The purpose of scar revision is to improve the appearance of unsightly facial/body scars, blemishes and moles. However, it is vital to remember that a scar cannot be completely removed and that the aim is to achieve a scar that is less conspicuous. There are a variety of methods available for scar revision. For superficial scars, a procedure called dermabrasion is often employed during which a diamond wheel is used to plane the scar, removing the top few layers of skin, so that it heals to a more even texture. Chemical peels provide a similar effect, whereby an acid solution is applied to the affected area and removes the first few layers of skin so that it can heal to a smoother texture. Peels are usually used on facial scarring, such as acne and chicken pox scars.

Simple scars usually don’t have any complications on removal. It is only the deeper scars that need to be tended to and hence should be removed with caution. Post operation, you will be prescribed some creams to help the skin tissues heal comfortably and without causing painful side effects. Also, most scar revisions are painless, so you shouldn’t be worried about that either. More complicated scars may be treated with either z-plasty or y-plasty, so called because of the shape of the incision made. During z-plasty or y-plasty the existing scar is removed and a new finer scar is created level with its surrounding tissue. The consultant will determine which of these procedures is most suitable having examined the scar(s).

Scar revision surgery is a procedure performed to improve the appearance of a scar, making it less noticeable or better aligned with the surrounding skin. The specific technique used for scar revision surgery may vary depending on the characteristics of the scar and the individual patient’s needs. Here is a general overview of the scar revision surgery procedure:


  1. Evaluation and planning: During the initial consultation, the surgeon will examine the scar and assess its characteristics, such as size, shape, thickness, and location. They will also discuss your desired outcome and expectations. Based on this evaluation, the surgeon will create a customized treatment plan.

  2. Anesthesia: Scar revision surgery can be performed under local anesthesia with sedation or general anesthesia, depending on the extent and complexity of the procedure. The surgeon will determine the appropriate type of anesthesia for your case.

  3. Incision and scar removal: The surgeon will make an incision to access the scarred area. The specific incision technique will depend on the type of scar and its location. The scar tissue will be carefully excised or removed.

  4. Closure and suturing: After removing the scar tissue, the surgeon will close the incision using sutures. The technique and type of sutures used will depend on the location, tension, and size of the incision. The goal is to create a clean and well-aligned closure to promote optimal healing.

  5. Dressings and post-operative care: The surgeon will apply appropriate dressings, such as surgical tape or adhesive strips, to support the incision site and protect it during the initial healing phase. They will provide specific instructions on how to care for the incision, including keeping it clean and dry, and may prescribe antibiotics or topical ointments to prevent infection.

  6. Recovery and follow-up: After the procedure, you will be given instructions on post-operative care and follow-up appointments. It is important to attend all scheduled appointments to monitor the healing process and address any concerns or questions you may have.

  7. Scar management: Following scar revision surgery, your surgeon may recommend scar management techniques to optimize the healing and appearance of the revised scar. This may include massaging the scar, applying silicone gel or sheets, using sunscreen to protect the scar from sun exposure, and following a healthy lifestyle to promote healing.

Preparing for scar revision surgery involves several important steps to ensure a smooth and successful procedure. Here are some common preparations you may need to make:


  1. Consultation with a surgeon: Schedule an initial consultation with a qualified plastic surgeon or dermatologic surgeon who specializes in scar revision. During this consultation, the surgeon will evaluate your scar, discuss your concerns and goals, and determine if you are a suitable candidate for scar revision surgery. They will provide personalized recommendations and explain the details of the procedure.

  2. Medical evaluation: Your surgeon will review your medical history and perform a physical examination to ensure you are in good overall health for the surgery. They may order additional tests or consultations with other healthcare professionals if necessary.

  3. Stop smoking and avoid certain medications: If you smoke, your surgeon will likely advise you to stop smoking for a certain period before and after the surgery. Smoking can impair the healing process and increase the risk of complications. Additionally, inform your surgeon about any medications, supplements, or herbal remedies you are currently taking, as some medications may need to be temporarily stopped before the surgery.

  4. Discuss expectations and realistic outcomes: It is important to have open and honest discussions with your surgeon about your expectations for the surgery. They will explain the potential outcomes and limitations of scar revision surgery based on your specific scar characteristics. Understanding what can realistically be achieved will help you have realistic expectations and be satisfied with the results.

  5. Follow pre-operative instructions: Your surgeon will provide specific instructions to follow before the surgery. This may include guidelines on eating and drinking restrictions prior to surgery, taking prescribed medications or supplements, and avoiding certain skincare products or treatments.

  6. Arrange for transportation and post-operative care: Scar revision surgery is typically performed as an outpatient procedure, but it is important to arrange for someone to drive you home after the surgery. Depending on the extent of the procedure and your individual circumstances, you may also need someone to assist you with daily activities during the initial recovery period.

  7. Plan for recovery: Before the surgery, make sure to have a comfortable and clean recovery area at home. Stock up on necessary supplies, such as dressings, bandages, and any prescribed medications. Prepare meals in advance or have easy-to-prepare meals available to minimize physical exertion during the recovery phase.

  8. Mental and emotional preparation: It is normal to have some anxiety or nervousness before any surgical procedure. Take time to mentally and emotionally prepare yourself by seeking support from loved ones, educating yourself about the procedure, and addressing any concerns or fears with your surgeon.

Remember to communicate openly with your surgeon and follow their instructions carefully to optimize your preparation for scar revision surgery. They will provide you with detailed guidelines specific to your case, ensuring a safe and successful surgical experience.

The recovery period following scar revision surgery is crucial for proper healing and achieving optimal results. Here are some key aspects of the recovery process:


  1. Dressings and wound care: Your surgeon will provide specific instructions on how to care for the surgical site. This may include keeping the area clean and dry, changing dressings as directed, and applying any prescribed ointments or medications. Follow these instructions diligently to minimize the risk of infection and promote proper healing.

  2. Pain management: Some discomfort, swelling, and bruising are normal after scar revision surgery. Your surgeon may prescribe pain medications or recommend over-the-counter pain relievers to manage any post-operative pain. Take medications as directed and report any severe or worsening pain to your surgeon.

  3. Physical activity and rest: It is important to balance rest and gentle movement during the recovery period. Avoid strenuous activities, heavy lifting, or anything that puts excessive strain on the surgical site. Follow your surgeon’s guidelines on when it is safe to gradually resume normal activities and exercise.

  4. Swelling and bruising: Swelling and bruising are common after surgery and will gradually subside over time. Applying cold compresses or ice packs as recommended by your surgeon can help reduce swelling and discomfort. Keeping your head elevated while resting or sleeping can also aid in minimizing swelling.

  5. Scar care: Your surgeon may provide instructions on scar care to promote optimal healing and minimize the appearance of the scar. This may include applying topical ointments, silicone gel or sheets, or using specific scar massage techniques. Follow these recommendations as directed to enhance the final result.

  6. Follow-up appointments: Attend all scheduled follow-up appointments with your surgeon to monitor your progress, evaluate the healing process, and address any concerns or questions you may have. Your surgeon will assess the surgical site, remove any sutures, and provide further guidance on scar management and long-term care.

  7. Patience and realistic expectations: It is important to have realistic expectations for the outcome of scar revision surgery. Understand that it takes time for the scar to fully mature and fade. Be patient and allow your body to heal at its own pace. Follow your surgeon’s instructions and communicate any concerns or unexpected changes in your recovery.

WHAT they say


Scar revision surgery is a procedure performed to improve the appearance of a scar. It aims to minimize the visibility of the scar, enhance its texture, and make it blend more naturally with the surrounding skin.

Scar revision surgery can be performed on various types of scars, including surgical scars, acne scars, traumatic scars, and burn scars. The specific techniques used will depend on the characteristics of the scar and the desired outcome.

Scar revision surgery is typically performed once the scar has matured and stabilized, which is usually several months after the initial injury or surgery. However, the timing can vary depending on individual factors and the surgeon’s recommendation.

Scar revision surgery may involve various techniques, including scar excision, tissue rearrangement, dermabrasion, laser resurfacing, and the use of injectable fillers. The specific technique used will depend on the type and characteristics of the scar.

Scar revision surgery aims to improve the appearance of the scar but may not completely remove it. The goal is to make the scar less noticeable and more aesthetically pleasing, blending it with the surrounding skin.

Scar revision surgery can be performed under local anesthesia with sedation or general anesthesia, depending on the extent and complexity of the procedure. Your surgeon will determine the appropriate anesthesia option for your case.

The recovery period can vary depending on the extent of the procedure and individual healing factors. Most patients can resume normal activities within a few days to weeks, but it may take several months for the full results to become apparent.

As with any surgical procedure, there are risks involved, such as infection, bleeding, scarring, and changes in sensation. However, complications are rare, especially when the procedure is performed by a qualified and experienced surgeon.

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