Surgical removal of scars. Scar excision: indications, methods and operation, rehabilitation Plastic surgery for scar removal

The saying that scars adorn a man has long lost its relevance. In fact, they do not adorn anyone, and often bring serious moral suffering to the owner and can cause psychological problems. Even if the scars are on the body and in everyday life they are covered by clothes, then appearing with such “decorations” on the beach is completely unpleasant. But scars are not a cosmetic defect that cannot be removed. "Leoklinik" offers surgical removal of scars, which will save you from scars on the skin of the face and body, on the arms or legs.

What are scars and why do they appear?

After cuts, abrasions, burns, voluminous boils, surgical interventions and various injuries, a wound forms on the skin. Then the process of regeneration (healing) begins, as a result of which the defect is replaced by connective scar tissue. Scar tissue is formed due to the extracellular matrix, it consists mainly of collagen, elastin, proteins, and other chemical compounds. The extracellular matrix can be conditionally compared to a gel in which a supramolecular complex is dissolved. When a wound is formed, the body begins to intensively synthesize this gel in order to “close the hole”.

The connective tissue formation is not identical to the normal skin - at the site of the scar, the tissue is coarser and denser, not elastic, it differs from the skin in color. In the connective scar tissue there are no nerve fibers, sebaceous glands and hair follicles.

The size of the scar depends on the location of the injury (localization), the depth of the wound, the person's immunity, age and race. For example, keloid scars are more likely to form in adolescents during puberty and in young people, since the skin at this age is more stretched, the body synthesizes a lot of collagen. There is also information that keloid scars in white-skinned people often appear on the face, chest and arms. In Asians, keloid scars on the chest are extremely rare. However, these observations have not yet been confirmed by scientific research - medicine does not know the gene that is responsible for the appearance of keloid scars.

Types of scars

Skin scars are divided into several types depending on the amount of connective tissue formation:

Scar treatment

Scars can cause physical and mental suffering. Sometimes an extensive scar unevenly tightens and disfigures the skin, causes neuralgia, and can limit motor activity if located in the area of ​​the flexor surface. But even if the scar is not a physical defect, it is still desirable to carry out treatment to reduce the cosmetic defect.

There are many treatments for scars:

Surgical removal of scars is a skin plasty. Surgical excision with linear closure and tissue plasty is used in combination with various procedures (drug injections, physiotherapy and hardware methods). After excision of the scar tissue, the defect is closed with a skin flap, the edges of the wound are mobilized at the level of the skin until full mobility. As a result, after stitching at the site of the scar, the tissues are not retracted, and hypertrophied outgrowths are not formed. Surgical scar removal is effective even with irregularly shaped stellate and linear scars. To close the defect, we use the most sparing methods - if possible, we mobilize neighboring tissues or take skin flaps from areas that are covered by hair or clothing. The tactics of treatment in each case is chosen individually and discussed with the patient.

What scars can be surgically removed?

Scars are removed surgically:

• formed after cuts and wounds;
• after surgical operations (including caesarean section);
• after burns.

When should scars be removed?

A scar is easier to prevent than to treat. Therefore, in case of injury, it is advisable to contact our clinic as soon as possible.

Do not wait until rough old scars form on your body - contact Leoklinik. We will choose the optimal method of treatment. And if the scar has already appeared and the scarring process has ended, then surgical removal will be required. But in any case, you should not put up with such defects - our doctors will return your skin to its original appearance or make the scar less noticeable.

The appearance of various kinds of scars and scars is a normal protective reaction of our body to various injuries. However, at the same time, they often cause great discomfort and represent a significant cosmetic defect. Fortunately, today this can be dealt with in various ways. Surgical removal of the scar is used already in extreme cases, when it is not possible to remove the scar in other ways.

Plastic surgery to remove scars

The way in which the scar will be corrected depends on its type. Allocate:

• atrophic (a dent forms on the surface of the skin);
• normotrophic (in the form of thin white lines);
• hypertrophic (elevations above the skin);
• keloids (pink or purple, raised above the skin, may itch or hurt, and eventually grow).

Most often, a keloid scar is removed surgically, since a laser or other methods cannot always cope with large scars of this type.

Thus, due to the large area of ​​the lesion, surgery may be the only method by which it is possible to remove red scars, as well as some hypertrophic scars.

Types of surgical methods

Depending on the degree of skin damage, the extent and localization of the defect, the following methods of surgical treatment can be used:

• excision of scars
• Z-plasty,
• W-plastic,
• skin graft,
• patchwork plastic.

Excision involves the removal of scar tissue, after which the edges of the skin are carefully sewn together. As you can see in the photo, a small scar remains on the skin, compared to the original version.

Z-plasty is a surgical removal of scars, in which the direction of the scar is corrected so that it more closely matches the natural lines and folds of the skin. However, it is not possible to fight in this way with all scars.

W-plasty is a method of scar correction similar to the previous method, in which small segments of the skin are excised, after which the opposite patches are sutured, and a scar in the form of teeth remains on the affected area.

Skin grafting is considered a major procedure in plastic surgery. To do this, the scar is completely excised, and donor skin is transplanted in its place. As a rule, this method is used for damage to large areas of the skin, for example, with burns.

A flap operation is a complex process when, in addition to the skin, subcutaneous fatty tissue, blood vessels, and sometimes muscles move from a healthy area to a damaged one. Reviews indicate that the cosmetic result is usually far from ideal, since the shreds may differ in color in different areas of the skin.

rehabilitation period

Surgical removal of scars involves a long rehabilitation period after surgery. It is important at this time to follow the recommendations of the doctor. He may prescribe the use of cold compresses to reduce pain, the use of various gels and ointments for faster healing. It is also necessary to avoid loads that affect the damaged area.

Be prepared that in any case, you will not be able to completely get rid of scars. However, you can significantly reduce them and make them almost invisible.

Surgical removal of scars, the price of which depends on the area and depth of the skin lesion, may be needed in various cases. Childbirth, injuries, burns - no one is safe from getting a scar. The main thing is to start acting in time. Remember, the best chance of getting rid of the scar as much as possible even before its final formation.

Scars are formations of connective tissue that form on the skin after healing of wounds of traumatic or surgical origin. Scars stand out against the background of healthy skin, in addition, there are no hair follicles in the scarring area, and accordingly, hair does not grow there.

Removal of scars and scars is a very popular procedure, since such a cosmetic, and in some cases functional, skin defect becomes a huge problem for its owner. First of all, a psychological problem, when a person is embarrassed by his own body and face, feels like an outcast, cannot lead a full-fledged lifestyle.

Scar removal can be carried out in different ways, the choice of method of exposure depends on the characteristics and location, the presence or absence of functional disorders due to a defect, and of course, on the wishes of the patient himself.

Detailed information about the removal of scars and scars in the clinic KLAZKO

To date, it is possible to remove scars and scars of various types:

• atrophic (sagging) - resembling retracted stripes in appearance (for example, stretch marks, post-acne scars);
• normotrophic - rather thin and pale scars;
• hypertrophic (towering) - rough and dark in color, which is explained by the production of collagen that does not have time to resolve, which eventually accumulates and leads to the formation of such a defect. Usually in this case, surgical removal of scars by excision is required;
• keloid - having a purple or pink hue, rising above the surface of the skin. Such formations can itch and hurt. The most annoying thing is that they can also grow.

Scar plasty is an operation that is aimed at excising scar formations on the skin. This technique is one of the most effective when it comes to old, rough and large scars. Based on practice, the removal of postoperative scars or formations of traumatic origin by the method of surgical plastic surgery does not completely eliminate the defect on the skin, but makes it much less noticeable. So, as a result of the operation performed on the removal of scars on the body, instead of a conspicuous large, rough scar, a thin, linear and barely noticeable seam remains, which over time can become almost invisible.

Doctors can also use scar contouring, which is used in the presence of atrophic scar tissue. In this case, special injections of a biodegradable gel are performed, which, pushing out the scar, equalizes it with the surface of the skin.

How is surgical removal of scars on the face and body performed?

Scar excision can be performed under general or local anesthesia. During the operation, the doctor excises the cicatricial formation and cuts out the scar in such a way as to match the edges of the wound. Next, the surgeon applies a cosmetic suture, which is removed after 3-4 days. Scar plasty allows you to match the edges of the wound as much as possible, while obtaining a thin, straight and in many cases almost invisible suture. Postoperative rehabilitation takes 2-4 days. To speed up healing and improve the aesthetics of the seam, the doctor may recommend a course of physio- and cosmetic procedures.

Removal of scars and scars by the surgical method, if the formations are quite extensive, in addition to excision, also includes autotransplantation, that is, the transplantation of a healthy tissue flap from any part of the body to the place of the scar formation.
Klazko's doctors remove postoperative scars, scars resulting from burns, gunshot wounds, domestic and other injuries. Modern medicine allows you to completely eliminate or minimize such an aesthetic defect as scars.

Surgical excision of scars (scar plasty) in Klazko clinics is performed by experienced doctors, the estimated price of such an operation is from 7,000 thousand rubles per 1 square cm. The exact cost can be named only after an examination by a doctor who will analyze the structure, size and other features of the formation, after which he will inform about possible correction options.

Removal of scars and scars using laser technology

Laser exposure during treatment destroys collagen fibers, while stimulating the production of fibroblasts - cells that produce collagen. As a result, due to the intensive production of new collagen, the scar is smoothed out, gradually comparing with the surface of healthy skin.

Removal of scars with a laser does not damage the surrounding tissues, has no side effects, does not require rehabilitation and suturing. This technology allows you to remove scar formations, including in delicate areas, for example, in the eyelids.

Removing scars on the face and body with a laser, unlike surgical plastic surgery, requires several procedures, usually 4-5 sessions are needed to achieve a stable significant result.
The cost of laser scar removal in Klazko clinics is from 490 rubles per square centimeter. The exact price can be called only after the doctor will examine and assess the condition and features of the surface in need of correction.

Scar removal for maximum efficiency is performed in combination with other procedures, such as dermabrasion, mesotherapy, peeling. The doctor may also prescribe physiotherapy and special muscle gymnastics.

If you want to know in more detail how plastic surgery of scars on the face and body is done, what are the indications and contraindications for the procedure, what is the estimated cost of its implementation, call Klazko or ask your question using the online form. The exact price of scar removal, as well as the possibility and necessity of plastic surgery or laser treatment in your case, can only be known after a personal examination by a doctor.

You can find out the most complete information by phone or by asking a question on the website.

A scar or scar is a dense connective tissue that develops in the process of healing deep damage to the skin or mucous membrane after mechanical, thermal or chemical influences, as well as due to inflammation or after surgery.

Scar formation is the body's natural response to injury due to a universal healing mechanism. With a favorable course of the wound process, as a rule, normotrophic scars. Such scars become practically invisible over time, they do not change the relief of the skin surface, have a slightly lighter color, but close to normal skin, and are moderately elastic.

How is a scar formed?

In violation of the normal processes of wound healing, for example, due to various injuries with extensive skin damage, infection of the wound, in the absence of adequate comparison of the edges of the wound, in areas prone to pathological scarring (decollete, upper back, deltoid region), hereditary predisposition, features of the immune system organisms are formed pathological scars. These include:

• Hypo- or atrophic scars- retracted relatively healthy skin, as a rule, stretched scars with a defect in the underlying base.
• Hypertrophic scars- protruding above the surface of healthy skin, but not beyond the damaged area.
• Keloid scars are tumor-like growths of a red-bluish color, strongly protruding beyond the initial damage. As a rule, they are accompanied by painful sensations and itching, they represent a significant problem for their owner due to uncontrolled growth in the absence of therapy and a tendency to relapse. Keloid scars can be located anywhere on the body, but the favorite localization of such scars is the décolleté, upper back, outer surface of the shoulders, and upper lip.

Although scars are the body's miraculous ability to heal, they remain for life, sometimes creating cosmetic and functional defects.

Surgical correction of scars

Surgical correction of scars is carried out by excision of the scar tissue with or without local tissues, followed by the application of a cosmetic suture.

Laser resurfacing of scars and scars

Laser treatment of scars (polishing)- most often used to treat hypo-, normo- and hypertrophic facial scars. An ablative laser (CO2, erbium) forms an “ideal wound” with even edges and a smooth surface, creating favorable conditions for healing. The skin at the site of resurfacing is leveled, a close-to-natural skin structure is recreated. Depending on the number (single or multiple scars), as well as their severity, total or fractional resurfacing can be used.

Collostotherapy

Gel Collost is a high-tech biological material, namely, collagen of the first type with a completely preserved structure. It is used to correct retracted (hypotrophic) scars. The drug immediately after administration creates the missing volume, and also activates tissue regeneration in the affected area, triggering the formation of new collagen fibers and improving the quality of the newly formed tissue (greater fiber ordering, greater elasticity).

Scar correction with Collost usually achieves the desired effect immediately after the first procedure. The drug itself undergoes gradual resorption in the tissues, but due to the stimulation of collagenogenesis, the introduced collagen is gradually replaced by the body's own collagen.

Intrascar injection of diprospan.

A highly effective method for the treatment of convex (hypertrophic, keloid) scars. Diprospan has a pronounced inhibition of scar growth processes, and also causes atrophy (reduction) of already formed excess tissue. That is, the protruding dense scar gradually “sags”, becomes soft. In the case of protruding postoperative scars in scar areas (décolleté, upper back, outer surface of the shoulders, upper lip) - this is often the only possible method.
The drug is administered vnutrikrubtsovo in a very small dose, and therefore does not have a general effect on the body. It is entered with a frequency of 1 time per month. Usually 2-4 injections are enough to achieve the full effect (flattening of the scar to the level of the surrounding skin).
Recently, for the correction of hypertrophic scars, intra-cicatricial injections of small doses of botulinum toxin are used in some cases - it causes relaxation and greater softness of the scar.

What result can be expected?

It should be understood that it is not possible to completely get rid of the scar, but it is possible to make it almost invisible. An integrated approach in the form of surgical correction, proper care of the p / o wound, laser exposure to the scar tissue, drug therapy with the introduction of drugs into the scar tissue if indicated, wearing silicone patches and pressure bandages today are effective and reasonable methods in the treatment of pathological scars.

Do you have any questions?

For questions or for a free consultation with a surgeon, please call:

Anesthesia

A surgical or cosmetic method that allows you to smooth out or make less noticeable scars and scars that have arisen as a result of operations, burns, incisions, tears, and skin diseases. Such defects are formed due to the replacement of elastin fibers by fibrous tissue. It is impossible to get rid of these defects completely, but it is possible to significantly reduce their severity. As a result, scars and scars become almost invisible.

Correction of scars and scars in the clinic "Kivach"

In the Kivach clinic, the removal of scars and scars is carried out by two methods:

• surgical excision;
• laser removal.

The method is chosen depending on the nature of the scar, its size and severity.

The clinic's plastic surgeons recommend undergoing the "Cleansing the body" program before the operation. This normalizes the physiological balance and minimizes the possible risks of complications during the operation and during the recovery period.

After surgery, patients are offered comprehensive programs to accelerate the healing of postoperative wounds and reduce swelling. These programs allow to reduce the rehabilitation period by an average of 2 times.

Check out our programs

Indications

• Post-acne (sequelae of acne).
• Normotrophic, atrophic, hypertrophic, keloid scars.
• Postoperative, post-burn and post-traumatic scars and scars.
• Stretch marks (striae).
• Uneven excessive pigmentation (melasma).

results

• Elimination of post-acne. Smooth, even, well-groomed skin.
• Maximum scar coverage. Scars become almost invisible and imperceptible to the touch.
• Reducing the size and visibility of stretch marks.
• Alignment of the relief and shade of the skin area relative to the surrounding tissues.

About the operation

Operation duration: depending on the complexity and size of the scar, varies from 20 to 40 minutes. The duration may be extended for medical reasons.

The duration of the rehabilitation period: from several days to 2 weeks.

Effect: becomes noticeable after 1-2 weeks; the final can be assessed after 3-6 months.

Where applicable

Scar removal technique

The method of correction of scars and scars is selected individually, depending on their type, location and characteristics.

Surgical excision is preceded by a number of laboratory and instrumental studies.

Download our checklist to find out what tests you need to take.

Download

With laser correction, research is not required.

Laser removal of scars and scars (polishing)

The method is designed for more "young" scars and scars that do not affect the deeper layers of the skin. The laser correction procedure, as a rule, does not require prior anesthesia. In case of treatment of the face or high sensitivity of the patient, local or application anesthesia is used.

The treatment is carried out with a non-contact laser beam, which is directed to the scar tissue with the help of a tip. Under the action of radiation, the surface layers of scar tissue evaporate. The laser acts pointwise, so neighboring areas of the skin are not affected.

After 3-5 days after the operation, a dry crust will appear at the treatment site, which will fall off by itself in 7-14 days. During this period, direct sunlight should be avoided, the site of exposure should be treated with a drug that has a healing effect.

Several sessions may be needed to achieve the desired effect.

The older and deeper the scar, the more difficult it is to remove. Surgical excision is used for large scars and scars that "hook" the deep layers of the skin. This is the most effective way to get rid of such defects.

The operation is performed under local or general anesthesia, depending on the size of the scar, its age and depth. Using a scalpel, the surgeon cuts out the scar, and neatly sews its edges together.

After tissue healing, an almost imperceptible thin pale line remains at the site of the scar or scar. The final effect can be assessed after 6 months.

During the consultation, the plastic surgeon of the clinic will listen to your wishes, conduct an examination, prescribe additional examinations if necessary, and offer the best correction methods for you.

Contraindications

• Diabetes mellitus in the stage of decompensation.
• Blood diseases, clotting disorders.
• Epilepsy.
• Diseases in the zone of planned impact - dermatitis, eczema, psoriasis, herpes, etc.
• Exacerbation of chronic diseases, acute inflammatory and infectious processes.
• The use of retinoids and photosensitizing drugs that increase susceptibility to ultraviolet light.
• Recent chemical or other peeling.
• Pregnancy, lactation.

Question answer

1. When can the result be evaluated?

1. The result of correction of scars or scars with a laser becomes noticeable after the first procedure. For small scars, 1 session is enough. In some cases, a course may be required - up to 10 sessions. It all depends on the depth, area and prescription of the scar.

2. With regard to surgical excision, the result can be assessed 3-6 months after the operation. That is how much time it will take to form a new, even, neat seam.

2. What result to expect?
3. • The scars are reduced in size, become light and almost invisible.
   • The process of skin regeneration starts.
   • The skin relief is corrected.
   • Foreign particles are removed.
   • With the help of excision, the scar can be moved to a zone hidden from the eyes.

   Unfortunately, it will not be possible to completely get rid of the scar, but instead of a rough scar, a barely noticeable, even and light seam will remain.

4. Is the operation safe?

The operation is relatively safe. Laser removal can be performed without anesthesia. Surgical excision, depending on the characteristics of the scar, is performed under local or general anesthesia (anesthesia).

5. How to prepare for the operation?

The scar must be formed. For this, it is necessary that after its occurrence, from 6 months to 1 year has passed.

No special preparation is needed for laser scar correction; only a doctor's examination.

In the case of surgical excision, the patient undergoes an examination and passes the tests prescribed by the doctor.

• 14 days before the operation, it is advisable to give up smoking and alcohol.
• Before the operation - a hygienic shower.
6. What is the duration of the rehabilitation period?

7. The recovery period is not long. With the surgical method, a cosmetic suture is applied, which dissolves after 7-10 days. With the laser method, a crust forms at the treatment site, which will fall off on its own. The formation of a new skin in the affected area lasts 2-3 months, depending on the individual characteristics of the body.

   • Within 3-4 days after the operation - do not allow water to enter (if the procedure was carried out with a laser, this restriction can be ignored).
   • Within 7 days after the operation - do not use cosmetics and care products in the affected area.
   • For 2-3 weeks after surgery, avoid UV rays.

   The patients of the clinic are offered comprehensive programs of restorative procedures that accelerate tissue regeneration. These procedures can reduce the rehabilitation period by an average of 2 times.

8. Are complications possible?

When removing scars and scars, complications rarely develop. Swelling, redness of the skin, crusting are possible. All unpleasant symptoms disappear on their own after 7-10 days. To minimize the risk of complications, it is recommended to use the Body Cleansing program before the operation.

9. What guarantees the success of the operation?
10. • Certified plastic surgeons.
    • Compliance with medical standards.
    • Passing the program "Cleansing the body" before the operation minimizes the risk of complications.
    • The passage of any of the comprehensive programs after the operation will shorten the rehabilitation period.

The cost of the operation does not include the cost of anesthesia

Correction of scars and scars