Anatomy and ideal proportion:
An unsightly scar can be surgically removed if it is more than 6 months old. In general, a scar is not removed in its early phase (first six months), because it is in an evolving phase. A plastic and aesthetic surgeon is best able to take back a scar with precision.
Technique:
Often, scar removal can be performed under local anesthesia. It consists of removing it and closing it with solid subcutaneous stitches placed with precision.
Results:
Time to final results:
2 weeks to see a significant result, 6 months-1 year to see the final result (usually discreetly pink scar for the 3 – 4 first months)
Before surgery:
Stop smoking 1 month before the operation (risk of skin necrosis important if active smoking)
Do not take Aspirin 10 days before the operation, inform Dr. Lucas of any anticoagulant medication (Sintrom, Coumadin, Eliquis, etc.) in order to arrange for its discontinuation or replacement.
Take Arnica capsules 5 capsules 5 times a day for 5 days before surgery to prevent hematoma.
Intervention :
Pain: the pain during the intervention will be almost non-existent, with an adapted anesthesia
Duration of the operation: 30-60 minutes
Anesthesia: local
Location: operating room
Outpatient
After surgery:
Post-operative pain: 1/10 often responding to Dafalgan
Social eviction: often 24-48h, depending on the location and extent of the scar
Return to work: 24-48h
Suture removal: 5-7 days on the face
Return to sports: 1 week
Instructions:
Rest in bed without major effort for 48 hours
Arnica capsules 5 capsules 5 times a day for 5 days after surgery to prevent hematoma
Permanent cessation of smoking for optimal healing and to minimize complications
Dr Lucas check-up: day 7, 3 weeks, 3 months, 6 months, 1 year.
Silicone Strataderm every day once a day for 3 months.
Scar massage 2 times 5 minutes daily for 3 months.
Note: the normal healing process has an inflammatory phase at 3-4 months, the scar may be more pink during this period.
Sun protection with an index greater than 50 during the 6 months following surgery.
Follow-up of the scar by Dr. Lucas for 1 year after surgery is essential.
Complications
– Hematoma, infection
– Vascular and nervous lesions
– Abnormal healing
