Search within page : Scar Removal / Reduction Surgery , Scar Revision , Chemical Peel  Laser Surgery  Dermabrasion , Tissue Expansion Surgery , Fillers, Serial excision & closure , scar reduction , Skin Grafting , flaps and free tissue transfer , Acne scar Removal in New Delhi, Delhi, India  
Scars Removal :- bigger ones need excision and cosmetic reconstruction.
Post traumatic , post burn or post surgery. Treatment , again chosen from a wide range of options available .

A scar is visible when it differs from surrounding area in color ( dys-pigmented scar or hyper pigmented scar or hypo pigmented scar) or texture or level ( depressed or elevated scar ) or thickness of scar tissue and adherence to underlying structure -  so correction also involves correction of factor which makes it visible or functionally troublesome.

options for scar revision or scar reduction or scar removal :-

serial excision and closure - in one stage or multiple stages, depending upon size, location proximity of scar to important structures and mobility of surrounding skin. the goal of replacement of like tissue with like tissue is achieved best. so for scar removal or scar reduction its always the first consideration.  skin in every part of our body is specified and bringing it from a distant area is a compromise rather than a good option for scar removal or scar reduction.

scar reduction / Scar Revision :-  one thing is very clear -- once a scar always a scar, be it bigger or smaller, be it visible or invisible, troublesome or harmless.  In scar reduction- we gradually reduce the size of larger scars initially and then finally do cosmetic correction when scar becomes very small. Surgery done is small in magnitude, very safe and does not affect day to day life of patient. final correction takes little time but result of scar correction is always the best.

Skin Grafting :- Partial thickness skin graft:-- thin slice of skin graft is harvested from hidden areas and used as replacement tissue for scar . as skin of different part of body varies so it never acquires character of recipient area and some difference is always there but its a good option in cases where large scarred area needs resurfacing.                                              (Back to Top)

                            Full thickness skin graft:- taken from behind the ear or other body creases, it provides better skin color & texture match, also the donor area scar is hidden in natural skin crease. only limitation is that very large areas cant be covered because of small donor areas.

flaps and free tissue transfer :- local flaps are always preferred as tissue match is best, if not available flaps from distant areas may be transferred. in fact serial excision is best and simple example of local flap for scar removal or reduction.     (Back to Top)

Before and after pictures of scar revision or scar removal or scar reduction 

Picture  1 - Burn Scar On Cheek & Chin - Serial scar Removal 

Picture 2- Post Tuberculosis Depressed Scar on Neck, Before & After Scar Removal

Picture 3- Post Trauma ( Accident ) Scar forehead with Eye brow Mismatch ,

Before & After Correction

Picture 4- Post Infection Scar Cheek & Lower Eyelid , Before & after Scar Removal

                          (Back to Top)

 Acne scars or smaller multiple scars are best treated with face resurfacing techniques like chemical peeling, dermabrasion or laser resurfacing.

Facial resurfacing for scar removal or scar reduction :- means stimulation of most superficial layer of skin to stimulate growth of new skin. It also stimulates regeneration and remodeling of collagen so final result is smoother, bright skin with less scar marks and wrinkles. so facial resurfacing is not only a method of scar removal but also a way of face rejuvenation.
So its used both for treatment of acne scars, Depressed scars , wrinkles, freckles and altered pigmentation.
Three usual methods are there:-
Chemical:-- Chemical Peel ( like phenol, TCA, salicylic acid, mandelic acid etc) - best suitable for very superficial resrfacing, depth control is poor
Thermal :- is by Laser Cosmetic Surgery - for moderate acne & other marks
Mechanical:- Dermabrasion. - labor intensive but best depth control & dermis regeneration & tightening

Laser for pigmentation & scar removal ,scar revision or scar reduction:- different colors absorb different wavelength of light some in visible range , some in invisible. This forms the basis of treatment of pigmented lesions by laser. Lesion is exposed to suitable wavelength of light so that it absorbs energy gets heated and cells responsible for color are destroyed.                                                                                           (Back to Top)

Laser for Rejuvenation:- the same energy induces regeneration and remodeling of collagen which provides and more younger looking and healthy skin. 

Before and after pictures of laser facial resurfacing for acne scars,

Before and after pictures of dermabrasion post infective face scar.   (Back to Top)

Fillers for scar removal :- dermal fillers is  used for depressed scars in which superficial skin color & texture is normal, bringing scar skin in level of normal skin reduces its visibility. we have both temporary and permanent fillers. permanent fillers are not preferred as they create bumps under the skin over time.  fillers can be artificial ready made or fat & dermis from patients body itself is used as filler ( better option)

Tissue expansion for scar reduction or scar removal:-
A modality, with which, surrounding normal skin is expanded with the help of an inflatable silicone balloon type device and advanced or used in different ways to remove scars anywhere on body or bald areas in scalp. Advantage is replacement with adjacent normal skin, so the best possible cosmetic and functional result.

Before and after pictures of post burn scar treated with tissue expansion

Before and after pictures of post herpes zoaster scar treated with tissue expansion                  (Back to Top)

Scar Reduction, Scar Revision, Chemical Peel, Laser Surgery, Dermabrasion, Tissue Expansion Surgery in New Delhi, Delhi, India