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Scar revisions are cosmetic treatments to improve the appearance of scars, [27] with dermabrasion being a surgical procedure most often used for individuals with skin concerns such as scars caused by acne, surgery or injury. [28]
The purpose of surgical dermabrasion is to help diminish the appearance of deeper scars and skin imperfections. Often, the goal is to smooth the skin and, in the process, remove small scars (as from acne), uneven skin tone from scars or birthmarks, sun damage, tattoos, age spots, Stretch marks [citation needed] or fine wrinkles. [1]
Single or multiple z-plasties can be used. Specific modifications include the double-opposing z-plasty (sometimes called a "jumping man" flap) which can be useful for release of webbing of the medial canthus or release of 1st web space contractures. It is one of the techniques used in scar revision, especially in burn scar contracture.
Scarring caused by acne (left), and photo one day after scar revision surgery: The area around sutures is still swollen from surgery. Scar revision is a process of cutting the scar tissue out. After the excision, the new wound is usually closed up to heal by primary intention, instead of secondary intention. Deeper cuts need a multilayered ...
Adult craniofacial surgery deals mostly with reconstructive surgeries after trauma or cancer and revision surgeries along with orthognathic surgery and facial feminization surgery. Craniofacial surgery is an important part of all plastic surgery training programs. Further training and subspecialisation is obtained via a craniofacial fellowship.
Acne scars are caused by inflammation within the dermis and are estimated to affect 95% of people with acne vulgaris. [32] Abnormal healing and dermal inflammation create the scar. [ 33 ] Scarring is most likely to take place with severe acne but may occur with any form of acne vulgaris. [ 32 ]
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