Scars that experience complications like infection, increased tension or delayed healing can leave an undesirable appearance when it finally heals. Sometimes these undesirable scars are referred to as hypertrophic scars. Hypertrophic scars are raised, red/pink scars that do not extend beyond the original surgical incision. Any scars on the chest area will always be at high risk for hypertrophic scars. Patients at high risk for these scars can experience a recurrence after scar revision surgery. Therefore diligent aftercare is crucial to proper healing for patients who are at higher risk.
The decision to have plastic surgery is extremely personal, and you’ll have to decide if the benefits of the surgery outweigh the risks and potential complications of surgery.
You will be asked to sign consent forms to ensure that you fully understand the procedure and any risks. It is important that you address all your questions directly with your surgeon.
Scar revision surgery is normally done under local anesthetic. Typically, dissolvable stitches will be used on the surgical incision. But depending on the location and size of the scar, your surgeon may have needed to use non-dissolvable sutures.
Hypertrophic scars are raised, red/pink scars that do not extend beyond the original surgical incision. Hypertrophic scars occur when myofibroblasts, a type of healing cell in the body, produce too much collagen during the healing phase. People who produce more of the type of melanin that is responsible for darker pigments are at higher risk for developing hypertrophic scars (melanin is the pigment that gives human skin their colour). Overproduction of collagen can also occur when your surgical incision becomes infected or inflamed because of excessive tension or motion. Any scars on the chest area will always be at high risk for hypertrophic scars. Diligent aftercare is crucial to proper healing for patients who are at higher risk.
A good candidate for surgery is a patient who is relatively healthy and has realistic expectations for post-operative outcomes. It is also strongly advised that you be a non-smoker at the time of surgery. If you are a smoker we recommend you quit smoking at least 3 months prior to surgery as nicotine can interfere with blood supply and potentially cause complications with healing after surgery.