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Postoperative scar revision is a procedure performed in plastic surgery with the aim of improving the appearance of any scar on various parts of the human body. Scars can present various deformities, such as discoloration, surface irregularities, as well as more distinct forms like hypertrophic or keloid scars. A plastic surgeon can aesthetically improve these problematic areas either with surgical intervention or with various other treatments.
Hypertrophic scars are large concentrations of scar tissue that develop directly in the area of the wound. They are usually raised, red, and may or may not cause discomfort, and there is a possibility that they may increase in width over time. Their color varies and they can appear either hyperpigmented (very dark) or hypopigmented (very faded).
Keloids are larger than hypertrophic scars. They can cause pain, itching, and often present with wrinkles in the area of the skin lesion. They extend beyond the boundaries of the wound or the initial surgical incision. Keloids can be found anywhere on the body, but usually form in areas where subcutaneous tissues are limited, such as the face, neck, ears, shoulders, and chest.
Scar contracture is a pathological condition in which the skin and underlying tissues create a simultaneous pull during healing. Scar contracture usually occurs in cases where there has been significant tissue loss (skin and deeper tissues). Such conditions arise after burns or when a scar forms over a body joint, thus restricting the movement of the joint, such as fingers, elbows, shoulders, knees, or neck.
Depending on the type of damage that has occurred, the plastic surgeon will recommend the appropriate treatment with surgical or other techniques to improve the problem and achieve the best possible aesthetic result.