Correction of scars
Scars are of various origins. They are formed in places where the continuity of skin has been interrupted regardless of the fact whether it is a consequence of the traumatic injury or surgical intervention. Wounds healing may develop per primam when the edges of a wound are closed surgically or per secundam when the accrued defect closes spontaneously, growing new tissue to abridge the wound and joins its edges.
Beside this, final appearance of scars depends on individual inherited ability of forming scar tissue. Sometimes, scars are thin, soft at skin level and, if they are positioned well, they are not esthetic problems. In some cases the body reacts to sub dermal reabsorbed stitches, to tissue trauma itself, creating unpleasant hypertrophy scars that appear above the skin and their base is always wider than the top, and in the most serious cases the formation of unpleasant, keloid scars occur that grow as a cauliflower above the level of the skin. Due to the localization of scars, they may be painful and even to cause functional problems accompanying esthetic ones.
Each scar requires a different treatment. They are removed applying surgical excision and then handling tissue non-traumatically, using thinner suture, positioning the scar correctly related to the stretching skin power as well as positioning the scar in the area where it is not visible or in certain natural skin fold, try to make it less visible and esthetically acceptable.
Keloid scars represent a bigger problem and they most frequently leave even more unpleasant scar tissue after repeated surgical intervention. The effort to remove them again includes direct postoperative injection of corticosteroid substance if the body is expected to react in the spot of intervention. Continual application of silicone plates in the longer time interval may decrease or possibly level it with surface of the skin.
During immediate postoperative course, our surgeons will certainly suggest various crèmes that accelerate maturation of scar tissue and enable it to regain esthetically acceptable form.
