Scar Rivision
Many patients dislike or want to improve their scars. Scars that have thickened, widened, hypertrophied, or that are otherwise unsatisfactory can usually be improved by excision and re-closure with plastic surgery techniques. Injections or other techniques that Dr. Szeto can discuss with you may help with other scars.
Recovery
After the procedure, you will be asked to apply pressure to the area for 5-10
minutes to minimize the risk of bruising. You will be given specific verbal and
written instructions on how to care for the surgical site, and what medications to
take for pain afterwards (usually just Tylenol and Advil).
For more detailed instructions see here: (hyperlink to post op care<-make sure I get
this to you)
Results & Outcome
The vast majority of patients have excellent outcomes from their procedure.
Although this is always expected, there is never a 100% guarantee in medicine or
surgery. Scars take approximately a year to fully mature.
Scar Management
A scar takes a full year to mature. Initially, it will be perfectly flat after surgery, but
after a few days, it will become slightly red and inflamed. After about 6 months, it
will typically begin to fade to a pale, white colour. It can turn dark if exposed to too
much sunlight while healing, so Dr. Szeto advises keeping the area out of the sun as
much as possible. Sun avoidance, long clothing, blocks (e.g., a Band-Aid over the area
when in the sun), and applying sunscreen (SPF 30) even when it's cloudy are all
techniques. Dr. McInnes typically advises using a non-irritating facial moisturiser
with sunscreen on a daily basis.
After 3-4 weeks, assuming the incision has healed completely, you can begin scar
massage to soften the scar. I recommend using a non-irritating lotion or cream and
massaging it into the scar for 3 minutes, 3-4 times a day for a minimum of 3 weeks.
A mature scar may achieve 60%-80% of the skin's strength prior to surgery.
Stretching the scar can result in undesirable outcomes such as a wide scar or
hypertrophic scar. It is critical to remember this while the incision heals. For
example, if a lesion was removed from the middle of your chest, you should avoid
stretching your arms out to the sides too far.
There are some risks associated with your surgery.
The American Society of Plastic Surgeons' (ASPS) consent form for a detailed list
and description of the risks involved (found here).<- hyperlink
During the surgical consent, the risks of surgery will be discussed. It is important
that you ask Dr. Szeto all of your questions directly.
All lesion excisions result in a scar, but in most cases, the scar is hidden in a skin
crease. Certain patients are predisposed to develop keloid or hypertrophic scars, but
the vast majority of patients have a small, faint scar.
Some common post operative risks may include:
Light bruising
Swelling is minor.
Infection (5% of cases)
5% incision separation
If a complication does occur, patients can be confident that Dr. Szeto will assist you
in managing it.
Costs
The cost of cosmetic mole surgery will vary depending on your specific surgical
needs, the number of lesions, their size, and the number of procedures you may
require. Your quote will be provided following your assessment, but prices for this
type of procedure start from $450-$500 (plus GST), which is a fairly common
starting price among Cosmetic and Reconstructive Surgeons in Ontario.
Your quoted price will include the following items:
Fee for facility, equipment, and supplies
Fee for a surgeon
Recovery
Candidates
Individuals without complex medical conditions that would increase the risks of surgery
Procedure
Dr. Szeto will examine the specific areas of concern and discuss the procedure with you, including the risks involved. These procedures are typically carried out with local anesthetic in a clinic setting. To reduce the skin puckering that would result from a circular excision, most lesions are removed as an ellipse. Dr. Szeto usually loosens up the surrounding skin after excision before closing it. As a result, the skin can redrape properly without compromising its contour. The location of the excision will determine whether the sutures are absorbable or not. Frequently, the sutures are completely concealed beneath the skin and do not need to be taken out. This permits the skin to heal in a straight line without showing any signs of suture marks. The incision is then covered with either surgical glue or a small amount of incisional tape (steri-strips).
If non-absorbable sutures are place, they will need to be removed within 7 days so
no suture marks are left.