Whether it develops after surgery or as a result of an accident, the formation of permission – scarring cannot be predicted in advance. The development of a scar depends on your body’s ability to heal after an injury.

Many variables such as the size of the wound, its depth, the amount of blood flow to that area, skin color and thickness, and the direction of the injury affect the degree of scarring. In addition, how much discomfort is experienced from scarring also varies from person to person.

If the scar tissue cannot be completely destroyed, your plastic surgeon will make the scar less visible with a surgical intervention or by injecting steroids.

If you are considering having a scar revision, you should be informed about the main types of scars, treatment procedures and the results that can be achieved. But you should also know that the result to be achieved largely depends on your personal characteristics.

1- Decision making…

Most of the scars are large and bad-looking at the beginning, but they may become less noticeable over time. Some can be treated with steroids to relieve symptoms such as itching and tenderness. For these reasons, plastic surgeons usually recommend waiting at least 1 year or more before deciding on a scar revusion.

If you have a complaint about scarring, you should first be consulted by a specialist plastic surgeon. Your surgeon will examine you and tell you about the various methods that will treat sissi, their risks and the result that can be achieved. Be open with your surgeon about discussing your expectations, and if you have any questions or doubts, tell them without hesitation. Your health insurance will usually not cover this type of revusion surgery.

Although scar revisions are usually safe, there is always the possibility of developing complications such as infection, bleeding, reaction to anesthesia, or unwanted scar formation again.

By choosing a specialist plastic surgeon and fully complying with his recommendations before and after surgery, you can reduce the likelihood of these risks.

2- Keloid Scars…

Keloid is a thick, wrinkled, itchy scar tissue that extends beyond the wound boundaries. It is often red or darker in color, often relative to 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 is usually seen all over the body, it is more localized in places such as the chest cage, earlobes, over the sternum, scalp.It is more common in light-skinned people compared to blacks.

Keloid is usually treated by injecting steroids into the scar tissue. This method relieves complaints such as redness, itching, burning and pain. In some patients, it also allows the scar to shrink.

If steroid treatment is insufficient, the scar tissue can be reduced provided that it is incised from within its own borders. This is an application performed under local anesthesia and does not require hospitalization. you can return to work within 1-2 days, your stitches will be taken after 1 week. 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 way that is bigger than the revenge. For this reason, your surgeon may choose combined methods such as steroid injection or radiation therapy along with surgical removal. He can even recommend printed dressing methods that should continue for about 1 year.

2- Hypertrophic scar…

Hypertrophic scarring is often confused with keloid. They are red , fluffy itchy lesions, but always remain within the original wound boundaries. With steroid application or injection, they can gain a very good appearance in about 1 year.

If conservative treatment is not sufficient, surgical excision may be considered. Depending on the size of the scar, this application can be performed under general or local anesthesia. Steroid therapy can be combined with surgery and steroid administration may be required for about 1 year or more.

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.

Treatment of contracture may often require a back graft(patch) or flap application. In some cases, Z-plasty or tissue expander methods may be used. Sometimes it may also be necessary to have physical therapy after surgery to ensure full function.

5- Scars on the face…

Due to their location, scars on the face, whether hypertrophic or not, always create aesthetic problems. There are various methods to make scars on the face less visible. They are often cut and stitched with fine suture. If these scars cut and cross the natural lines on the face at a certain angle, they are made parallel with Z-plasty. Some scars on the face are made less visible by the dermabrasion method. This gives a softer and fresher look to the face, but it does not completely erase this sacredness.

6- After the scar revision…

It is very important that you completely follow the recommendations of your surgeon in order for the recovery to be appropriate and desirable after this procedure. What you should keep in mind during the recovery period is whether it will heal well depends on its size, orientation, the quality of your skin, and how long you follow the recommendations.

Turkey Medicals Co-ordinator, “After the operation, you may experience a worse appearance than before, but this is not a situation that requires you to panic, it will look very good in about 1 year.”



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President of Organ Transplant Center at MedicalPark Hospital Antalya

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.


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.


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.


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.
Medically Reviewed by Professor Doctor Alper Demirbaş
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