Plastic surgery to fix a scar you have in order to repair changes in the healing of a wound in any part of the body, by a cut, a burn, or by a previous surgery such as a caesarean section or appendectomy, for example.
The goal of this surgery is to correct defects in skin, such as irregularities in texture, size or color, providing skin a more uniform, and is only carried out in scars or more serious when other types of aesthetic treatments do not work, such as use of plates of silicon, radiation therapy or pulsed light, for example. Find out what are the treatment options for scar before the surgery.
The price of the surgery to fix the scar varies between approximately R$ 2 thousand and R$ 5 thousand reais, and in Europe it costs between 500 and 2000 Euros. However the amount is very variable according to the technique used and the medical team performing the procedure, should contact the team responsible to know the best information.
How is the surgery
The procedure performed to remove the scar depends on the type, size, location and severity of the scar, and is chosen by the plastic surgeon according to the needs and the trend of healing of each person, and may use techniques that use cuts, removal or reorientation of parts of the skin affected.
Types of surgery
- Z-plasty is the most popular for the revision of scars;
- A half Z-Plasty when the skin adjacent one of the sides of the scar is elastic and the other does not;
- Z-plasty four-flap (the flap the Limberg): it is particularly interesting for the release of contractures with scarring severe that tie up or restrict the flexion of normal or at or burned;
- Z-plasty their plan: it is suitable for flat areas, and the triangle of the z-plasty and placed as a graft;
- S-plasty for the treatment of scars, contracted oval;
- W-plasty: to improve linear scars irregular;
- Geometric lines broken: to convert a linear scar on a long scar irregular at random to be made less visible;
- V-Y advancement and type V-Y: in cases of small scars sustained
- Subcision and filling: For scars retracted and sunken that require filling with fat or acid hyaluronic;
- Dermabrasion Is the oldest technique and may be done manually or with machine.
For the realization of the surgical procedure, the doctor may order some blood tests pre-op. As in any surgery, is orientated to the fasting of 8 hours, and the type of anesthesia performed depends on the procedure that will be done, and may be local, with sedation light or general.
In some cases, a single procedure is sufficient to ensure satisfactory results, however, in more complicated cases, it may be recommended to repeat or conduct new treatments.
How is the recovery
After the surgery, may be noticed the swelling and redness of the site, therefore, the result of the procedure begins to be seen only after a few weeks, and total healing can take months and up to 1 year to complete. In the recovery period, it is recommended:
- Avoid intense exercises;
- Do not expose yourself excessively to the sun for 30 days;
- Never forget to use sunscreen, even after complete healing;=
In addition, to assist in a healing ideal after this surgery so that the scar comes back ugly, the doctor may recommend other topical treatments how to apply plates of silicone, pass ointments wound healing, or make the dressings and compression, for example. Learn what are the main care is recommended after any plastic surgery to facilitate recovery.
Who can do the surgery
The surgical correction of the scar is indicated by the plastic surgeon in situations of defects in the formation of scar, which can be:
- Keloidwhich is a scar-hardened, growth above normal due to a large production of collagen, and may exhibit itching, and redness;
- A hypertrophic scar, which is also a scar is thickened, due to the disordering of the collagen fibers, which may be darker or lighter than the surrounding skin;
- Scar retraction or contracture, causes an approximation of the surrounding skin, very common in c-sections, abdominoplasties, or due to a burn, hindering the movement of the skin and the joints nearby;
- An enlarged scar, is a scar shallow and loose, with a surface lower than that of the skin;
- Scar discrômica, which causes a change in the color of the skin, and can be lighter or darker than the surrounding skin;
- Scar atrophic, in which the scar is deeper than the relief of the surrounding skin, very common in personal injury and acne scars.
The aim of the surgery is to improve the appearance and standardizing the skin, not always ensuring the complete erasure of the scar, and the results may vary according to the skin of each person.
Other treatment options for scar
Other possible treatments, and are recommended as first choice before doing the surgery, are:
1. Aesthetic treatment
There are a variety of techniques, such as chemical peeling, microdermabrasion, laser, radio frequency, ultrasound or procedure, that are very useful to improve the appearance of scars that are lighter, such as pimples, or to standardize the color of the skin.
These treatments can be done by a plastic surgeon or dermatologist in situations that are more mild, however, in cases of scars bigger and more difficult to treat, may not be effective, and one should opt for other treatments or surgery. See, in more detail, some of these options aesthetic treatment to improve the appearance of the scar.
The best known are:
- Chemical Peeling
- CO2 Laser
- Radio frequency
2. Treatment with tapes and ointments
It is done with the placement of plates, silicone, tapes or bandages of compression, indicated by the dermatologist or plastic surgeon, that can be used for weeks to months. It can also be targeted massage with special products that help to reduce the thickening, fibrosis, or change the color of the scar.
3. Treatment injectable
To improve the appearance of depressed scars, or atrophic, can be injected substances, such as hyaluronic acid or polymethylmethacrylate, underneath the scar to fill out the skin and make it more smooth. The effect of this treatment may be more temporary or lasting, depending on the type of material used and of the conditions of the scar.
Already in hypertrophic scars, can be made to the injection of corticosteroids to decrease collagen formation, reducing the size and thickness of the scar.