Who has the coolest facial scar

Scar Correction - Scar Treatment

What are scars?

Scars are the end result of wound healing in which the second layer of skin, the dermis, has been injured. With minor injuries to the upper layer of the skin, the skin usually regenerates completely without leaving a scar. Only with deep wounds, e.g. from a scalpel during an operation or burns of the 2nd and 3rd degree, scars usually remain.

Usually scars consist of unspecific and low-quality connective tissue, which should usually neither be noticed nor disturbing. In some cases, however, inflammatory processes, costly operations or injuries result in conspicuous scars that cause disturbing changes on the skin.

What types of scars are there?

A distinction is made between scars and those that change from reddish, firm scars to pale and flat scars after a certain period of time. If a scar is caused by a hereditary connective tissue defect and sinks below the level of healthy skin, doctors speak of it atrophic scars . A hypertrophic scar is raised, firm, can be reddened and has increased thickness with an often annoying itching. If a scar grows beyond its limits and shows a tumor-like structure, doctors speak of one Keloid .

Scar treatment: what are the options?

A scar can take up to two years to completely heal. Patients who want to carry out a scar correction should therefore in any case wait for the scar to heal, as its condition is of great importance for the treatment of the scar.

Scar treatment without surgery:

  • Peels to promote the regeneration of smaller scars
  • Cortisone injections for leveling especially acne scars and keloid scars
  • Laser scar treatment for removing discoloration and leveling acne and keloid scars
  • Autologous fat injection to lift sunken scars (the body's own fat, however, is broken down.)
  • Collagen or hyaluronic acid injection to lift sunken scars without breaking down autologous fat
  • Dermabrasion for grinding away acne or injury scars

Surgical scar correction:

If conservative treatment options do not lead to the desired success, aesthetic plastic operations can still be used:

  • Skin grafting, which involves placing flaps of skin from other parts of the body in place of the removed scar tissue.
  • Skin plasty, in which the skin is shifted and pivoted to cover defects.

For whom is scar correction an option and who pays the costs?

Most often, scar corrections are carried out on the face, burn scars and bulge scars. The costs depend on the type and scope of the intervention. The patient has to pay himself if the reasons are purely aesthetic in nature. If there is a medical indication, e.g. B. a scar that is functionally impaired, causes pain or psychological problems, the health insurance pays the costs. In the event of an accident, the person who caused the accident or the accident insurance can also be considered as the cost bearer.

What do I have to consider before surgical scar treatment?

Usually minor scar corrections can be done on an outpatient basis under local anesthesia. However, if the operation is larger and more complicated, for example in the case of larger skin transplants, general anesthesia is required in conjunction with an inpatient stay of several days.

In the best case scenario, patients who smoke should refrain from nicotine for up to two months before the planned operation in order to promote blood flow to the skin and thereby improve wound healing. In addition, pain relievers such as aspirin or aspirin, antipyretic drugs and high-dose vitamin E should not be taken in the period before and after the operation, as these active ingredients can impair blood clotting.

What surgical options are available for scar correction?

The indication of the scar is decisive for the incision and treatment technique. The simplest case is when the surgeon completely removes the raised scar tissue and closes the wound again. However, if the extent and localization of the scar could lead to aesthetic or functional impairments, the surgeon also has combined options, for example in connection with a flap operation. The most common flap sculptures are the Z and W plastics. Large scars can also be reduced in several steps using a serial excision.

A removal of the scar with subsequent skin grafting is usually carried out when the previous measures are impossible or not very promising. Skin grafts are often used for extensive burn scars. A stretch can also be used: the surgeon stretches the areas of skin adjacent to the scar, removes the scar and closes the defect again with the stretched skin areas.

It depends largely on the type of procedure whether general or local anesthesia is possible. Skin transplants are always operated under general anesthesia, so that only minor interventions are carried out under local anesthesia. The inpatient stay, which usually only takes place in the case of skin transplants, lasts up to a week on average, but can also be longer if it is a complicated and extensive operation. Depending on how large and complex the procedure was, such aesthetic plastic operations take between one and three hours.

What happens after the scar operation?

After an operation, the usual precautionary measures apply to activities that may require quick reactions. In addition, supportive bandages and dressings that promote the healing process are sometimes required after a skin transplant.

Healing is usually accompanied by itching, burning, mild pain, and pulling in the surgical field - this is normal. The stitches will be pulled after about a week. Under no circumstances should the operated skin be exposed to excessive mechanical loads in order to prevent the wound from tearing open. Excessive solar radiation also has an inhibiting effect on the process (including solarium), as does excessive sweating (sauna). Follow-up treatment includes massages, creams, medication and physiotherapy to “normalize” the skin under controlled conditions.

Possible Risks and Complications of Scar Correction

In general, scar corrections are among the most routine procedures with the fewest complications. However, as with any surgical procedure, general complications such as infections, secondary bleeding, numbness in the operated area as well as swelling and bruising can occur. Allergic reactions cannot be ruled out either.

On the other hand, mild pain, aching and burning sensation during wound healing is normal. In some rare cases, the operation creates scars again, which can be even larger and more pronounced than the initial scars. These may have to be treated in a new operation.

With skin transplants, there is always the risk that the transplant will not heal properly in its place and that the transplant may even become discolored. After about a year you can assess to what extent the transplant has healed.

Every patient should always be aware that such aesthetic plastic operations Can never make scars disappear completely, only serve to make them smaller and less noticeable.

Which specialists and clinics are scar specialists?

Anyone who wants to undergo scar treatment wants the best medical care for themselves. This is why the patient asks himself, where can I find a scar specialist in Germany or Switzerland?

Scar correction specialists are specialists in plastic and aesthetic surgery. But there are also various options for scar treatment available to general practitioners.

We help you to find an expert for your illness. All doctors and clinics listed have been checked by us for their outstanding specialization in the area of ​​scar treatment and are awaiting your inquiry or your treatment request.


www.dgaepc.de - German Society for Aesthetic Plastic Surgery