Can Plastic Surgery Improve My Uneven Scar from Hip Surgery?

Scar

Hello.
Two years ago, I underwent hip replacement surgery, which left a scar on my thigh that is approximately 20 centimeters long.
The scar appears to be raised and uneven, resembling a worm with segments.
Would plastic surgery be able to improve this, and what would the results be like?

amy, 30~39 year old female. Ask Date: 2000/11/14

Dr. Luo Qihua reply Plastic Surgery

In the hip joint area, the skin tension is quite strong, and generally, scars do not appear very aesthetically pleasing.
Additionally, if an individual has a tendency to form hypertrophic scars, the appearance can be even less attractive.
If such scars need to be addressed, due to their width, the surgical approach involves excising the scar and re-suturing the area.
While the initial result may look satisfactory, it is important to be prepared for the possibility that, due to the strong tension, the scar may widen over time.

Reply Date: 2000/11/14

More Info

When it comes to addressing uneven scars resulting from hip surgery, plastic surgery can indeed offer various options for improvement. Scarring is a common outcome of surgical procedures, and the appearance of scars can vary significantly based on factors such as the surgical technique used, the individual's healing process, and skin type. In your case, with a 20 cm long scar that appears uneven and has a "worm-like" texture, you may be considering surgical intervention to enhance its appearance.

Plastic surgery, particularly scar revision techniques, can help improve the texture, color, and overall appearance of scars. Here are some common methods that plastic surgeons might employ:
1. Scar Revision Surgery: This involves surgically removing the existing scar tissue and re-closing the skin in a way that minimizes the visibility of the scar. The surgeon will aim to create a finer line that blends better with the surrounding skin. This procedure is often performed under local anesthesia and can significantly improve the scar's appearance.

2. Laser Therapy: Laser treatments can help reduce the redness and texture of scars. Different types of lasers can target various aspects of scar tissue, promoting collagen remodeling and improving skin texture. This method is non-invasive and can be done in multiple sessions for optimal results.

3. Dermabrasion: This technique involves mechanically exfoliating the top layers of the skin to smooth out the scar's surface. It can be effective for raised or uneven scars and is often combined with other treatments for better results.

4. Microneedling: This minimally invasive procedure uses tiny needles to create micro-injuries in the skin, stimulating collagen production and improving the texture of the scar over time. It can be particularly useful for scars that are not too deep.

5. Injectable Treatments: For scars that are raised or hypertrophic, corticosteroid injections can help flatten the scar. In some cases, fillers may be used to even out the surface of the scar.

6. Topical Treatments: While not surgical, certain topical treatments, such as silicone gel sheets or creams, can help improve the appearance of scars over time. These are often recommended in conjunction with other treatments.

Before proceeding with any surgical intervention, it is crucial to consult with a board-certified plastic surgeon who specializes in scar revision. They will assess your scar, discuss your goals, and recommend the most appropriate treatment options based on your specific situation. It's also important to have realistic expectations; while many procedures can significantly improve the appearance of scars, they may not completely eliminate them.

In addition to surgical options, consider the following factors that can influence scar healing and appearance:
- Time: Scars often continue to mature and change in appearance for up to a year or more after surgery. Patience is key, as some scars may improve on their own over time.

- Sun Protection: Protecting your scar from sun exposure is vital, as UV rays can darken scars and make them more noticeable. Use sunscreen on the scar and wear protective clothing when outdoors.

- Healthy Lifestyle: Maintaining a balanced diet, staying hydrated, and avoiding smoking can promote better healing and skin health.

In summary, plastic surgery can significantly improve the appearance of uneven scars from hip surgery. Various techniques are available, and a personalized approach will yield the best results. Consulting with a qualified plastic surgeon will help you understand your options and what to expect from the procedures.

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