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SCAR CORRECTION AESTHETICS OF SCAR REVISION
Wounds that develop due to surgery, accidents or other reasons heal in a watch. Many variables, such as the size of the wound, its depth, the bleeding of that area, skin color and thickness, and the direction of the injury, affect the distinctness of the permit. Scar correction aesthetics with aesthetic surgery techniques can bring these scars to a shape that will attract the least attention, even if it cannot completely eliminate them.
Wound healing depends on various factors and physiologically takes up to 6 months. For this period, there are also various changes in the scar. Initially, all scars are red and puffy, fade and collapse within weeks, and become less noticeable. For this reason, it may be necessary to wait at least 6 months or 1 year before deciding on scar correction aesthetics.
Scar correction aesthetics is usually performed under local anesthesia. As with all surgical procedures, there is possibility of complications such as infection, bleeding, unwanted scar formation or reaction to anesthesia, although rare.
1- Simple tracks…
Due to the settlements, scars on the face always pose problems aesthetically. However, scars on other parts of the body also cause discomfort. There are various methods to make these scars less noticeable. Often, the existing bad scar is removed and closed with fine aesthetic stitches. Sometimes a mark in an area that attracts attention can be hidden by moving it into anatomical folds, where it will be less noticeable with aesthetic techniques, for example, the rim line or forehead wrinkle lines. Puffy, irregular and wide scars are made less visible by the dermabrasion method.
2- Hypertrophic scarring…
Hypertrophic scarring is often confused with keloid. They are red , puffy itchy scars, but always remain inside the original wound boundaries. It usually occurs at the tip of the chin, the heads of the shoulders and in the middle of both breasts. With massages with various creams, steroid application or injection, they can gain a very good appearance in about 1 year. If conservative treatment is not sufficient, scar correction aesthetics is planned. Depending on the size of the scar, this application can be performed under local or general anesthesia.
3- Keloid scar…
Keloid is a thick, reddened, itchy scar tissue that extends far beyond the wound boundaries. It is usually red or brown, often depending on the surrounding skin. It develops during the wound healing process depending on the fact that collagen synthesis does not stop for a certain period of time and continues.
Although it usually occurs all over the body, it is more common in the rib cage, earlobes, and in the middle of both breasts.
Keloid scarring is usually treated by injecting steroids into the neb tissue. This method relieves complaints such as redness, itching, burning and pain. In some patients, it also allows permission to collapse.
If steroid treatment is insufficient, the scar can be reduced, provided that it is removed from its own borders. This is an application performed under local anesthesia and does not require hospitalization. It may be necessary to apply a skin patch on very large keloids.
No matter which method is applied, keloids tend to repeat stubbornly. Sometimes they can re-form in a larger way than before. For this reason, combined methods such as steroid injection or radiotherapy application along with scar correction aesthetics can be chosen. Even printed dressing methods can be recommended, which should continue for about 1 year.
4- Contractures and adhesions…
Burns and other injuries lead to extensive skin losses, contractures occur with the contraction of the wound edges towards each other in such an injury. It also affects the muscle and tendon structures adjacent to this contracture, leading to movement restrictions.
Contracture correction aesthetics may often require a back graft (patch) or flap application (tissue shift). In some cases, aesthetic surgery methods such as Z-plasty or tissue expander may be used. Sometimes it may also be necessary to have physical therapy after plastic surgery to ensure full function.
It is very important that the recommendations are fully followed in order for the recovery after scar correction aesthetics to be appropriate and desirable. what should not be taken out of mind during the recovery period is that a worse appearance than the previous one may be encountered in the early period after scar correction aesthetics. the scar will look much better in 6 months – 1 year.
Op.Dr.
Aesthetic plastic and reconstructive surgery specialist
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Turkey's world-renowned organ transplant specialist. Dr. Demirbaş has 104 international publications and 102 national publications.
Physician's Resume:
Born on August 7, 1963 in Çorum, Prof. Dr. Alper Demirbaş has been continuing his work as the President of MedicalPark Antalya Hospital Organ Transplantation Center since 2008.
Prof. who performed the first tissue incompatible kidney transplant in Turkey, the first blood type incompatible kidney transplant, the first kidney-pancreas transplant program and the first cadaveric donor and live donor liver transplant in Antalya. Dr. As of August 2016, Alper Demirbaş has performed 4900 kidney transplants, 500 liver transplants and 95 pancreas transplants.
In addition to being the chairman of 6 national congresses, he has also been an invited speaker at 12 international and 65 national scientific congresses. Dr. Alper Demirbaş was married and the father of 1 girl and 1 boy.
Awards:
Eczacibasi Medical Award of 2002, Akdeniz University Service Award of 2005, Izder Medical Man of the Year Award of 2006, BÖHAK Medical Man of the Year Award of 2007, Sabah Mediterranean Newspaper Scientist of the Year Award of 2007, ANTIKAD Scientist of the Year Award of 2009, Social Ethics Association Award of 2010, Işık University Medical Man of the Year Award of 2015, VTV Antalya's Brand Value Award of 2015.
Certificates:
Doctor of Medicine Degree Hacettepe University Faculty of Medicine Ankara, General Surgeon Ministry of Health Turkey EKFMG (0-477-343-8), University of Miami School of Medicine Member of Multiple Organ Transplant, ASTS Multiorgan Transplant Scholarship. Lecturer at Kyoto University. Lecturer at University of Essen, Research assistant at the University of Cambridge .
Professional Members:
American Society of Transplant Surgeons, American Transplantation Society Nominated, Middle East and Southern Africa Council Transplantation Society 2007, International Liver Transplantation Association, Turkish Transplantation Association, Turkish Society of Surgery, Turkish Hepatobiliary Surgery Association.
Disclaimer:
Our website contents consist of articles approved by our Web and Medical Editorial Board with the contributions of our physicians. Our contents are prepared only for informational purposes for public benefit. Be sure to consult your doctor for diagnosis and treatment.