It's Not Just Cosmetic - Plastic Surgery's Reconstructive Aspects - Scar Revision

The popular conception of plastic surgery is oftenbleaching agents.
focused on what some might see as "the glamorousScar revision surgery, beyond these measures, often
side"-gossip magazines dishing over which stars mightinvolves reopening a wound and re-closing the
have or might have not been under the knife toincisions in a manner that will result in less scarring.
perfect some minute flaw, the current popularity ofThis often means using layered closure techniques or
reality shows about "extreme makeovers", things ofrepositioning a scar so that it is less conspicuous.
that nature. But this is just one aspect of plastics,Sometimes, pharmaceutical tissue substitutes are
known as cosmetic surgery.used, when ample healthy tissue is not present
Reconstructive surgery is the other major avenuearound the wound. This approach is often taken for
plastic surgeons travel down. While some surgeonsthe revision of severe burn scars.
focus only on cosmetic surgery, and others entirelySadly, many health insurance plans will not cover scar
on reconstructive surgery, many do both. Forrevision surgery, so the decision to undergo this, or
example, a surgeon who focuses on the face mightany related procedures, is a very difficult one. It is
perform a rhinoplasty (more colloquially referred to asrecommended that patients considering any sort of
a "nose job") and repair a child's cleft palate in thescar revision surgery, from dermabrasion to a layered
same day.closure or skin graft, have a consultation with a
One of the most important reconstructive surgeriessurgeon they can trust before making any sort of
is scar revision surgery. Scars can occur for a numberfinal decision on whether or not to go through with
of reasons, from childhood acne to injury by accidentthe surgery.
or even malicious intent. Some of the different typesAlso, as with any surgery, there are risks involved
of scars include:and should also be considered before making any final
- Hypertropic scars - thick clusters of scar tissuedecisions. Some of the most commonly reported
developed at the site of a woundproblems resulting from scar revision surgery include:
- Keloids - painful, itchy scars that extend beyond the- Bleeding Infection
edges of an original wound or incision, often- A delay in healing
appearing where there is little underlying fatty tissue- Resulting change in skin sensation
(face, neck, ears, chest, shoulders)- Damage to nerves, blood vessels, and other deeper
- Contractures - scars that restrict movement whenstructures below the skin
skin and underlying tissue pull together during healingA risk of nearly any surgery is persistent pain. Since a
While scars usually cannot be "removed," per se, theirscar revision surgery is not necessarily a surgery to
appearance can be lessened through a number ofalleviate pain, this is something that should be taken
different measures. These include topical treatments,into careful consideration.
injectable treatments, and surface treatments.Scar revision surgery, in its many forms, is one of
Topical and injectable treatments often do notthe most common areas of reconstructive surgery.
require anesthesia, but many surface treatments do.For more information, see a trusted surgeon in your
Some surface treatments include dermabrasion, laserarea.
or light therapy, chemical peel solutions, and skin