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Dr.Priti Shukla - Cosmetic SurgeonScars Surgery - Face Procedure
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Scars Surgery - Face Procedure

Scars/moles can often be improved with surgery. In scar surgery, more importantly than any other surgery personal assessment and individuals skin type and healing capacity play important role. Most scars can be improved but scars will not vanish without a trace. Also result takes at least 6 months to stabilize. Therefore realistic expectations are important for patient satisfaction.

Following procedures are available for scar/mole improvement
Scar Revision Surgery
Mole Excision
Dermabrasion
Skin Grafting
Chemical Peeling

» Scar Revision Surgery
Before      After
Scar Revision Surgery-Before Scar Revision Surgery-After

› Indications
• Old injury scars
• Old badly stitched scars

» What is Done : Scar is cut out and removed and skin is stitched with fine materials
» How many stages : One or more depending on scar
» Anaesthesia : Usually local anaesthesia
» Rest : No rest is required
» Stitches : Removed in 5-10 days. If you are from outstation, absorbable stitches can be used
» Result : Best results in 6moths to 1year

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» Mole Excision
Before      After
Mole Excision-Before Mole Excision-After

» What is Done : Mole is cut out and removed and skin is stitched with fine materials. If mole is suspicious then it is removed with a margin of healthy skin and sent for biopsy. If mole is too big or close to eye/nose/mouth then more complex procedures like flap pr full thickness skin grafting may be required. In case of simple small moles only shaving with knife or radiofrequency without any stitches is sufficient
» How many stages : One or more depending on mole
» Anaesthesia : Usually local anaesthesia
» Rest : No rest is required usually
» Stitches : Removed in 5-10 days. If you are from outstation, absorbable stitches can be used
» Result : A fine line like scar which improves over next 6 months to one year. Therefore you should plan this surgery much in advance of any important event like marriage. The resulting scar is very fine and visible only on closer look.

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» Dermabrasion
Before      After
Dermabrasion-Before Dermabrasion-After

› Indications
• Pitted acne scars
• Multiple scars

» What is Done : The uneven pitted skin is leveled by peeling it surgically with a instrument called dermabrader (similar to smoothening of wood in carpentry)
» How many stages : One or more depending on the depth
» Anaesthesia : Usually local anaesthesia , For full face dermabrasion: General anaesthesia
» Where : Operation theatre
» Rest : Bed rest not needed
» Stitches : None
» Recovery : Initially there is dressing and pads on the face for a week. New skin grows from underneath in a weeks time, which is pinkish while initially. The skin gradually becomes darker to reach the normal skin colour. Darker the skin tone longer it takes to match, usually one to 3 months.
Special matching makeup is available to match the skin during early days so that you can join your work in a week or 10 days
» Precautions : You should take sun protection for next 6 months, in form of sunscreen and umbrella etc,.
» Result : Best results take 6 months to 1 year and skin become more even with natural look.
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» Skin Grafting
› Indications
• Very big scars/ moles that can not be stitched directly
• Big moles on eyelids/ nose
• After large tattoo removal

» What is Done : Scar/mole is cut out. Full thickness skin graft is taken from behind the ears or groin (donor areas) and stitched onto the defect from where the scar/mole was removed. The donor area is stitched up and since it is in hidden area it does not cause any problem
» How many stages : One usually
» Anaesthesia : Usually local anaesthesia
» Where : Operation theatre
» Rest : No movement of grafted part for 5 days
» Stitches : Absorbable
» Recovery : Initially there is dressing which is changed after 4-5 days to see if the graft has taken up. After that part can be left open but takes another 1 week for total healing. The grafted skin looks like a patch initially, which is usually darker than surrounding skin. Matching happens slowly one year or more. Special matching makeup is available to match the skin during early days so that you can join your work.
» Precautions : You should take sun protection for next 6 months, in form of sunscreen and umbrella etc,.
» Result : Final result may be much better than the original problem but complete match may not be achievable.

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Chemical Peeling
› Indication
• pigmented spots due to healed acne
• Fine lines
• Uneven pigmentation
• Rough and dull skin

» What is Done : Mild acid in measured concentration is applied to the face for a few minutes and washed off
» How many stages : 6 to 10
» Anaesthesia : None
» Where : Clinic
» Rest : None
» Dressing : None
» Stitches : None
» Recovery : There is no visible redness or peeling, you notice results gradually
» Precautions : You should take sun protection for next 6 months, in form of sunscreen and umbrella etc,.
» Result : More even, lighter skin tone with glow

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