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Scar Revision

Southbank plastic surgery centre offers a wide range of skin treatments to help you make the changes you want to yourskin, all under the guidance of our expert surgeon Mr Brett Archer MBBS, FRACS

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Scar Revision

Some people expect Plastic Surgeons to have some kind of “magic technique” to perform surgery without scars, or to be able to “get rid of scars”
Sadly, not true. Our techniques aim to give the best scar possible by positioning the scar in the optimal place/alignment, and using careful tissue handling, appropriate sutures and dressings, and post-operative scar advice. Unfortunately, patient genetics and some locations on the body may lead to less than optimal scarring, and occasionally poor, or hypertrophic scarring (thick scars) and rarely, even keloid scarring (thick itchy scars that spread beyond the area of incision).

If scars are developing or have developed problems such as itchy/raised/thickened, then we may be able to help matters with a range of options that may include pressure taping, silicone taping, cortisone injections, and sometimes a revision of the scar may be advised.

If you’re considering plastic surgery, you may expect magical techniques from me to be able to perform surgery without scars. You may even expect that I will be able to get rid of scars altogether.

I am sorry to say, sadly this is not true. Our techniques aim to give the best scar possible by positioning the scar in the optimal place/alignment, and using careful tissue handling, appropriate sutures and dressings, and post-operative scar advice.

Unfortunately, patient genetics and some locations on the body may lead to less than optimal scarring. This can occasionally lead to poor, or hypertrophic scarring (thick scars) and rarely, even keloid scarring (thick itchy scars that spread beyond the area of incision).

Scars may have a poor appearance. But there are many other impacts than the physical appearance. A scar can impact on your confidence, resulting in self-consciousness. A bad scar can also be affected by pain, restricted movement, itching and inflammation.

But there are things we can do if scars are developing in a less than desired way. If scars are emerging or have developed problems such as being itchy, raised and/or thickened, then we may be able to help matters with a range of options. These can include pressure taping, silicone taping, cortisone injections, and sometimes a revision of the scar may be advised.

Surgery for scar revision can be done as a day case for smaller scars. More extensive scar revision may need a trip to hospital. While it is unlikely scar revision will result in the skin returning to its original state before the scar appeared, there are surgical procedures that can improve the look and feel of a scar that has healed poorly.

During our consultation, no matter which procedure you choose, we will discuss the scars that will result. This will ensure that you are fully aware of the scars that will be present following the procedure. The presence of scars may impact your decision to undergo your chosen procedure.

I make sure my patients are happy with their results and I will not let you go through with a procedure unless you are happy and confirm your understanding of the scarring involved.

If you do have a problem scar develop, contact the Southbank Plastic Surgery Centre for a consultation to discuss the urgency of the scar revision and the possibility of non-surgical and surgical procedures to minimise poor scar formation.

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