Each person is unique in their genetic makeup and everyone heals differently after surgery. Given the same surgery performed by the same surgeon, every patient will scar in a much different way than another patient.
Scar revision is considered after adequate time has been given to the body to heal itself. This time is approximately one year after or so after the initial trauma. Dr. Ali will meet with you at the initial consultation and let you know if a scar revision would be beneficial to you.
For successful revision of the scar, it is necessary to perform the surgery very meticulously. The scar is closed in multiple layers and sometimes it is important to change the direction of the scar so that it blends in with the normal skin crease. Frequently, a scar revision can be performed in our office under local anesthetic, allowing you to go home soon after the procedure.
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Skin grafting is one of the most commonly performed reconstructive procedures. This procedure is used to cover large wounds which, if left untreated, will take months to heal.
During this procedure, skin is harvested from a site (called the donor site) away from the area of injury and is then applied over the wound (called the recipient site). The newly transferred skin re-establishes blood supply by stimulating the growth of very fine blood vessels known as capillaries.
This process takes about one week to complete. During this time it is very important to protect the skin graft form any shearing trauma. Such trauma disrupts the process of capillary formation leading to failure of the skin graft.
There are two types of skin grafts; split thickness grafts and full thickness grafts. Split thickness grafts are use to cover larger areas and have a low rate of failure. These grafts are cosmetically less desirable and are not suitable for coverage over the joints and the face.
Full thickness grafts are excellent for covering wounds over the face and the joints. The cosmetic outcome is quite superior when compared with split thickness skin grafts. It is necessary to ensure that the recipient site has excellent blood flow, thus decreasing the chances of graft failure.