Scar Correction

Scarring is a normal and necessary restorative response to tissue damage. Scars on the skin are the result of the healing process after an injury. The ideal scar is thin, pale, flat and oriented in the direction of relaxed skin lines (natural wrinkles). A non-problematic scar heals as a thin line after one to two weeks. Further accumulation of collagen causes the scar to thicken by the 4th or 6th week after the injury. During this period, the scar is red, inflamed, may itch or tighten. During further remodeling, it softens and fades. The scarring phase lasts from six months to one year. During this time, we can influence the scar in various ways. Only after one year can we conclude that the scar is definitive and can be repaired with surgical or other techniques.

Scars cannot be permanently removed, but we can perform various surgical corrections and change large scars into less or barely noticeable ones, improving function and aesthetic appearance.

There are three types of scars that are particularly disturbing in aesthetic and/or functional terms. A hypertrophic scar is raised above the skin level, remaining within the limits of its original edges. It occurs during wound healing with a pronounced (prolonged) inflammatory and proliferative period with excessive collagen formation. A keloid scar is raised above the skin level and grows beyond its original edges. Stretched (atrophic) scars are thin and sunken below the level of healthy skin. They occur as a result of pronounced traction in the scar area.

Depending on the type, size, scar tissue and the involvement of other tissues (skin, subcutaneous tissue, muscles), the procedure can be performed under local or general anesthesia. During the procedure, we use advanced surgical techniques, cut out scar tissue, release adhesions, reshape the new scar and, hide the incisions in skin folds or place them on the border between two aesthetic units, sew the tissue in several layers to relieve tension so that the pull of the surrounding tissue on the wound is as small as possible, and when suturing the skin, we use an intradermal suture that leaves no traces of stitching on the skin surface. When correcting scars on the hand and scars after burns, we often use various techniques from the field of reconstructive surgery, including skin grafting or the use of free tissue transfer. Wound healing is a complex process that is influenced by good surgical technique, the genetic characteristics of the individual and their general condition. Good wound healing also depends to a large extent on you. You can positively influence it with rest and adapted activity, proper care, proper nutrition, and abstinence from smoking for at least 4 weeks before the procedure and at least 2 weeks after the procedure.