Not only surgical interventions, but also various injuries leave traces behind. With proper wound treatment and normal healing, normotrophic scars form and look like thin light stripes on the skin, no more than 1 mm wide.
However, sometimes wounds heal slowly and poorly, leading to the formation of rough, deformed scars. Keloid scars are not only unsightly, but they can also cause psychological and physical discomfort.
In most cases, plastic correction of keloid scars is performed no earlier than six months after surgery or injury, but sometimes plastic surgery is performed earlier.
Scars can be divided into several types:
- atrophic (below skin level)
- normotrophic (at the level of the surrounding skin)
- hypertrophic (above the skin)
- keloid.
Keloid scars usually have a star-shaped or fan-shaped appearance and protrude above the skin with sharp edges. This defect is often accompanied by itching, pain, and burning.
Keloid scars can continue to grow and recur frequently after treatment—the size of the scar can be much larger than the size of the wound. Most often, keloids occur on the back of the earlobe after piercing or after otoplasty.
Keloid (colloid) scars are the most difficult to treat. The treatment regimen for such scars is usually combined and includes injections of Kenalog or Diprospan (corticosteroids). In some cases, tight bandages may also be required.
One of the most effective methods of treatment is considered to be the injection of Kenalog-40 or Diprospan into the scar tissue – its use significantly reduces the volume of the external part of the keloid scar, and in some cases brings it to normal size.
Only after therapeutic treatment can you move on to surgical correction of scars by a plastic surgeon. The indication for plastic surgery, i.e., removal of a keloid scar, may be its excessive size, which looks unaesthetic. The operation is performed on an outpatient basis and does not require hospitalization. During the operation, special attention is paid to the precise planning of surgical incisions, careful treatment of the skin, and suturing without tension on the edges of the wound. A delicate and sophisticated surgical technique ensures excellent results and the formation of a beautiful postoperative suture.
To prevent recurrence, all doctor's recommendations must be strictly followed during the postoperative period.
Honored Doctor of Ukraine, Head of the Plastic Surgery Center
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FAQ
In short, pain is manageable. Severe pain after surgery today is the exception rather than the norm. Modern anesthesia, pain management, and recovery protocols make the first days much easier than most patients expect. Most often, discomfort is felt as pressure or tightness. However, it is important to understand that complete absence of sensation is an unrealistic expectation. My position is clear: if a person is afraid of any discomfort, it is better to postpone surgery. The decision must be conscious and well considered.
No. Rehabilitation is part of the surgery, not a separate stage afterward. It is during the recovery period that the final result is formed, tissues stabilize, and the risk of complications decreases. Without proper rehabilitation, even a technically perfect operation may produce a weak outcome. There are procedures with an easier recovery (for example, “weekend lifts”), but surgery without rehabilitation does not exist.
The final result does not appear immediately. It develops gradually over time. Swelling, tissue firmness, and sensations change step by step. During the first weeks, the result is definitely not final, and this is completely normal. The timeline depends on the treated area, the extent of surgery, and individual characteristics of the body. Plastic surgery does not tolerate haste. A good result takes time.
It depends primarily on the type of work you do, not only on the surgery itself. After some procedures, it is possible to return to work within a few days (for example, after “weekend lifts”), while others require weeks of recovery. It is important to consider not only how you feel, but also the safety of the healing process. Returning to activity earlier than recommended increases the risk of complications. It is better to return later than to deal with the consequences of rushing.
Yes, scars always remain. This is part of the natural healing process. However, their appearance changes over time: they become lighter, softer, and less noticeable. Their location and proper care play a crucial role. Careful planning and patience are essential.
When the risks outweigh the benefits, or when the decision is driven by emotions. I refuse if I see that the body is not ready, expectations are unrealistic, or the person does not understand the recovery process. Refusal is also part of treatment. Safety is more important than any desire.
Yes, and it has a significant impact on the outcome. Honest answers, a list of questions, and a willingness to listen save time and help you make the right decision. A consultation is a diagnosis, not a sales pitch. A good consultation is half the success.
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