfort and may take 1 to 2 weeks of healing. Healing will continue for several weeks and as the new scar heals it will slowly refine and fade.
Most patients can return to work on the third day after surgery. The most important aspect of long-term aftercare is protecting the affected area from the sun because the surgical scar will take about a year to mature and is only about 80% as strong as undamaged skin. Sunlight can cause burns, permanent redness, loss of pigment in the skin, and breakdown of the collagen that maintains the elasticity of the skin.