Scar removal surgery in Tunisia

Different types of scars?

A scar is the visible part of a lesion of the dermis. It is an integral part of the skin tissue healing process. A scar may result from trauma (injury) or surgery (following dermatologic surgery). All skin lesions cause scarring except for the most superficial lesions, which only affect the epidermis.

There are several non-surgical techniques to attenuate, remove partially or almost completely a scar (peeling, laser, tattoo, ointment, infiltration, etc.). These can give very satisfactory results on certain types of scars. The PRX-T33 biorevitalising peel can effectively reduce recent depressed scars (acne, varicella or impetigo scars, superficial traumatic scars, post-surgical scars).

A cutaneous surgery is particularly adapted to correct the scars regarded as unsightly because of their width, their color, their absence of regularity or their accentuated or dug relief. Surgical treatment is appropriate for scars that include the following abnormalities:

Retractile scars: These scars are "curled up" because of a narrowing of the scarred area causing traction on the skin tissues. They form relatively rigid fibrous cords slightly elevated relative to the level of the surrounding skin. This type of scar is often unsightly and can, in some cases, lead to a functional gene (during certain movements, for example).

Ulcerated scars: These are particularly fragile scars, which may be subject to superficial abrasions that may widen and worsen over time.

Hypertrophic or keloid scars: These are inflammatory scars, usually painful, with a very pronounced relief and a red color. Unlike hypertrophic scars, keloid scars tend to evolve after wound healing.

In general, a reconstructive surgery makes it possible to correct all the scars considered as unsightly because of their width, their color, their lack of regularity or their relief.

Scar cosmetic surgery procedure

It is necessary to know that it is necessary that a scar be mature and stable to undertake its surgical correction with reconstructive surgery.

The choice of operative technique will depend on the characteristics of the scar to be corrected and the tissue properties of the patient. Several types of interventions can be identified.

In the simplest cases, two gestures will be necessary: the initial scar will first be excised, then a new suture will be performed to obtain a more discreet scar.

In many cases, the procedure uses a special incision line, a process designed to "break" the main axis of the initial scar. The scar is then reoriented according to the lines of natural tensions of the skin so as to reduce the tensions exerted on the wound.

In the case of very large scars, several techniques can be used or associated to obtain the best possible result:

Iterative excision consisting in performing the excision of the defective scar in several operating times so as to allow the skin to relax.

Transplantation of cutaneous tissue taken from another part of the body

Local plasty to move a flap of skin around the scar to cover it

Cutaneous expansion consisting of placing inflatable balloons under the healthy skin adjacent to the scar. These balloons are regularly inflated so as to gradually distend. After a few weeks, when the excess skin is sufficient, the skin thus obtained is used to cover the scar area.

Lipostructure or lipofilling of the scar by injection of fat cells, to reduce or fill a depression under the scar and improve the texture of the skin next to the scar.

After scar revision

Surgical correction is usually performed under local anesthesia.

Depending on the type of scars to be corrected, surgery can be performed in the surgeon's office, during an "outpatient" outpatient discharge (outpatient procedure) or "outpatient" (same day outpatient discharge). 'intervention).

The after-effects of a surgical scar correction are usually simple and not painful. In the hours following the procedure, a slight oozing (blood) and yellow (lymph) is possible. A slight edema (swelling) and bruising (blue) may also appear.

After the operation, it is normal to notice some discomfort as well as a feeling of tension in the operated scar. Disabling pain is very rare (if such pain occurs, consult the surgeon).

During the first days after the operation, it is important not to solicit the operating area avoiding movements that may cause tension on the operated scar.

Feeling itchiness in the treated area is a common feature of this type of procedure.

As long as the scar remains dark, avoid exposure to the sun and use "full screen" protection.

The definitive aspect of the scar can only be appraised after several months (sometimes up to two years). During the healing period, it is important to regularly check the progress of the scar to identify any healing disorders and apply appropriate treatment.

If in the majority of cases, we can observe a significant improvement in the quality of the scar after surgical treatment, we must consider that healing is a random phenomenon and the quality of healing is variable depending on age, the quality of the tissues and the area concerned. Despite the technical mastery of a qualified plastic surgeon trained in this type of intervention, the healing process remains an unpredictable and uncontrollable phenomenon.