Scar Treatment Surgery

Surgery method

Trauma or any type of surgery often leaves scars on skin. This surgery helps remove unwanted scars. However, once scars are formed, they can be thinned through several times treatments but it is impossible to remove them completely. It is therefore appropriate that we call it scar revisions or scar corrections instead of scar removals.

The injury conditions can determine whether the scar is less noticeable or not after surgery. The result is affected by the depth, length, directions, position of the scar as well as physical constitutions complexly. Whether the damaged region is infected and whether it is treated right after injuries may have considerable effects.

As the question is about how your scars can be removed through the scar treatment surgery, you are advised to be informed of the revision effects and its limitations by consulting with a doctor before surgery.


W-plasty

  • W-shaped incision is made on scars to scatter pulling force on skin and change its shape so that the scar will appear less obvious. This method is frequently used to remove scars on forehead, temples, cheeks, and chin. W-shaped suture may be seen more obvious than scar, but as surgical scar gradually disappears, the original scar fades as well.

Z-plasty

  • Z-shaped incision is made on scar to relocate the surrounding tissue. It improves its condition by scattering pulling force on skin and changing the original shape of scar. This method removes scars on front neck, lips, eyelids, and armpits. Z-shaped suture may be seen more obvious than scar, but as surgical scar gradually disappears, the original scar fades as well.

Oval shaped incision

  • Oval shaped incision is made on scar including surrounding tissue to remove the entire scar, This method is generally used for small size scars or scars with the same texture as normal skin. Surgical scar may be seen immediately, but it becomes invisible along with original scar site.

Skin peeling treatment

  • Skin peeling treatment is commonly used to improve and smooth the texture of a region where the color of scars is relatively thin and spread widely. It is a treatment technique used to peel the scar tissue of the upper layer of the skin. As the skin regenerates in spite of peeling to some lengths of its tissue, scars can be improved in the process of reproducing a new skin by getting rid of skin texture along with scar tissues. Laser treatment is normally used to peel scars, however, another machine is applied for acne scars, as well. As using this treatment for a deep scar can cause to counter the effects, you need to check carefully with a doctor in advance.

Tissue expansion

  • Scars from severe trauma may restrict joint movement due to pulling force of skin. Tissue expansion improves such condition. This is a way of inserting expander under the normal skin around the scar. In order to expand the normal skin, it inserts saline solution at intervals of about 1~2 weeks. And it can improve the condition by covering the resected site with expanded skin and suturing.

Skin graft

  • It is mostly used to remove scars when motor disturbance occurs due to scars. It is also used for a cosmetic purpose in some limited cases. It can generate better results with an artificial dermis (AlloDerm).

Post-operative care

  • Apply ice pack frequently for 2~3 days after surgery. This will help reduce the swelling and pain.
  • Using bandages for scar prevention for 3~4 weeks after stitch removal helps prevent from formation of surgical scar.
  • Individuals with hypertrophic and Keloid condition must use silicone sheet for 1~2 months to prevent recurrence of scar.
  • Surgical site may appear red for 2~3 months and gradually disappears. We kindly suggest you to stay positive and patient through the recovery process.
  • You should apply UV sun block cream to the surgical site to prevent exposure to sun lights for about 6 months after surgery.
  • For the most effective results, operation may be divided into two sessions. Interval between each operation may take 3~4 months.