When a scar is of the contracture type, surgery generally involves removing the scar tissue entirely. Skin flaps, composed of adjacent healthy, unscarred skin, are then lifted and moved to form a new incision line. Skin graft may be used where a flap is not possible. A graft involves taking a section of skin tissue from one area and attaching it to another. The time must be allowed following surgery for new blood vessels and soft tissue to form. Z-plasty is a method to move a scar from one area to another, usually into a natural fold or crease in the skin to minimize its visibility. While Z-plasty does not remove all signs of a scar, it does make it less noticeable.
Dermabrasion and laser resurfacing are methods ordinary used by surgeon to make "rough or elevated" scars less prominent. It is achieved by removing part of the upper layers of skin with an abrading tool or laser light. Undoubtedly, the scar will remain, but it will be smoother and less visible.
Scars which are keloid or hypertropic are often treated with injections of steroids to reduce size. If it is not enaugh, the scars can be removed surgically, and the incision together with fine stitches often makes your scar less prominent.
What to Expect After the Surgery After facial scar revision surgery you can expect to feel some discomfort. Some swelling, bruising and redness are generally inevitable. It is important for you to follow your surgeon's after care recommendations to the literally. Though the stitches will be removed within days after the surgery, your skin needs time to heal. Surgeons generally insist on lessening the activity after surgery and recommend the patient following advices: to keep the head high when lying down, to use cold compresses to reduce swelling and to avoid any activity that provoke excessive strain on the area of the incision. According to the surgery performed and the site of the scar, the facial plastic surgeon will explain the types of activities to avoid. No medicine should be taken without first consulting the surgeon. It is important to memorize that scar tissues require a year or more to completely heal and achieve maximum improved appearance.
Facial plastic surgery makes it possible to correct facial defects that can undermine self-confidence. Changing the appearance of your scar can help to change your self-perception.
Insurance does not generally cover surgery that is only for cosmetic reasons. Surgery to correct or improve scars caused by injury may be refunded to you entirely or partially. It is the patient's responsibility to check with the insurance carrier for information on the degree of coverage.
| 
