Problems that may indicate a need for scar revision include:

• A keloid, which is an abnormal scar that is thicker and of a different color and texture than the rest of the skin. Keloids extend beyond the edge of the wound and are likely to come back. They often create a thick, puckered effect that looks like a tumor. Keloids are removed at the place where they meet normal tissue.
• A scar that is at an angle to the normal tension lines of the skin.
• A scar that is thickened.
• A scar that causes distortion of other features or causes problems with normal movement or function.

For keloid revision, a pressure or elastic dressing may be placed over the area after the operation to prevent the keloid from coming back.

For other types of scar revision, a light dressing is applied. Stitches are usually removed in 3 to 4 days for the facial area, and in 5 to 7 days for incisions on other parts of the body.

When you return to normal activities and work depends on the type, degree, and location of the surgery. Most people can resume normal activities soon after surgery. Doctors usually recommend that you avoid activities that stretch and may widen the new scar.

If you have long-term stiffening of the joint, you may need physical therapy in addition to surgery to restore full function.

Avoid exposure to the sun for several months after treatment. Use sunblock or a dressing (such as a Band-Aid) to keep the sun from permanently tanning the healing scar.

No scar can be removed completely. How much the scar improves will depend on the direction and size of the scar, the age of the person, the skin type and color, and hereditary factors that may affect the healing process.

Images

Keloid above the ear

Keloid, on the foot

Keloid scar

Keloid, pigmented

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Review Date: 06/16/2011
Reviewed By: David A. Lickstein, MD, FACS, specializing in cosmetic and reconstructive plastic surgery, Palm Beach Gardens, FL. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org)