Scars are visible signs that remain after a wound has healed. They are unavoidable results of injury or surgery, and their development can be unpredictable. Poor healing may contribute to scars that are obvious, unsightly or disfiguring. Even a wound that heals well can result in a scar that affects your appearance. But if you want to remove these marks from your skin, then visit Dr Barnouti at Sydney Plastic Surgery, specialist of scar revision.
What is the difference between a hypertrophic scar and a Keloid?
There is a whole range of scars but at the poor end there is the hypertrophic scar which occurs when the wound heals to become red, raised and itchy for a few months but will then resolve to become flat and pale. A keloid is similar but the scar continues to grow encroaching upon normal tissue and may need specific treatment.
These are difficult scars to treat. They require careful assessment and conservative approach. The easiest to treat are earlobe keloids which sometimes appear after piercing and often require multimodality treatments in the form of steroid, intralesional excision and ear lobe clips. Radiation is another form of keloid treatment but usually reserved as a last resort.
Hypertrophic scars are very similar to keloid scars since both tend to be thick, red, and raised. Hypertrophic scars usually stay around edges of the original incision or wound. The surgeon will remove excess scar tissue, and may reposition the incision so that it heals in a less visible manner. This surgery may be done under local or general anaesthesia, depending on the scar’s location and what you and your surgeon decide is the best course of action.
Your expectations need to be realistic. Your scar may look worse at first but this is only natural and the final results of your surgery may not be apparent for 6-12 months.
Patients usually go home the same day and return back to Dr Barnouti one week after surgery for wound check. The second postoperative visit is 6 weeks after.
Cost of Scar revision starts from $490.
See photos and videos of Scar Revision at Sydney Plastic Surgery by Dr Barnouti.