Scars resulting from trauma or previous surgery occasionally become unsightly or painful. Some of these benefit from “starting over” with a scar revision. Scars that have shown a propensity to poor scarring require special attention to technique. Unfortunately technique is only one component of the eventual appearance of the scar. Often just as important as surgical technique is the patients own scarring profile which is genetically determined. Particularly prone areas of the body for poor scarring are the sternum, upper arm, back, and earlobe.
Scars that frequently require scar revision include:
- Irregular dog bite injury scars
- Keloid scars – these are scars that extend beyond the boundary of the original injury. A very common type of keloid scar is that found on the earlobe from a simple piercing. Keloid scars are particularly difficult to treat given their high likely of recurrence. Often these require more than simple excision. Pressure therapy, radiation therapy and steroid injections may be indicated.
- Surgical scars, particularly if a wound healing complication arose