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One of the treatment methods within the scope of aesthetic surgery is scar treatment. Thanks to scientific and technological developments, it has become possible to treat scars, which cause aesthetic anxiety of the person regardless of the region and quantity, and even restrict the mobility due to its location (such as the joint area). However, it should be kept in mind that the scars will not completely disappear, and that their prominence will decrease after the applied procedures. There are different reasons for the formation of wounds on the skin. Infection, surgery, injury, burns, acne, rash, and animal bites are the most common of these causes. The scar left on the skin after the wound has completely healed; It exhibits different characteristics according to the cause of injury, general health status, origin, gender, age and skin color. In this context, it can be said that the scars that may be a reason for complaint may be in the form of a thin line, expanding over time, having a different color from the color of the surrounding skin, displaying a raised appearance, causing itching or pain, restricting movement, and additionally containing stitch marks. possible. The current condition (type and grade) of the scar is decisive in the evaluation of the right treatment option. Scar aesthetics is one of the most successful methods in scar treatment. Trying to treat scars outside of the doctor's control; In some cases, the scar may not disappear, or even become more prominent, or cause skin irritation. For this reason, it should be noted that it is very important to get an expert opinion in the treatment of scars. Scar Aesthetics Scar aesthetics is the process of making the scar as obscure as possible. In particular, aesthetic surgery is preferred for deep or wide wounds caused by careless stitches necessary to close the cuts opened on the skin due to surgery or injury. This method is also used if the scar is on the face (around the lip, chin, nose wing, eyelid, etc.). Within the scope of scar aesthetics, there are some methods other than aesthetic surgery, but if the wound is heavy, the most appropriate method is plastic surgery. However, the surgeon who will perform the operation may include other methods in the treatment process for the best results. Scar treatment with aesthetic surgery is a suitable treatment method for anyone who does not have a skin condition (including acne, pimples) in the area where the treatment will be performed. How to Treat Scars? When the method chosen for scar treatment is aesthetic surgery, the most appropriate anesthesia (general, local, sedation) is given to the patient by considering the condition of the wound and the patient. The operation is completed in 1 to 2 hours, depending on the procedure to be applied. There are various procedures that can be performed in surgical intervention. The first of these is the removal of the scar from the skin by cutting it from the borders of the scar with the help of surgical instruments. The procedure is ended by closing the opened incisions with sutures using a correct technique. As an alternative to this procedure, it is also possible to change the direction of the scar. During the operation, the scar is removed again and shifted to a different direction with zig zag stitches. The aim of this process is to lighten the obvious appearance of the trace. Treating the scar with a balloon is another scar aesthetic method. As part of this procedure, the balloon is placed under the scar, expanding for a few weeks thanks to the salt water injected into it, allowing healthy skin to develop. At the end of the process, the scar is separated from the skin using surgical instruments and the operation is completed by closing the opened incision. Laser applications and sanding technique can also be preferred for scar aesthetics. Laser applications can be used to correct the shape of the scar, as well as to eliminate the redness on the wound before it is fully healed. The sanding technique, on the other hand, is preferred in the treatment of scars in a different color from the surrounding skin. In this context, the scar is sanded and the thin and healthy skin taken from another part of the body is transferred to the treatment area. Dermal fillers are used for sunken scars. It takes a few months to several years for the filler injected into the treatment area to take effect. Repeating the process over time is important for the sustainability of this effect. Steroids can also be applied to the area to reduce the clarity of the scar. With this application, collagen production decreases and the quantity of scar tissue changes positively. The healing process in all these scar treatments varies depending on the characteristics of the patient and the wound and the type of procedure. In general terms, it can be said that recovery takes place within 3 months to 1 year. In order not to interrupt the healing process of the patient;
  • Not neglecting to make dressings if recommended,
  • keeping the treatment area dry and clean, not to delay the application of the given drugs and ointments,
  • not to fail to take the time given to remove new stitches, if any.
and must comply with all other instructions. On the other hand, the area should be protected from sun rays and impacts until full recovery occurs. Stitch Aesthetics As mentioned earlier, scars can be very diverse. One of the most common traces that cause discomfort to the person is the stitch scar. Generally, in open surgeries, the incision made on the skin for the treatment in question is closed by stitching at the end of the surgery. For this reason, after the healing period is over, it is possible to see a stitch mark in addition to the scar. Stitching scars, if deep and heavy, are treated with plastic surgery; If it is light, skin peeling or laser applications may be preferred. At this point, it is important to avoid individual treatments before deciding on the treatment method. Any intervention can affect the success of the treatment. In stitch scar aesthetics, the most suitable method is preferred among the methods used in scar aesthetics. In this context, if the stitch marks are separated from the skin and the area is closed by stitching again, it is important to have the stitches removed in a timely manner so that a new scar is not formed. Surgical Scar Aesthetics After the incisions opened within the scope of surgical operations are closed, a scar remains on the skin. These scars exhibit different features depending on the size of the incision and where it was made. With surgical scar aesthetics, the image distortion caused by these scars can be removed as much as possible. However, if the surgical scar is in joint and restricts movement, this negative situation can be prevented by surgical intervention. In surgical scar aesthetics, one of the methods we discussed under the heading “How is scar treatment done?” can be used. At this point, it should be known that the best possible result is tried to be obtained with surgical scar aesthetics. In other words, since scars cannot be completely removed, the best treatment method that will restore mobility and offer an aesthetic appearance is selected in the surgical scar treatment. In surgical scar aesthetics, one of the methods we discussed under the heading “How is scar treatment done?” can be used. Laser Scar Removal In cases where surgical method is not required, laser beams can be used for the treatment of scars. After the application, flaking occurs on the skin and the healing process in the area begins with the shedding of this flaking. With the laser treatment, which should be applied at least 3 sessions, it is aimed to make the scar look similar to the surrounding skin. Although the success rate of laser scar removal varies from person to person, it can be said in general that when the application is terminated, the scar's prominence and swelling, if any, are reduced compared to the past.

Author

Op.Dr.Barış Çin

Plastic, Reconstructive and Aesthetic Surgery Istanbul, Turkey - European and Turkish Board Certified

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