Nathalie Krügel von Praxis Binzallee

Scar formation is essentially determined by genetic factors. External influences and the position of the scars can adversely affect scar formation in individual cases, however. Unsightly and prominent scars not only look very unattractive, they frequently cause psychological distress as well.

Raised, thick scars can be improved with substances (cortisone), which inhibit scar formation. This involves injecting the scar several times at specific intervals (usually every 4 weeks). We can correct ice pick scars (e.g. acne scars), by injecting them with hyaluronic acid as well, similarly to  the anti-wrinkle injection.

We can often improve common scars or ones that respond poorly to conservative measures with a surgical revision (excision of the scar).

 

Operation

The operation is performed in an outpatient or short-stay inpatient setting, under a local or general anaesthetic, depending on the size of the scar that requires revision.

We excise the scars and then neatly suture the skin.

After the operation, compression treatment and treatment with scar cream must be carried out consistently. We remove the stitches after 7 to 10 days, depending on the area.  Absorbable sutures are used so there is no need to have any stitches removed. It is essential to protect the fresh scars from the sun.

 

Postoperative events

Secondary bleeding and infections may occur but are treatable.

Download public talk on the subject here as PDF.