Tristan de Chalain Limited
Private Service, Plastic Surgery
Scar appearance can be improved by various methods including a surgical procedure known as scar revision. This usually involves cutting out the old scar, closing the wound with stitches and, in some cases, moving the scar so that it is hidden by natural features of the body. Z-plasties or W-plasties are methods of breaking up scars so they look less obvious.
Revision of small scars is usually performed under local anaesthesia (the area around the scar is numbed by injecting a local anaesthetic). Sometimes you may also be given steroid injections at the time of surgery. These small operations are done on an outpatient basis. Large scars may be treated under general anaesthetic. We usually apply a waterproof dressing which is left on until you return in a week for the first wound check. Stitches may be removed in 1-2 weeks. Sometimes all the sutures are buried biodegradable stitches so there is no risk of stitch marks and with the advantage of no sutures having to be removed. You may need to take a few days off work after the surgery. We like you to keep your new scars taped with flesh tone low allergy tape for 3 weeks on the face and 3 months elsewhere on the body. This improves scar quality.