Scar Revision Surgery – Techniques
Scar revision surgery often produces the best results on severely scarred areas.
Depending on the kind of surgery your surgeon chooses, you will either be given local anesthesia with intravenous sedation or general anesthesia.
Layered closure is used when scar tissue to be treated is below the skin surface or in high-movement areas. Layers are closed from bottom-most layer to the top, with soluble or non-removal sutures used in each layer.
More advanced methods are also used sometimes, like complex flap closures or W- or Z-plasty techniques. Flap closures have the ability to reposition the scar to an inconspicuous lesser-movement requirement area and allow more flexibility of movement. This hides the scar effectively.
Another procedure that requires multiple surgeries but can work well on severe scars is tissue expansion. In this procedure, a tissue expander (a type of inflatable balloon) is placed under the skin close to the scar.
The expander is filled with sterile solution over time, which expands the healthy skin area. Once it expands to the desired amount, the expander is removed and the healthy expanded skin is placed over the scar.
It needs to be noted that while the scars can be made almost invisible, they do not go away completely.