Scar Revision

Scar Revision

Scar Treatment (Chronic Wounds)
What is a Chronic Wound?

Under normal conditions, wounds on our body tend to heal within 3-4 weeks. However, wounds whose healing trend is delayed or do not heal at all even after 4-6 weeks are called chronic wounds.

These can be seen in bedridden and paralyzed patients who do not feel the wound area, as well as in blood vessel occlusion, diabetes (diabetes) disease, and rheumatic diseases. In the closure of these wounds, the causative conditions are supported, if possible, and additionally, the wounds are closed with skin grafts (skin patches) and skin flaps (tissue transfer), which are plastic surgery techniques.

It should be kept in mind that chronic wounds are generally one of the most difficult areas of plastic surgery. In our clinic, plastic surgery applications related to these wounds are performed.

Diabetic and Foot Wounds Treatment

scar treatmentDiabetic foot wounds are treated with dressings and surgically with various interventions. Surgical interventions are required in cases where follow-up with dressings is not sufficient, circulation is impaired, infection increases, and crusts form. Infected foot wounds can become threatening to your health (such as general sepsis picture) with the mixing of microbes into the environment and blood, in these cases, debridement wound wound with emergency surgical intervention can be considered.

Surgical intervention and long-term follow-up of endocrinology, physical therapy and cardiovascular surgery may be required in the treatment.

Since it negatively affects wound healing, smoking should be stopped at least 15 days before the surgery. It should be ensured that blood sugar levels are within normal limits before and after surgery.

How is Scar Surgery Performed?

In the surgery, the crusts on and around the wounds due to diabetes are cleaned up to the bleeding area. Parts of the feet that do not have circulation or are impaired are amputated (cut off). The places with abscesses on the feet are opened and emptied, the infected (germ) parts in the soft tissue and bones are surgically removed.

After surgical cleaning, a dressing can be followed for a while, or a skin patch (graft) or tissue transfer (flap) can be applied to appropriate wounds.

In diabetic foot wounds, it is common for the infection to continue during surgery and the wounds do not heal despite the applied skin patches. It is inevitable to increase the level of amputation, especially in cases where ischemic features predominate. For this reason, surgical treatments usually cause disappointment in the patient and his relatives. Depending on the level of amputation, the patient may need appropriate prosthesis applications later.

Scar Revision
What is Scar Tissue?

Poor wound healing conditions that occur after injuries and various surgeries are called scar tissue. Overdeveloped scar tissue is called hypertrophic scar.

Surgical treatment is generally not recommended in hypertrophic scar tissue, and surgical correction of scars (scar revision surgery) is frequently performed by plastic surgeons in order to reduce scarring in normal scar tissues.

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    09.09.2022
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