Scar Revision Cincinnati
One of the most common questions patients ask is “will there be scars following my surgery”. Any surgery which requires incisions will leave permanent scars. Initially red and slightly raised, scars take 1-2 years to fully mature and fade to white. Many factors affect the quality of the final scar. Most important is the patient’s genetic ability to heal without excessive scarring or discoloration.
Other factors such as trauma, type of closure, and location of scar will also affect the final result. Many products are available to improve scarring. The most effective and least expensive way to improve healing is to tape over the scar and leave it on at all times during the healing process. The tape constantly pushes on the scar causing the scar to flatten and thin out. Massage of the scar also helps healing but one would need to massage a great deal to have any effect. Other products claim to reduce scarring but effectiveness is very hard to prove scientifically.
Some lasers and other treatments such as microdermabrasion can also improve scars. Don’t worry if you are unhappy with a scar as most scars can be improved with scar revision. Scar revision involves removing the old scar and resuturing the tissue in multiple layers. All of the sutures are placed under the skin to prevent railroad track type scarring. Steri strips or dermabond glue is placed over the incision to seal off the wound and keep it sterile. Sutures placed under the skin do not need to be removed and will simply dissolve over the next 6 months.
Most scar revisions can be performed in the office under local anesthesia. Fees for scar revision depend on the length of the scar and the complexity of the repair. Some scar revisions may be covered by insurance if certain criteria are met.