Scar Revision, Removal

Silverlake Virgil Surgical Center
Cosmetic Plastic Surgical Center

Flap Surgery & Skin Grafting

Flap surgery
Skin Grafting

Scars are unpredictable, whether they are caused by surgery or an accident. The formation of a scar depends as much upon the way your body heals as it does on the nature of the injury or the surgeon’s skill in repairing it.

The factors that affect scarring after a wound include the size and severity of the wound, its shape and direction, the original color and thickness of your skin, and the blood supply to the injured area. Whether a scar is severe enough to merit plastic surgery is a personal decision, and is different for each patient.

It is impossible to remove a scar completely. However, plastic surgery can often do much to lessen the severity of a scar, making it less noticeable by applying or injecting steroids or through scar revision, a commonly used surgical procedure.

If you are thinking about having your scar treated through plastic surgery, the following information may help you with your decision. Since each person scars differently, it cannot cover every facet of your particular situation, so make sure to involve your doctor in your decision-making process.

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Flap surgery and skin grafting

These procedures are more complex than the other forms of treatment discussed so far, and they are used for more extensive and severe scarring. The healing process can take weeks or months, and a support garment or bandage is often required for as long as a year.

During a skin graft, a portion of skin is removed from a healthy area of the body (referred to as the “donor site”) and placed over the injured area. The graft is considered successful and said to “take” if new blood vessels and scar tissue begin to grow on the site of the wound. Although most grafts taken from a person’s own body do take, occasionally they will fail. All grafting procedures leave some scars at the donor site as well as the recipient site.

Flap surgery involves removing not only skin, but also the underlying fat, blood vessels, and occasional muscle tissue, from a healthy area on a person’s body and replacing it over the injured site. During some flap procedures, the blood vessels retain their attachment at the original site; in others, the blood vessels included in the flap are attached to blood vessels in the injured area through microvascular surgery.