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Scar Revision in Sacramento

Scar-RevisionWhat is scar revision?
Scar revision is a procedure recommended by Dr. Roy Semlacher to his patients in Sacramento to change the appearance of an existing scar. During the body’s natural healing processes, scars are often created in order to replace damaged or lost skin tissues. This fibrous tissue replacement can develop on any area of the body following an injury, and they can be lumpy, or flat, or pigmented, or sunken. Improving the appearance of a scar can ultimately restore normal functionality to the affected part of the body, as well as enhance the patient’s overall physical appearance.

What are the different types of scars and how can scar revision help treat them?

  1. Keloid scars are thick and irregular clusters of scar tissue that develop on the site of injury, and often extend beyond the edges of the wound itself. These scars are noticeably darker in color than the surrounding skin and could develop a long time after the injury was incurred. Scar revision for keloid scars includes the use of the following:
    • Cryotherapy to freeze off the scar using certain types of medication
    • Pressure therapy is the application of a steady force over the area of the scar to improve its appearance
    • Steroid injections administered directly into the scar tissue are believed to help reduce the size of keloid scars
    • If a keloid scar proves to be unresponsive to these types of conventional treatments, surgery could be used to remove the scar. Skin grafting is often used in conjunction with this method to replace missing skin tissue.
    • Laser surgery can be used to smooth out a keloid scar, flatten it and lighten the pigmentation to improve its appearance.
  2. Hypertrophic scars are like keloid scars, but they only grow within the boundaries the original injury. They also begin to develop a few short weeks after injury and are expected to improve over time. Steroid injections are the scar revision method of choice for managing hypertrophic scarring. They may also be removed using surgical techniques.
  3. Contractures are scarred tissues that develop when a larger expanse of skin is injured or lost. The resulting scar pulls the edges of the damaged skin together creating a tightly stretched patch of skin. This type of scarring can affect the underlying muscles, tendons, and joints and result in restricted movement. Score revision in this case includes:
    • Skin grafting involves harvesting a portion of healthy skin from a separate donor site in the patient’s body and attaching this to the affected area where the scar tissue used to be.
    • Skin flaps are similar to skin grafts, but the harvested steam is retrieved with the blood supply intact.
    • One of the newest techniques used in scar revision is tissue expansion, which involves reconstructing the affected area to increase the amount of available tissues.

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