Scars are the aftermath of our skin’s biological healing process of wound repair. It can occur from an injury, trauma, disease, surgery or even acne. Scars are a very common and stubborn problem to reduce or remove. They are made up of discoloured necrosed tissue and are oft shiny or smooth with no hair follicles and sweat glands.

Scar revision therapy is a cosmetic treatment that considerably reduces the appearance of scars. Various treatments can be used in combination to achieve optimum results. However, it is to be noted that scars can’t be 100% reversed.

At Tamira, we offer a variety of treatments to treat the different types of scars.

Acne scar correction

Laser scar correction:

This is a non-surgical procedure that uses the technique of lasers or intense pulsing lasers. Laser scar correction works by heating the skin along with the option to penetrate deeper into the dermal layers. The heat stimulates the production of collagen along with resurfacing the epidermis. It can also be used in combination with PRP/vampire facelift for better results. Laser technology emits stronger rays and may require a topical gel to minimize discomfort. Laser scar correction results in clearer, tighter, smoother skin which enhances a youthful appearance.

The treatment may cause some irritation, redness, tenderness and bruising which usually disappear within a week. There is no downtime involved. Avoiding sun exposure is advisable and using sun protection of 30+ SPF is recommended. No makeup is to be worn prior-treatment or post-treatment. Scars are not 100% reversible*.

Surgical scar correction:

Surgical scar correction is performed using different excision techniques to reduce scar tissue while simultaneously inducing repair and the production of collagen. This treatment diminishes scars noticeably and results in clearer, smoother skin. this procedure may cause redness, irritation, scarring (keloids), tenderness and bruising. Avoiding sun exposure is advisable and using sun protection of 30+ SPF is recommended. No makeup is to be worn prior-treatment or post-treatment. There may be downtime depending on the surface area of the procedure. Scars are not 100% reversible*.

Chemical peel:

A chemical peel treatment that reduces uneven skin tone, skin texture, acne scars, dull skin and spots. It essentially comprises of AHA (glycolic/lactic acid) or BHA (salicylic acid) which potently exfoliates the epidermal or superficial layer of the skin. This treatment results in clear, even-toned, smooth, bright and glowing skin.
A chemical peel may cause redness, tenderness and irritation. No makeup or products with acids (AHA/BHA/PHA) except humectants prior-treatment or post-treatment. Avoiding sun exposure is advisable and using sun protection of 30+ SPF is recommended. There is no downtime and the procedure is typically performed within 1 to 2 hr.

Surgical scar correction

Pre-procedural prep

Expectations – during the consultancy, the patient is prompted to express their desired expectations with the surgeon and discuss its possibilities. Scars can be considerably reduced, however, they are not 100% reversible*.

Medical history – the physician will ask the patient about their past-medical history as well as family history to ensure that they are eligible to undergo the surgery. Patients with blood disorders are advised not to undergo this procedure as they are at higher risk.

Photography – a professional will take before and after pictures in different angles to record the change made due to the procedure.

Smoking – the patient is strictly advised to avoid smoking a week before the procedure as it can affect the surgery and healing process.

Medications – after reviewing the patient’s medical history, the physician may ask the patient to stop consumption of certain medicines. They include – aspirin, immunosuppressants, anti-inflammatory medicine, herbal capsules, blood thinners and other anti-coagulants.

Care – the patient may be asked to arrange for driven transport as they may not be able to drive post-surgery. It is also advisable to have someone at home to help a few days during recovery.

Procedure

Surgical excision:
This method involves the removal of impaired tissue using a scalpel or medical scissors. Once the desired results are obtained, the wound is closed using sutures.

Shave excision:
This technique includes removing a protruding lesion. It aids in levelling the scar along with the rest of the skin. Shave excision is oft performed on hypertrophic or keloid scars. They are also combined with other methods for optimal results. Once the desired results are obtained, the wound is closed using sutures.

Punch excision:
This method consists of using an instrument called a ‘punch’ to remove a circular section containing all layers of the lesion. It is often utilized for acne scars, ice-pick scars and boxcar scars, where the subdermal regions are affected. Once the desired results are obtained, the wound is closed using one or two sutures.

Surgical scar correction is performed using a suitable excision technique to reduce scar tissue while simultaneously inducing repair and the production of collagen. This treatment diminishes scars noticeably and results in clearer, smoother skin.

Risks & recovery

Downtime – there may be minimal downtime depending on the surface area treated and the technique used.
Activities – Swimming, gymming or any strenuous exercise should be avoided until prompted by the surgeon.
Scarring – depending on the technique used, there may be visible scarring. This procedure may also worsen scarring for patients with keloids.
Sensation – there may be partial loss of sensation after complete healing. This can cause temporary or permanent numbness around the treated area.
General risks – surgical procedures may cause redness, bruising, bleeding, scarring and infection.
Rest – the patient is advised to take ample rest to promote fast healing.
Smoking – the patient is strictly advised to avoid smoking for up to two weeks post-treatment. Smoking can interfere with blood flow and can cause problems with healing.
Alcohol – the patient is advised to avoid alcohol consumption for a few days as it can counteract with medications prescribed for aftercare.
Medicines – the surgeon may prescribe painkillers, scar treatment and antibiotics. They can be a combination of tablets as well as topical treatments. These medicines need to be used promptly as prescribed by the physician.
Makeup – no makeup is to be worn prior-treatment or post-treatment until prompted. However, makeup can be used to conceal any prolonged bruising and scars post-recovery.
Sun protection – patients are advised to avoid sun exposure and are encouraged to use sun protection of 30+ SPF.

Burn scar correction

Laser treatment:

This is a non-surgical procedure that uses the technique of lasers or intense pulsing lasers. Laser treatment works by heating the skin along with the option to penetrate deeper into the dermal layers and de-pigmenting the skin from within. The heat stimulates the production of collagen along with resurfacing the epidermis. Laser technology emits stronger rays and may require a topical gel to minimize discomfort. IPL treatment results in clearer, even-toned, tighter, smoother skin which enhances a youthful appearance. This treatment is effective on first to third-degree burn scars.

The treatment may cause some irritation, redness, tenderness and bruising which usually disappear within a week. There is no downtime involved. Avoiding sun exposure is advisable and using sun protection of 30+ SPF is recommended. No makeup is to be worn prior-treatment or post-treatment.

Surgical treatment:

Surgical scar correction is performed using different excision techniques to reduce scar tissue while simultaneously inducing repair and the production of collagen. This treatment diminishes scars noticeably and results in clearer, smoother skin. this procedure may cause redness, irritation, scarring (keloids), tenderness and bruising. Avoiding sun exposure is advisable and using sun protection of 30+ SPF is recommended. No makeup is to be worn prior-treatment or post-treatment. There may be downtime depending on the surface area of the procedure. This treatment option is very effective for any degree of burns and is the only treatment option for severe third and fourth-degree burn scars. Scars are not 100% reversible*.

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Tamira Plastic Surgery

No. 18, Gopalapuram 1st St, Gopalapuram, Chennai, Tamil Nadu 600086