AESTHETIC & FUNCTIONAL IMPROVEMENTS

Scar Revision

Scarring is a normal part of healing, and for many of us, it’s a fact of life. However, the size, depth, and position of a scar can have a significant impact on our confidence and, in some cases, even affect physical function.

When scars become problematic, advanced Scar Revision Surgery techniques can be used to minimise their appearance and reduce the emotional and physical impact they have.

Mr Florian Bast's expertise as both an ENT surgeon and a facial plastics expert positions him to address many types of scars across the face to improve their form and provide a much-needed boost to those who seek his expertise.

TYPES AND APPROACH TO MANAGEMENT

What Are Scars?

Scars form when the skin is damaged by injury, disease, or surgery. The appearance of a scar depends on several factors, including:

  • Your physiology and genetics.

  • The method of injury (sharp injuries tend to heal more cleanly than blunt force trauma).

  • The tension and location of the wound.

Common Types of Scars Treated with Scar Revision Surgery

Keloid Scars

Keloid scars form when the body’s repair mechanisms go into overdrive, resulting in an overgrowth of raised scar tissue that extends beyond the original wound. These scars can be pink, red, or dark in appearance and are often painful or itchy.

Key Features:

  • Genetic predisposition plays a major role, and individuals with darker skin tones are more prone to keloids.

  • Keloid scars have a high recurrence rate, but non-surgical options, such as steroid injections or pressure dressings, can reduce the risk of recurrence after surgery.

Hypertrophic Scars

Similar to keloid scars, hypertrophic scars result from an excess of collagen. However, unlike keloids, hypertrophic scars remain within the boundaries of the original wound.

Key Features:

  • Often appear raised and red.

  • Common in areas where the skin is under tension, such as the chest or shoulders.

  • More responsive to Scar Revision treatments compared to keloids, with options including surgical Scar Revision, laser treatments, and silicone gel therapy

Sunken or Depressed Scars

Sunken scars, also known as pitted scars or "ice-pick" scars, occur when tissue loss leaves a visible depression in the skin. These are common after severe acne or certain viral infections, such as chickenpox.

Treatment Options:

  • Fat grafting or dermal fillers to restore lost volume.

  • Surgical excision for deeper, individual scars.

Contracture Scars

Contracture scars occur when large areas of skin are damaged, such as from burns. These scars cause the skin and underlying tissue to contract, potentially affecting the mobility of muscles and joints.

Key Considerations:

  • Contracture scars can have a profound impact on mobility and may require a combination of surgical release and skin grafts.

  • Post-operative care may include physical therapy to restore movement and minimise scar tissue reformation.

Scar Revision Treatment Options

Scar Revision can involve a combination of surgical and non-surgical techniques:

  • Surgical Scar Revision: This involves carefully excising the scar and re-closing the wound with precise sutures to minimise visibility. It is commonly performed for both functional improvements and aesthetic Scar Revision.

  • Steroid Injections: Used to soften and flatten raised scars such as hypertrophic and keloid scars.

  • Silicone Gel and Pressure Dressings: Proven to reduce the thickness and redness of scars over time.

  • Laser Therapy: Helps to improve the texture and colour of scars by targeting pigmentation and stimulating collagen production.

  • Microneedling and Fat Grafting: Suitable for depressed scars, helping to restore smoothness to the skin.

Interested in discussing Scar Revision Surgery with Mr Florian Bast?

  • Patient Review

    “I am beyond happy with the results from my surgery, from initial consultation to 5 months post op dr bast has been there to answer any questions big or small. Dr Bast took time to ask me countless times what I was hoping would be the end result- I found this to be helpful.”

  • Patient Review

    “Mr bast is professional, knowledgeable and honest. He takes great care of his patients and goes above and beyond to make sure the procedure and healing leads to a natural, functional and aesthetically pleasing result. I felt understood, safe and comfortable at all times.”

  • Patient Review

    “Florian provided first class medical care. His surgery has completely fixed a condition that I’ve been suffering with my whole adult life. He was always patient and very attentive, clearly explaining my procedure and recovery in layman’s terms. My heartfelt thanks for his service.”

TREATMENT AND AFTERCARE

What to Expect During and After Scar Revision Surgery

Procedure and Anaesthesia

Most Scar Revision Surgeries are performed under local or general anaesthesia, depending on the size and location of the scar. The procedure typically lasts 1-2 hours, though more extensive revisions may take longer.

Discharge Advice and Recovery

It is normal to experience mild swelling, redness, and bruising for 1-2 weeks after the procedure.

Keep the area clean and follow your surgeon’s aftercare instructions closely.

Avoid strenuous activity and sun exposure for at least two weeks to support optimal healing.

Can Scars Be Completely Removed?

It’s important to note that scars cannot be entirely removed. However, with the latest surgical and non-surgical methods, they can be significantly improved in terms of their aesthetic appearance and, in some cases, repositioned to enhance functionality.

How Long Does Scar Revision Take to Heal?

The healing process varies depending on the size and type of the scar. In general:

  • Initial healing takes around 1-2 weeks.

  • Full maturation of the scar tissue can take 6-12 months.

Mr Bast will monitor your progress through follow-up appointments to ensure that healing is progressing as expected.

Why Choose Mr Florian Bast for Scar Revision Surgery?

With dual expertise as an ENT surgeon and a Facial Plastic Surgery Specialist, Mr Florian Bast is uniquely positioned to address various types of scars on the face and neck. His approach prioritises both aesthetic enhancement and functional improvements, providing life-changing results for those affected by scarring.

Scar Revision Cost in the UK

The cost of Scar Revision Surgery depends on the size, type, position and complexity of the scar, as well as the techniques used. Scar Revisions with Florian Bast start from £7257.

If you’re looking for Scar Revision in London, it’s essential to choose an experienced Scar Revision Surgeon like Mr Bast who can offer a personalised treatment plan and transparent pricing.

Interested in discussing Scar Revision with Mr Florian Bast?

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SURGICAL CARE

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Mr Florian Bast offers ENT and facial plastic surgery at a variety of hospitals in London, England. These include: Rhinology at Cromwell Hospital, London; Rhinology at Cadogan Clinic, London; Balloon sinus dilation at The Lister Hospital, London; Endoscopic balloon dilation at Weymouth Street Hospital, London; Rhinology at Guys Hospital and St Thomas’ Hospital, London; ENT services at 25 & 9 Harley Street, London; Rhinology at Sydney Street Diagnostics Centre, London.