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scar revision surgery in Iran

scar revision surgery in Iran

Scar Revision Surgery in Iran

What is Scar Revision Surgery?

Scar revision surgery in Iran is essentially an operation to improve the cosmetic appearance of a scar. In rare cases, scars may be painful or overly sensitive and scar revision surgery in Iran is also indicated in these circumstances.

Scar revision in Iran is a range of treatments that can remove the top layers of skin in order to reduce the appearance of scars. Treatments usually take between 30 minutes and an hour and are performed as a day-case procedure.

When skin has been injured the body initially reacts with bleeding which when clotted binds the wound together to prepare for longer term healing of the area. Over the initial weeks the body produces fibrous tissue known as scar tissue which in many cases looks very different from the surrounding skin.

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In many cases, our bodies remodel this scar tissue over several months to look similar to the skin. However, in some cases the scar may widen or thicken and in others may remain a very different colour.

Unfortunately, there is no reliable way of predicting how scars are going to heal. The normal healing process of the skin follows the same process irrespective of the initial injury which may be due to:

. Previous surgeries

. Burns

. Lacerations

In cases where scars are a cosmetic problem, our experienced plastics team can offer scar revision surgery.

What are the four main types of scars?

. Hypertrophic scars: These are red scars that rise above the skin. They do not spread beyond the spot where the injury occurred. Possible treatments include steroid injections and laser surgery.

. Keloids: These scars jut out from the skin and spread beyond the spot where the injury occurred. They are caused by the overproduction of certain cells. Over time, keloids may affect mobility (ability to move). Possible treatments include surgery, laser surgery, radiation, or steroid injections. Smaller keloids can be removed with cryotherapy (freezing therapy using liquid nitrogen). You can also prevent keloids by using pressure treatment, silicone gel. Keloids are more common in darker skin types, specifically people of African or Asian descent.

. Contracture scars: These scars typically occur after the skin is burned. They cause tightening (contracting) of the skin that can reduce the ability to move. This type of scar can go into muscles and nerves.

. Acne scars: Any type of acne can leave behind scars. There are many types of acne scars, and they can be shallow or quite deep. Treatment depends on the type of scars.

Treatment

  1. Post-traumatic scars: the typical facial scar originating from accident, disease or surgery usually only requires a simple surgical revision, re-positioning of tissues (to match natural facial lines and contours) and careful approximation. For superficial post-traumatic scars, acne scars and stretch marks, microneedling therapy (Dermapen), laser treatment, TCA skin peel, dermabrasion or fat grafting, may provide satisfactory softening and improvement.
  2. Burn scars: burns often destroy larger sections of skin and cause it to heal in a puckered manner (contracture). Surgery involves excising the scar tissue entirely (if possible). Skin flaps, composed of adjacent healthy unscarred skin, are lifted and moved to form a new incision line. Where flaps are not possible, expanders or skin grafts may be used.
  3. Keloid scars: keloids are a result of the skin's overproduction of collagen after a wound has healed. These scars overgrows the original wound, and look like exaggerated scars, raised above the skin. Surgery involves the removal of the hard fibrous collagen within the scar, and then closing of the skin. Following the procedure, the scar needs monitoring for signs of keloid recurrence, as preventative measures can be implemented (pressure treatments, silicone gel pads, and steroid injections).
  4. Hypertrophic scars: raised hypertrophic scars do not extend beyond the boundaries of the original wound as seen in keloid scars, but because of their thick texture, can be unsightly and restrict movement of underlying muscles. The excess scar tissue is removed, re-positioned, and made to heal in a less-visible fashion.
  5. Atrophic scars: sunken fibrotic scars represent the opposite of a hypertrophic scar. These scars can range from slightly depressed to completely indented, with reduced soft-tissue substance and occasional adhesion to deeper tissues. This type of scar generally responds well to surgical release combined with fat transfer.

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What are possible treatments for scars?

. Over-the-counter or prescription creams, ointments, or gels: These products may reduce scars that are caused by surgical incisions (cuts) or other injuries or wounds. If you are under the care of a dermatologist or plastic surgeon, ask your doctor for recommendations. Treatment options include corticosteroids or antihistamine creams (if your scars are sensitive and cause itching). Your doctor may also recommend intralesional steroid injections, pressure dressings, or silicone gel sheeting to prevent acne scars and to help treat existing scars.

. Surgery: There are many options under this category, including skin grafts, excision (removal), or laser surgery. When looking into surgery, discuss with your doctor whether you will have local anesthesia with an oral sedative, or general anesthesia. If you’ve recently had plastic, cosmetic, or other surgery that has caused your scars, it is best to wait at least one year before making a decision about scar removal treatment. Many scars fade and become less noticeable over time.

. Injections: In the case of protruding scars such as keloids or hypertrophic scars, your doctor may choose to use steroid injections to flatten the scars. Such injections can be used as a stand-alone treatment, or in combination with other treatments.

. Laser surgery: Vascular (blood vessel)-specific lasers may be used to lighten flat or raised scars that are pink to purple in color. Vascular laser treatment may also help flatten raised scars. A carbon dioxide ablative laser can also be used to treat different types of scars.

Who are the good candidates for scar revision?

Scar revision can benefit any person with functional and aesthetic concerns related to facial scarring - independent of age or skin type. Procedures are performed in local anesthesia or with intravenous sedation (TIVA). Due to the extensive number of scar types, the choice of revision is best reached in consultation. The most satisfactory results are usually achieved by combining treatments.

Before treatment

At a pre-operative assessment clinic, our expert plastic surgeons will carefully listen to your concerns and examine the nature of your scar in question. This will include the size, shape, orientation and location of the scar as well as the colour and texture of the surrounding skin. This will enable the most appropriate surgical technique to be planned.

Depending on the exact nature of the scar being revised, these procedures are normally performed under local anaesthetic rather than general anaesthesia.

Our patients are at the heart of what we do and we want you to be in control of your care. To us, that means you can choose the consultant you want to see and when you want. They’ll be with you every step of the way: from giving advice at your first consultation, through to offering on-going support after your surgery.

All of our cosmetic surgeons are of the highest calibre and benefit from working in our modern, well equipped hospitals. A cosmetic surgeon’s reputation, qualifications and experience are vitally important, so we only work with consultant grade specialists. These are highly experienced consultants who have completed years of medical training.

During the procedure

Treatment options can range from surgery to steroid injections or laser therapy. Almost all procedures are done under local anaesthetic, to numb the area and block pain during treatment. Surgery can be done to remove excess or raised scar tissue. Sometimes, surgery can reposition the scar so it heals in a less visible way by following the natural contours of your skin. Surgery can also be used to release contractures – scar tissue that pulls or restricts the surrounding skin. Alternatively, laser therapy or corticosteroid injections can be used to flatten scar tissue or reduce and soften the appearance of some keloid and hypertrophic scars.

If your consultant determines that surgery is the best option for you, they will make a number of small cuts on both sides of the scar site creating a V-shape which reorients the scar so it is less noticeable. The wound is stitched and dressed after the operation. Stitches are usually removed after three to four days for the face and five to seven days for other parts of your body. Stitches that dissolve themselves are often used on your body.

After the procedure

You should be able to go home right after your appointment. If you've had stitches, your consultant will let you know when they should be removed. And they'll let you know if you need any follow-up appointments. The area treated may be swollen or painful for a few days after treatment. Your consultant will let you know how to care for the area while it heals. It may take several months for scar tissue to settle and the results of your treatment to be fully visible.

In the vast majority of cases scars are not able to be eliminated to the human eye altogether. However, with a combination of careful planning and surgical skill, scar revision surgery can significantly improve the appearance of many scars.

To get the best possible results, your specialist will cover your wound with the most appropriate taping and dressings and wound coverings will be removed at the optimum time following surgery. You may be asked to massage the new surgical scar with specialised cream as it remodels.

You should rest at home for a couple of days before returning to work.

You should also avoid activities that might put tension or pressure on the area that has been operated on.

Don’t expose yourself to the sun for several months after treatment and use sunblock or a bandage to stop it from permanently tanning the healing surgical scar.

10 common questions about scar revision surgery in Iran

1What is a scar revision surgery?
Scar revision. To use the sharing features on this page, please enable JavaScript. Scar revision is surgery to improve or reduce the appearance of scars. It also restores function, and corrects skin changes (disfigurement) caused by an injury, wound, poor healing, or previous surgery.
2How long does scar revision surgery take?
The initial healing phase of a surgical scar revision may include localized swelling, discoloration or discomfort and may take 1 to 2 weeks.
3Is scar revision surgery covered by insurance?
Although health insurance typically does not cover cosmetic surgery procedures, if scar revision is performed to minimize scarring from an injury or to improve your ability to function, it may be at least partially covered
4Does scar revision surgery work?
SUMMARY. Scar revision does not erase a scar but helps to make it less noticeable and more acceptable. Both surgical and non surgical techniques can be used for revising a scar. Occurrence of post-operative complications and unsightly scars can be minimised by meticulous planning, sound technique and experience.
5Is scar revision painful?
However, scars can often be itchy, painful, tight or thick, limiting your movement. That's when scar revision treatment can help. In addition to improving the appearance of a scar, revision treatment can reduce pain and make the surrounding skin softer and more elastic.
6Can you get scar removal on NHS?
Scars can't be removed completely, but they can often be made less visible. Your GP may refer you to a dermatologist (skin specialist) or a plastic surgeon for treatment. Some treatments, such as laser therapy, aren't widely available on the NHS, so you'll need to pay for them privately.
7Will raised scar flatten?
Generally, hypertrophic scars don't cause complications. They usually fade and flatten over time, even without treatment. Keloid scars are different. They can grow and feel uncomfortable
8Can you remove a scar with surgery?
Treatments include surgery to remove the scar, steroid injections, or silicone sheets to flatten the scar. ... You can also prevent keloid formation by using pressure treatment or gel pads with silicone when you are injured. Keloid scars are most common among people with dark skin. Contracture scars
9What is scar revision plastic surgery?
Scar revision surgery will attempt to minimize a scar so that it is less conspicuous and blends in with the surrounding skin tone and texture. Scars are visible signs that remain after a wound has healed. They are the unavoidable results of injury or surgery, and their development can be unpredictable.
10What is Laser scar revision?
About Scar Revision Laser scar revision is an effective method for treating a wide range of scars that improves skin texture and pigment as well as functional aspects. For acne and some surgical scars (see also Acne Scars Treatment), fractional skin resurfacing can effectively treat textural and pigment concerns

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