Houston, Spring & The Woodlands Scar Revision Treatment
Scar Revision Surgery
The basic goal of scar revision is to diminish the appearance of unseemly scars that may also limit function and cause you pain. While complete restoration of the tissue is impossible, scar revision surgery can be incredibly beneficial to individuals who have limited function in, for example, the hand, due to a contracted scar.
About Scar Revision
Scar revision essentially replaces one scar for another. The procedure can be used to treat a number of scar types. Each of these scar types may require surgical approaches such as tissue flap, tissue expansion, shave excision, and so on. Dr. Cho will be able to discern which approach to take by examining your scar and location, as well as other factors.
Scar types that may respond to revision include:
- Keloid scars
- Hypertrophic scars
Hypertrophic scars are raised scars that do not grow beyond boundaries of injury, and may diminish over time. Contractures occur when scar tissue pulls the edges of the skin together, restricting the movement of the affected appendage. Keloids, on the other hand, appear as an abnormal proliferation of scar tissue that grows beyond the boundaries of the original injury.
Before Scar Revision
It is important that you keep in mind that you cannot regain your pre-injury appearance from scar revision. Dr. Cho will address this and other emotional aspects of the procedure before you go in for surgery.
During surgery, Dr. Cho will remove skin tissue from the scar in such a way that the size of the original scar is diminished. During the Z- and W-plasty, for example, he will make a Z-shaped incision so that the middle line runs along the scar tissue. The flaps of skin formed by the lines adjoining the middle line are then rotated, essentially repositioning the scar approximately 90 degrees.
With the W-plasty, the Dr. Cho minimizes the scar’s appearance by making the straight line of a scar irregular. In this case, he will make a series of incisions in a zigzag pattern over the line of the scar. Unlike the Z-plasty, the W-plasty does not involve the formation and repositioning of skin flaps. Both the Z- and W-plasty are often used to treat contractures.
After Scar Revision
After surgery care varies depending on the surgical approach used. More extensive surgeries like skin grafts and flaps will require a hospital stay. Minor surgeries involve the use of pain medication, rest, and wound and bandage care.
If you have questions about scar revision and how it may help you, please give us a call at (281) 404-5454. Dr. Cho welcomes your questions and is interested in addressing your concerns to assist you in your decision-making. Our office is located minutes from downtown Houston, the airport, as well as the surrounding Houston suburbs.