SAEKIM

Scar revision surgery

By treating complex scars caused by surgery or trauma in a manner suited to the skin condition,
It is a surgery that improves the skin to be cleaner and more natural.

check point

Engraving scar surgery POINT

Personalized scar treatment analysis Personalized treatment method through analysis of scar tissue and surrounding normal tissue
Integrated Scar Treatment Approach Multidimensional approach to non-surgical treatment and scar revision surgery
Treatment know-how from extensive experience Diverse know-how in scar treatment based on extensive clinical experience

Types of scars

Increased scars

The reason sagging scars form is that the skin is pulled
It occurs when there is a scar in a specific direction.

It is a condition in which the collagen stretches and widens as the surrounding skin continuously pulls on it while the tensile strength of the collagen increases after surgery or trauma, and it occurs mainly on the arms, legs, and torso, and when there is a scar in the direction in which the skin is pulled.

Hypertrophic Scar

In contrast to stretched scars, hypertrophic scars protrude above the skin surface, have an irregular and hard surface, and are accompanied by symptoms such as redness, itching, stinging, and pain.

Depending on the body part, scars on joints or those lying perpendicular to skin folds are prone to becoming hypertrophic scars. Even if hypertrophic scars grow larger, they do not extend beyond the scope of the incision or wound, and they may even shrink compared to their initial size after 6 to 18 months.

keloid scars

It initially appears pink or red, and as time passes
It gradually turns brown and stings and itches.

A keloid resembles a hypertrophic scar in appearance, but its surface and boundaries are irregular, hard, and thick; rather than shrinking over time, the scar grows beyond the damaged area and extends into normal skin.
There are visible features.

Depressed Scar

As the wound heals, the skin and subcutaneous tissue or muscle tissue
Adhesion causes depressed scars.

It can be divided into types caused by wounds, such as acne or chickenpox scars, and types formed when damaged tissue and muscles adhere and harden in the indented shape.

Scar Contracture

If superficial scar contractures in skin and soft tissues are left untreated, they can lead to damage to deep tissues such as the musculoskeletal system, so it is important to treat them appropriately.

If excessive scarring occurs in moving tissues, such as around joints, following trauma or burns, movement may be restricted due to contracture. If the trauma or burn has penetrated deep tissues, the likelihood of pathological scarring, such as hypertrophic scars, increases, which can lead to scar contracture after wound healing.

Treatment and surgical methods for engraved scars

Method 01

Spindle-shaped resection

The method of scar revision involves excising scar tissue and suturing the healthy surrounding tissue through revision surgery.
It is recommended to perform this about 6 months after the wound has healed and the scar has softened somewhat and returned to a normal color.

Step 01

Step 01

scar area

Step 02

Step 02

Design

Step 03

Step 03

Suturing after incision

Step 04

Step 04

Suture

Method 02

Z-plasty

Scars parallel to skin folds tend to be inconspicuous, and they lengthen contracted skin or change the direction of the scar
It is a surgical method that can change the direction of the skin folds or divide the scar into small zigzag segments.

Step 01

Step 01

scar area

Step 02

Step 02

Z-plasty design

Step 03

Step 03

Suturing after incision

Step 04

Step 04

Suture

Method 03

W-plastic surgery

This is a surgical method in which the scar is incised in a sawtooth-like zigzag pattern and sutured in a W shape.
Divide the scar into several short segments to shorten the length of each side, and
It has the effect of scattering the direction of light reflection, making scars visually less noticeable.

Step 01

Step 01

scar area

Step 02

Step 02

W Plastic Surgery Design

Step 03

Step 03

Suturing after incision

Step 04

Step 04

Suture

Method 04

flap surgery

When scar tissue has invaded deep tissues or is adhered to moving tissues such as ligaments and tendons, after scar tissue excision
It is a surgical method that fills in a defect by moving surrounding or distal tissue along with the vascular pedicle responsible for blood circulation.

Step 01

Step 01

scar area

Step 02

Step 02

Design

Step 03

Step 03

Suturing after incision

Step 04

Step 04

Suture

Method 05

Scar revision using a tissue expander

This surgery is used when the scar area is extensive and requires two procedures; in the first procedure, a tissue expander (fluid sac)
After inserting it under the normal skin adjacent to the scar, physiological saline is gradually injected over approximately 3 to 8 weeks to stretch the skin, and then
This is a surgical method in which a wide scar is removed during the second surgery and covered with excess skin.

Step 01

scar area

Step 02

Tissue expander insertion

Step 03

Suturing after tissue expander removal

Method 06

Skin grafting and complex tissue grafting

When deformity, asymmetry, or contracture is anticipated due to insufficient skin tissue after excising scar tissue, skin or from the donor site
It is a surgical method that involves harvesting skin tissue, including subcutaneous fat, to supplement areas lacking tissue.

Method 07

fat grafting

To correct depressed scars, the area where the skin is adhered to subcutaneous tissue or muscle tissue is released, and
This is a surgical method that fills in sunken areas through fat grafting.

Method 08

Laser treatment

When a laser is irradiated onto the surface of tissue, changes in the tissue due to temperature occur.
The central surface area is heated, causing the tissue to vaporize and disappear, while the surrounding area suffers irreversible or reversible thermal damage.
Therefore, the effect of selectively removing scar tissue depending on the treatment area is
Of course, you can see the effect of aiding skin regeneration by promoting the formation of new collagen.

Genesis

Healite

helium laser

Method 09

Other treatment methods

Intralesional injection therapy

One of the methods for treating keloids is intralesional steroid injection, which is effective in reducing the size of the scar and relieving pain.

Silicone gel sheet therapy

By applying a silicone gel sheet to the scar area, you can provide an appropriately moist environment around the scar during the scar maturation period and reduce tensile strength.