Z-plasty Chicago Scar Revision Plastic Surgery
Z-plasty is a surgical technique used to reposition a scar so that it more
closely conforms to the natural lines and creases of the skin, where it will be
less noticeable. It can also relieve the tension caused by contracture. Not all
scars lend themselves to Z-plasty, however, and it requires an experienced
plastic surgeon to make such judgments.
In this procedure, the old scar is removed and new incisions are made on each
side, creating small triangular flaps of skin. These flaps are then rearranged
to cover the wound at a different angle, giving the scar a "Z" pattern. The
wound is closed with fine stitches, which are removed a few days later. Z-plasty
is usually performed as an outpatient procedure under local anesthesia.
While Z-plasty can make some scars less obvious, it won't make them disappear. A
portion of the scar will still remain outside the lines of relaxation.
Skin grafting and flap surgery
Skin grafts and flaps are more serious than other forms of scar surgery. They're
more likely to be performed in a hospital as inpatient procedures, using general
anesthesia. The treated area may take several weeks or months to heal, and a
support garment or bandage may be necessary for up to a year.
A skin graft involves the transfer of skin from a healthy part of the body (the
donor site) to cover the injured area. The graft is said to "take" when new
blood vessels and scar tissue form in the injured area. While most grafts from a
person's own skin are successful, sometimes the graft doesn't take. In addition,
all grafts leave some scarring at the donor and recipient sites.
Flap surgery is a complex procedure in which skin, along with the underlying
fat, blood vessels, and sometimes the muscle, is moved from a healthy part of
the body to the injured site. In some flaps, the blood supply remains attached
at one end to the donor site; in others, the blood vessels in the flap are
reattached to vessels at the new site using microvascular surgery.
Skin grafts and flap surgery can greatly improve the function of a scarred
area. The cosmetic results may be less satisfactory, since the transferred skin
may not precisely match the color and texture of the surrounding skin. In
general, flap surgery produces better cosmetic results than skin grafts.
After scar revision
With any kind or scar revision, it's very important to follow your surgeon's
instructions after surgery to make sure the wound heals properly. Although you
may be up and about very quickly, your surgeon will advise you on gradually
resuming your normal activities.
As you heal, keep in mind that no scar can be removed completely; the degree of
improvement depends on the size and direction of your scar, the nature and
quality of your skin, and how well you care for the wound after the operation.
If your scar looks worse at first, don't panic-the final results of your surgery
may not be apparent for a year or more.
Post Surgical Care
While the healing process of any scar takes time, certain
clinical skin care products can help to accelerate the procedure. Dr. Speron
recommends the neaclear Liquid Oxygen
Flexible Adhesive Bandage and
Triple Antibiotic Ointment. Each of these
products uses the power of oxygen to encourage cell renewal and growth.
neaclear Liquid Oxygen Flexible Adhesive Bandage:
Provides healthy atmosphere for cell growth
Applies gentle pressure to the site of the scar
to help flatten it
Forms a protective waterproof seal over the
neaclear Liquid Oxygen Triple Antibiotic Ointment:
Soothes the skin to decrease redness
Prevents infection while nourishing the scar
Stimulates blood circulation to the site of the