Scars, Keloid Scarring & Scar Management
One of the main goals of surgery is to have a scar less result and this is particularly important on the face and even more so around the eyes where the eyelids are a key focus of attention and important for the protection of the eyes.
Our surgeons at FaceRestoration have pioneered approaches to minimise scarring with their Scars-lessTM approach and published practical approaches for surgeons to reduce and prevent scarring.
ABOUT THIS CONDITION
INFORMATION ABOUT YOUR SYMPTOMS
In addition to the cosmetic concerns, the long-term effects of scars can include tenderness, itching, pain and distortion of function. In the face and periocular area around the eyes, the eyelids and brows, scars can have consequences for comfort and protection of the eyes. The psychosocial impact of scars can be easily overlooked by surgeons. Scars can have a significant impact on self-esteem resulting in anxiety and depression. This can be particularly so with very pigmented or raised scars and particularly on exposed areas such as the face.
After surgery, trauma or infection to the skin surface, a number of processes occur to heal. These are divided into three phases: inflammation, proliferation, and remodelling.
The inflammatory phase typically lasts several days which can play a significant role in scarring, this is followed by proliferation of skin cells called fibroblasts and underlying tissue, which are responsible for producing a reparative scaffold called the extracellular matrix, with key components including collagen and hyaluronic acid that facilitate growth of a new blood supply to the area, however when this is excessive it can result in a raised scar. The final stage of healing maturation and remodelling, starts around week 3 and can last for up to 12 months, but is usually complete at 3 months. Here the wound achieves maximum strength and contracts, which can result in displacement of normal structures and affect function as well as the cosmetic appearance.
How do I prepare for scar surgery?
Before surgery, stress, cigarette smoking, poorly controlled blood pressure and diabetes can increase the risk of scarring. Certain medication can increase the risk of bleeding during surgery and can contribute to a worse scar. These medications include anticoagulants, nonsteroidal anti-inflammatory drugs and over the counter products such as ginkgo biloba, garlic, ginger, ginseng, arnica, cod liver oil and garlic supplements.
Very often we will recommend you stop these if not required for medical reasons, 2 weeks prior to surgical and some non-surgical treatments.
BOOKING WITH US
Arrange a consultation with us using the button below at a time of your choosing. This may be held through video chat dependant on COVID guidelines at the time.
We will then discuss with you your symptoms and advise you on how best to proceed with helpful guidance on treatments through our expert knowledge and training.
TREATMENT & AFTERCARE
Once an appointment has been arranged, we will then begin treatment and support you along the process, including specialised aftercare.