Surgical scar revision: An overview

Garg, Shilpa; Dahiya, Naveen; Gupta, Sumedha

doi:10.4103/0974-2077.129959

Cited by 60 publications

(57 citation statements)

References 57 publications

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“…The wound healing process naturally results in a collection of fibrous tissue [3]. An ideal scar would be a fine line that traces a skin crease or fold with similar color and contour as the surrounding skin.…”

Section: Discussionmentioning

confidence: 99%

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Hypertrophic Scar With Contracture Over the Fourth Toe Secondary to Snake Bite Wound: To Salvage or Amputate?

Ong

Bajuri

Suki

et al. 2020

Cureus

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Hypertrophic scar formation is a major clinical problem that results in both cosmetic issues and functional loss. The management of a hypertrophic scar varies according to the severity of the sequelae from the scar. We describe a method of treatment in a patient who had a history of multiple debridements due to snake bite resulting in severe contracture of the fourth toe complicated with a hypertrophic scar.

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Section: Discussionmentioning

confidence: 99%

“…However, when a joint is affected, it may cause contracture. It may also cause pain, pruritus, disfigurement, and psychological issues [1][2][3].…”

Section: Discussionmentioning

confidence: 99%

Hypertrophic Scar With Contracture Over the Fourth Toe Secondary to Snake Bite Wound: To Salvage or Amputate?

Ong

Bajuri

Suki

et al. 2020

Cureus

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show abstract

“…Surgical scar revision creates another scar which may or may not give good results with added physical, psychological and financial burden to the patient. [ 14 ] Nanofat injection improves the existing scar by its rejuvenating property and hence will be more acceptable to the patient. The technique of nanofat harvesting, processing and injection is simple and can be easily mastered by a cosmetic surgeon.…”

Section: Discussionmentioning

confidence: 99%

Autologous emulsified fat injection for rejuvenation of scars: A prospective observational study

Bhooshan

Devi

Aniraj

et al. 2018

Indian J Plast Surg

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Background:The skin rejuvenation potential of the autologous emulsified nanofat was studied by Tonnard et al. in 2013. This property is due to the viable adipose-derived stem cells present in the nanofat; although, there are no viable adipocytes. The aim of this study was to determine the aesthetic outcome of autologous emulsified nanofat injection in scars using a standardised and validated Patient Observer Scar Assessment Scale (POSAS) and photographs.Materials and Methods:A total of 34 patients with scars of varied aetiologies were included in the study as per inclusion criteria. Pre-operative scoring of the scars with the POSAS scale was done, and photographs were taken. Fat aspiration was done from the lower abdominal wall using syringe liposuction under tumescent anaesthesia. The lipoaspirate was mechanically emulsified, filtered and injected intralesionally into the scar using 26G needle and insulin syringe. Post-operative scar reassessment was done at 3 months with the POSAS scale score and photographs. The improvement in scar characteristics and symptoms were tested statistically using a paired t-test. Pre-operative and post-operative photographic comparison was also done.Results:Out of the 34 patients included in the study, male:female ratio was 22:12. Majority (79.4%) had post-traumatic facial scars. On statistical analysis, there was statistically significant improvement in symptoms such as pain (P = 0.001), itching (P = 0.001), stiffness (P = 0.001), thickness (P = 0.001), colour (P = 0.001), irregularity (P = 0.001) and scar characteristics such as vascularity (P = 0.005), relief (P = 0.001), pliability (P = 0.001), thickness (P = 0.001) and pigmentation (P = 0.001) 3 months after injection. The photographic comparison also showed good aesthetic outcome.Conclusion:Autologous emulsified nanofat injection is effective in improving the scar characteristics as well as symptoms and helps in scar rejuvenation.

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“…In order to cover a defect and to restore facial anatomy as well as possible, many options for surgical flaps exist. Well-known and commonly used flaps include Abbe, rhomboid, forehead, bilobed, and glabella flap [ 3 , 4 ]. All of these flaps are known to mostly give good esthetic results.…”

Section: Introductionmentioning

confidence: 99%

A new treatment for reliable functional and esthetic outcome after local facial flap reconstruction: a transparent polycarbonate facial mask with silicone sheeting

et al. 2017

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BackgroundFacial flap surgery predominantly leads to good functional results. However, in some cases, it can cause unsatisfactory esthetic results. They include persistent erythema, pincushioning, and development of hypertrophic scars. Conservative, reliable treatment for facial flaps is lacking. Pressure and silicone therapy have proven to result in significant improvement in scar erythema, pliability, and thickness in postburn hypertrophic scars. By combining these therapies in a facial mask, the esthetic outcome of facial flaps could be improved. In this retrospective study, the efficacy of a unique transparent face mask containing silicone sheets on the esthetic outcome of postsurgical facial flaps is assessed.MethodsTwenty-one patients were assigned to facial pressure mask therapy after they underwent facial flap surgery between July 2012 and September 2015. Patients were treated for a mean duration of 46 weeks. The effects of pressure mask therapy were examined by means of the Patient and Observer Scar Assessment Scale (POSAS).ResultsAll POSAS components showed a reduction between start and end of therapy, while itchiness, pigmentation, pliability, thickness, and relief of the flap improved significantly (P < 0.05). Mean total and patient score showed significant reduction between start and end of therapy.ConclusionsThis study shows that a facial pressure mask layered with silicone results in noticeable flap improvement with a long-lasting result.Level of Evidence: Level III, therapeutic study.

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Surgical scar revision: An overview

Cited by 60 publications

References 57 publications

Hypertrophic Scar With Contracture Over the Fourth Toe Secondary to Snake Bite Wound: To Salvage or Amputate?

Hypertrophic Scar With Contracture Over the Fourth Toe Secondary to Snake Bite Wound: To Salvage or Amputate?

Autologous emulsified fat injection for rejuvenation of scars: A prospective observational study

A new treatment for reliable functional and esthetic outcome after local facial flap reconstruction: a transparent polycarbonate facial mask with silicone sheeting

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