Once the skin has been stretched sufficiently, the expander and the scar is removed and the stretched skin is moved to replace the scar tissue. Each segment should have length between 3 and 7 mm. Scars exposed to retinoic acid are typically less irritated, less elevated, and softer. Williams and Wilkins; Collagen injections can be introduced into areas of depressed scar to elevate the skin and make the area less noticeable. Scar revision using ablative lasers can cause pigment alteration and scar deterioration from overaggressive treatment. A prospective blinded placebo controlled study.
Facial Scar Revision
Understanding Facial Scar Treatment When the skin is injured from a cut or tear the body heals by forming scar tissue. For this reason ie, to avoid constricting the dermal and subdermal blood supply , the authors recommend that the suture be singular and encompass only the epidermal layer. It is important to understand that there is no way to remove scars completely. As much as possible, advance the remaining triangle of tissue into the wound in a V-Y advancement maneuver, thereby effectively shortening the overall length of the wound see images below. In the images below, two different possible Z-plasty configurations are demonstrated in revising a scar that traverses the nasolabial fold. To ensure the best possible result, it is important for you to follow your surgeon's after care recommendations exactly. Often overlooked is the importance of antitension skin taping, performed after epidermal closure.
AAFPRS - Facial Scar Revision Treatment
Camila K Janniger, MD is a member of the following medical societies: This size discrepancy ensures that the number of outer and inner triangular flaps is the same. In this instance, a horizontal mattress suture is placed midway through the full thickness of the flap, and then, by placing the suture at a corresponding similar level, the angulated tip is advanced into the wound. Steri-Strips or other easily applied tape can be applied to decrease the tension across the wound.
Description: The extreme importance of using atraumatic tissue technique during any revision procedure cannot be overemphasized. Understanding the Surgery The various surgical techniques for scar revision are designed to make the scar as smooth and invisible as possible. Damp sponges maximize wound margin hydration, an important point in revision procedures that are time-intensive or use geometric configurations that are more likely to be injured eg, delicate margins in geometric broken line closure [GBLC]. In fact, before epidermal closure, the wound margins already should be nearly completely apposed by well-placed subcutaneous sutures. The following describes the technique of Z-plasty and covers the usefulness and construction of the classic, multiple, and adjunct Z-plasties.