San Diego Cosmetic Surgeon Dr. Tom Pousti Talks About Scar Revision
Each person is unique and the way one person scars may be much different from the way another person may scar. Scar revision is performed after the body has had time to heal itself (usually 1 year or so after the initial trauma). Dr. Pousti will meet you at the initial consultation and let you know if a scar revision would be of benefit to you.
Types of Scars
Hypertrophic Scars: Often raised, thick, red and/or uncomfortable.
Hyper/Hypo-pigmented Scars: Hyper-pigmented (darker in color) or hypo-pigmented (lighter in color).
Keloid Scars: Generally much larger than hypertrophic scars and extend out further than the original wound.
Before/After Scar Revision (Keloid Scar)
Keloid scars can be treated with a series of injections of Kenalog. Kenalog is a steroid that can be injected into the scar to help improve it’s appearance. Another treatment option for scar revision, the most common one used, is by excision. Scar revision with this technique involves removing the previous scar by making small incisions on both sides of the site followed by closure of the wound. The result is a thin, less noticeable scar.
The Surgical Procedure
Scar revision can be performed in our office under local anesthetic or in the operating room under general anesthesia depending on the degree of the patient’s scar. When the scar revision is performed under local anesthesia they are able to go home soon after the procedure.
Tummy Tuck Post-Op
What To Expect After Surgery
Pain is usually relatively little, often being a degree of discomfort. Some swelling may occur depending on the complexity of the patient’s case. Rest as much as possible for the first week.
Resumption Of Physical Activities
Driving may be resumed as soon as patient is off medication. Patient may resume physical activities when instructed by Dr.Pousti. Generally the recovery time is very quick.