SCARS REVISION

INTRODUCTION

Scars revision is not a medical decision, but a personal one. The way you see yourself defines you and integrates you in the society.

The scars resulted after some traumas can create psychic complexes, because of the unaesthetic aspect which can affect your life and activity. At the same time the scars resulted from several diseases or skin infections which appeared during puberty, can have similar effects upon you. In a lot of cases the make -up does not succeed in covering them, the areas with problems. Some people see in them a positive particularity of their personality. Some other do not accept them and search for a method to remove or cover them.

Friends and family members can tell you their opinion about this action , the plastic surgeon can give you medical advice, but the only one who can decide what's in your best interest it's you.

This kind of operation is addressed to men and women who are unhappy with their face and neck. This kind of intervention can be realized in two ways: excision and closing the brace by several procedures ( direct suture - in case of linear and small scars, Z plastic surgery, neighboring flap, skin grafts in case of distorted scars), dermabrasion for outstretched scars or scars hat are placed in areas hard to reach.

Dermabrasion is not used for congenital pigmentation, or, after hormonal therapy, for tattoo removing.
It is forbidden to do dermabrasion with an acne present, when having an active Herpes, or after treatment with irradiation.

The final results of dermabrasion are variant, according to the skin type, color, the scar featuring, and the depth of the abrasion. In these conditions people with black and yellow skin can produce depigmented areas after dermabrasion, and persons having pathological scarring can produce keloids.

If you are unhappy with the aspect of your face this operation offers you new possibilities of having a new look.

THE SURGERY

The purpose of this operation is that of resurfacing several areas with irregularities. Dermabrasion can be realized on small or expanded areas, or on the entire face.

The operation is realized by used an abrasive device coupled to an engine. Through this device the plastic surgeon is "polishing" the skin and is removing the irregularities and protuberances. This operation can be realized at one time, or in several sessions, especially when the scars are big as surface and surface.

After the operation the dressing is done in several ways: ointment, dry treatment or a combination of them.

The operation is done under general anesthesia because it is safer and ensures a greater comfort for the operating team. The risks of the anesthesia are diminished by general anesthesia, but they can not be complete eliminated. Present your plastic surgeon a medical history, in order to establish the way of the surgical procedure. In most cases local anesthesia is enough.

The time it takes to perform the dermabrasion depends on several factors: the surface of the scars, the complexity of the operation, the depth of the scars, the type of the anesthesia.

The operation lasts about 1 - 3 hours.

Most dermabrassions require 1 to 2 days of hospitalization, in order to keep the patient under special medical surveillance.

POSSIBLE COMPLICATIONS

A few possible complications are: bleeding, infections, allergy to anesthetic, hypertrophied scars and keloids. Follow your plastic surgeon indications in order to avoid these complications

POST SURGERY EFFECTS

The post surgical effects are: face reddening, slight sensation of pain, facial … face recovery comes in a few days. A few itching and burning sensations may occur. Speaking and talking may be difficult. The initial sensation of discomfort will be controlled with antialgic medication.

On the areas with dermabrassion some scabs will appear; when you remove these scabs, a new skin, pink, will appear; it is sensitive and must be taken care with medicines.
with your plastic surgeon.

You can came back to your daily activity in 2 or 3 days. The pains can persist, and in this case you should take medicines. Avoid alcohol, sauna, swimming pool, steam bath, and sun exposure for a few month.

After 3 weeks your face will look better. The pink color will fade in time and it will become the color of your natural skin.

A complete activity can be started in 2 -3 weeks, according to the evolution of the operation, and your daily activity.

Scar revision produces skin renewal and irregularities removal. This will make you more confidant in yourself, because the new look is lovely to the eye.

The emotional and psychological benefits of the operation are a greater confidence in yourself , a better image of your body and a greater personal satisfaction.

SPECIAL NOTES

Wash yourself well before the operation;
Eliminate from your treatment aspirin and medicines containing aspirin 2 weeks
before operation.
Give up smoking 1 week before operation;
Try and schedule the operation when not having your period;
Do not suffer from cold during the operation;
Avoid to eat or drink anything, even water, after midnight before the operation;
Avoid sun exposure 2 weeks before the operation .
Wear your glasses, instead of your lenses.
Do not wear your make up, do not polish your nails; if you have polished your nails, wipe them off.
On the day of your operation leave your jewels at home.
Avoid to have a cold during the operation;
Announce your doctor if you have acne or herpes active;
Avoid swimming pool;
Avoid sun exposure until natural skin pigmentation;

This introduction has been made only for an informative purpose.
For personalized data on request to your home, and for further information, please contact us at:

Radu VOICU M.D.
Specialist in plastic and reconstructive Surgery

PLASTIC SURGERY DEPARTMENT
UNIVERSITY HOSPITAL CF 2 - BUCHAREST

Phone: 004-021-224.50.02; 004-0722.684.735
E-mail: office@drvoicu.ro

Internet: www.drvoicu.ro