Most wounds heal without too much issue. However, problems related to scars can arise in poorly opposed wounds, previously infected wounds, or deep wounds which are left to heal on their own. The formation of the scar is usually the result of ongoing inflammation, tension, and genetics. Bad scarring outcomes include hypertrophic scarring, keloid scarring, or pigmentary issues. These can cause itchiness, pain, and psychological distress. A common example of bad scarring are keloids that form at the ear lobe after ear piercing.
How can plastic surgeons help with bad scars?
From conservative to surgical options, plastic surgeons are well equipped to deal with bad scars.
Conservative management for scars includes the use of steroid injections, pressure therapy and topical scar treatment. Beyond these, advanced laser therapies can help reduce the appearance of blood vessels or pigment while resurfacing the scar.
In more severe cases or with scars that do not respond to conservative or laser treatment, surgery and/or radiotherapy can be considered. Utilizing plastic surgical techniques and meticulous suturing, the plastic surgeon can remove the scar and shift tissue from neighbouring areas to reduce the risk of recurrence.
Can bad scarring recur?
Even with the appropriate treatments, scars can be stubborn and recurrence rates may range from 10 to 50%. However, a qualified plastic surgeon can assess your scar and recommend a treatment plan to help reduce this risk greatly.