Frequently asked questions about scar revision and correction
Can my scarring be improved?
What is a keloid scar?
What is a hypertrophic scar?
Should I have my scar revised?
How do I arrange a consultation about scar correction with Mr Hamilton in London, UK?
Can my scarring be improved?
This depends very much on the nature and position of the scar and on the way in which you in particular make scars. Some scars can be easily improved (though, of course, not made to disappear entirely), others may only be suitable for moderate improvement and in some cases, unfortunately, no improvement is possible. The assessment needs to be individualised and Mr Hamilton will be happy to give you an honest, friendly opinion at your consultation.
What is a keloid scar?
Keloid scars represent an abnormal healing reaction where scar tissue continues to develop long after the normal healing process would be slowing down and gives rise to raised, red, thick and enlarging scars. Keloids may run in families and are particularly common in those with Afro-Caribbean skin types. Keloid scars are more frequently seen on the earlobes (e.g. after piercing), the shoulders and the anterior chest over the breastbone.
Treatment of keloid scars can be difficult. Typically, a combination of treatments is required ranging from silicone dressings, mild steroid injections and pressure therapy to surgical excision and even, in extreme cases, radiotherapy.
What is a hypertrophic scar?
Hypertrophic scars are common in all skin types, though are perhaps more frequent in those of oriental origin. These are slightly raised, thickened, red scars which can persist for some time after injury or surgery. Unlike keloid scars, they do not tend to enlarge and can usually be encouraged to settle and flatten with massage, mild steroid injections and sometimes special silicone dressings.
Should I have my scar revised?
This depends. For some scars, the appearance may be improved by excision and resuturing, particularly if the scar had problems in the initial healing phase or was not sutured neatly originally.
The downside of surgical scar revision lies in the need for an operative procedure and the fact that a new (“immature”) scar will be formed which starts the whole healing process over and can mean another period of months with a red, healing scar. The decision to revise a scar surgically is frequently not an easy one and Mr Hamilton would be happy to discuss the options and implications at consultation.