Scar revision

Scar revision surgery is a procedure that aims to improve the appearance of a scar or restore function to an area affected by scarring. While it’s not possible to remove a scar entirely, surgery can help make it less noticeable, flatter, or more in line with the surrounding skin.

Scar revision may be considered for:

  • Raised, wide, or sunken scars

  • Hypertrophic or keloid scars

  • Scars that restrict movement or cause discomfort

  • Scars that are cosmetically distressing to the child or family

 

Surgical techniques will depend on the type and location of the scar and may include:

  • Excision and careful re-closure of the wound

  • Z-plasty or other methods to reposition the scar into natural skin creases

  • Use of skin grafts or flaps in more complex cases 

Mr Eccles will assess your child’s scar and recommend the most suitable approach.

    • Most scar revision procedures in children are done under general anaesthetic

    • The surgery typically lasts 30 to 90 minutes, depending on complexity

    • Most children can go home the same day

    • A light dressing or steri-strips will be applied to the area

    • Mild pain, swelling, or redness around the scar is normal and usually settles within a few days

    • Simple pain relief such as paracetamol is usually sufficient

    • Stitches may be dissolvable or removed after 5–10 days, depending on the location

    • The wound must be kept clean and dry until healed

    • Your child may return to school and light activities after 1 week, unless otherwise advised

    • Avoid sport, rough play, or swimming for 2–3 weeks, or as instructed

    • Once healed, Mr Eccles may recommend scar massage, silicone gels, or sun protection to optimise the final result

  • All surgical procedures carry some risks. In scar revision, these may include:

    • Bleeding or infection

    • Wound breakdown or delayed healing

    • Worsening of the scar, especially in children prone to keloid or thick scarring

    • Recurrence of a raised or prominent scar

    • Discolouration or asymmetry of the scar

    • Numbness around the scar area

    Your child’s individual risk will be discussed at the consultation.

    • Most improvements from scar revision are long-lasting

    • However, scars in children may change over time as they grow and develop

    • Final appearance can take several months to a year to fully mature

    • In some cases, further treatments may be needed, especially for keloid or hypertrophic scars

    Mr Eccles will follow your child’s progress and recommend additional care if needed.

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