Scar revision
Hello: I have a surgical scar on my left arm that resembles a zipper.
This scar has been present for 15 years, measuring 6 cm in length and 1 cm in width, and it is flat.
I would like to ask: 1.
What is the best possible outcome for the appearance of this scar? Is it possible for it to become invisible to the naked eye? 2.
What are the costs associated with the surgery? 3.
Will hospitalization be required after the surgery? How long will it take to recover before I can return to normal activities?
Xiao Ge, 30~39 year old female. Ask Date: 2010/03/18
Dr. Zhou Hongzhang reply Plastic Surgery
1.
Scar revision surgery is a procedure that aims to improve the appearance of unsightly scars, transforming them into "more aesthetically pleasing" scars, with the hope that they will be less noticeable from a distance.
2.
The cost is approximately NT$3,000 to NT$5,000 per centimeter (this is the general fee for scar revision surgery at our hospital).
3.
Most procedures do not require hospitalization, and the sutures can typically be removed in about 5 to 7 days.
Reply Date: 2010/03/18
More Info
Scar revision surgery is a procedure aimed at improving the appearance of scars, and it can be particularly beneficial for scars that have been present for a long time, such as the one you described on your left arm. Here’s what you can expect regarding the potential outcomes, costs, and recovery associated with this type of surgery.
1. Expected Outcomes
The degree of improvement you can achieve from scar revision surgery largely depends on several factors, including the type of scar, its age, location, and your skin type. In your case, with a 15-year-old scar that is flat and not raised, the best-case scenario would be a significant reduction in visibility. While it may be challenging to make the scar completely invisible, many patients experience a marked improvement in texture and color, making the scar less noticeable.
Techniques such as surgical excision, laser therapy, or dermabrasion may be employed to achieve the desired results. Surgical excision involves removing the scar tissue and closing the wound with fine sutures, which can lead to a new scar that is less conspicuous than the original. Laser treatments can also help in reducing pigmentation and improving the texture of the scar. However, it’s essential to have realistic expectations and understand that complete removal of the scar is often not possible.
2. Costs Involved
The cost of scar revision surgery can vary widely based on several factors, including the surgeon’s experience, the complexity of the procedure, and the geographic location of the practice. Generally, you can expect to pay anywhere from $1,000 to $5,000 for the procedure. This estimate may include the surgeon's fee, anesthesia, and facility costs. It’s advisable to consult with a board-certified plastic surgeon to get a more accurate quote tailored to your specific situation.
3. Hospital Stay and Recovery Time
Most scar revision surgeries are performed on an outpatient basis, meaning you typically won’t need to stay in the hospital overnight. However, the specifics can vary depending on the complexity of the procedure and your overall health. After the surgery, you may be advised to rest for a few days, but many patients can return to light activities within a week.
Full recovery may take several weeks, during which you should avoid strenuous activities that could stress the surgical site. Your surgeon will provide specific post-operative care instructions, including how to care for the incision site, when to return for follow-up visits, and signs of complications to watch for.
Additional Considerations
Before proceeding with scar revision surgery, it’s crucial to have a thorough consultation with a qualified plastic surgeon. They will assess your scar, discuss your goals, and recommend the most appropriate treatment options. Additionally, they will inform you about potential risks, such as infection, scarring, or changes in skin sensation, which are inherent to any surgical procedure.
In conclusion, while scar revision surgery can significantly improve the appearance of your scar, it’s essential to have realistic expectations regarding the outcomes and to understand the associated costs and recovery process. Consulting with a qualified professional will provide you with the best guidance tailored to your specific needs.
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