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Service

Scar Treatment Methods

I. Scar Treatment Methods

Scar treatment focuses on improving both the appearance and structural quality of scar tissue by addressing issues such as raised or depressed scars, skin contracture, and uneven texture or discoloration.

Hình ảnh khách hàng trước và sau điều trị sẹo

Client before and after undergoing scar treatment.

1. Benefits of Scar Treatment

Scar treatment provides multiple benefits:

Improved Skin Appearance: Advanced scar treatments enhance skin texture and scar quality, making scars less noticeable, softer, and closer in appearance to normal skin. However, scars cannot be completely eliminated.
Improved Skin Health: Treatment methods typically stimulate collagen production, helping restore and improve skin structure over time.
Improved Functional Movement: For certain scars—especially contracture scars, which can create tension across joints, limiting mobility, treatment helps release this tension and restore normal movement.
Psychological & Emotional Benefits: Reducing visible scars can boost self-confidence and self-image, while reducing anxiety related to unwanted attention about visible scars.

2. Scar Formation

Scars form when the body produces new tissue to repair skin damage caused by injury. Initially, scars are rich in collagen and appear dark red. Over time, they gradually fade but may leave visible discoloration: Hyperpigmented scars (more common in darker skin tones) and hypopigmented scars (common in lighter skin tones).

Một số loại sẹo xấu cần điều trị

Types of Scar Formation Requiring Treatment

Scar Types	Characteristics	Cause	Treatment
Flat scars	Normal healing scars	Natural healing process	Laser therapy may help improve pigmentation
Hypertrophic scars	Develop in injured skin areas or open wounds. Remain within the original wound boundaries Often occur in high-tension areas (like chest, shoulders, joints) Raised, thick, and firm compared to the surrounding skin area Initially red or pink. Forms about 2 weeks after injury Can be uncomfortable.	Excess collagen production during the healing process causing surface unevenness between the scar tissues and surrounding skin	Triamcinolone injections. Using silicone gel. Laser therapy. Surgical revision. Mild cases may improve over time.
Keloid scars	Similar to hypertrophic scars but extend beyond the original wound. Do not regress naturally. Initial colors range from red to purple. Develop over several months to more than a year.	Overproduction of collagen, leading to elevated scars New collagen fibers form in an abnormal pattern rather than running parallel to the skin surface.	Similar to hypertrophic scar treatment
Atrophic scars	Irregular, deeply sunken areas appear on the skin with uneven structure and tone. Formed after open wounds, severe acne, chickenpox, or injections	Deep skin damage. Loss of underlying tissue Insufficient or uneven collagen production.	Dermal fillers to restore volume. Skin regeneration–stimulating treatments: Chemical peels Microneedling Surgical scar revision.
Stretch marks (Striae)	Occur when the body rapidly gains weight or sudden changes in size. Common with obesity, pregnancy, or rapid muscle.	The skin does not expand fast enough to accommodate the underlying tissues	Laser therapy. Surgical scar revision.
Contracture scars	Tight, restrictive scars that pull surrounding skin. Often occur after severe injuries or burns. May limit movement, especially near the joints.	Fibroblasts participate in the scar healing process. Fibroblast activity causing excessive contraction.	Limited response to non-invasive methods. Skin grafting surgery: Replacing scar tissue with healthy skin Flap surgery to release tension and restore mobility.

3. When Is Scar Revision Surgery Necessary?

Surgical scar treatment is indicated in the following cases:

Contracture scars: When scars restrict movement or impair function
Scars in prominent areas: Large or visible scars (face, neck, hands) affecting aesthetics and psychology
Scars not aligned with natural skin tension lines: Perpendicular or irregular scars that are not aligned with natural skin tension lines, leading to poor healing and more noticeable.

4. Principles of Scar Revision Surgery

Skin tension lines are natural lines where the skin experiences the most mechanical stress.

Mô phỏng đường căng da tự nhiên

Skin tension lines map

In scar revision and aesthetic surgery, incisions are designed along these lines to reduce tension on the wound. This provides several benefits:

Optimizes the scar formation: Minimizes tension on the surgical incision as the scar heals.
Minimizes wound contraction: Prevents contracture scars and related complications
Improves aesthetics: After surgery, the scar is leveled, and blended naturally with the surrounding skin.

Scar revision surgery aims to reposition scars along these natural lines, improving both function and appearance.

II. The Procedure of Scar Revision Surgery

Surgical preparation: Appropriate anesthesia is selected based on scar size, location, and complexity.

Surgical techniques:

1. For simple scars: The doctor utilizes the Z-plasty technique to reorient and reduce tension

Mô phỏng chuyển hướng sẹo trên khuôn mặt nằm dọc theo đường mũi má

Illustration of Zplasty applied to reorientate scars to align with nasolabial folds

2. For more complex or contracture scars: If scar revision by reorientation alone is not feasible, the doctor may fully remove the scar tissue and restore the affected area with flap surgery or a skin graft from another part of the body.

Wound Closure: The incision is carefully sutured to ensure optimal cosmetic results and reduce the risk of new scar formation.