SCAR REDUCTION

EXCISION OF KELOID

Keloid Scars are thick, puckered, itchy clusters of scar tissue that grow irregularly beyond the edges of their original wound or incision margin. Keloids are often an angry red colour that contrast dramatically against surrounding skin colour. This colour alteration is produce by the repeated development of tough, fibrous proteins known as collagen. Keloids can appear anywhere on the body, but they more commonly occur over the breastbone, on the earlobes and on the shoulders.

Keloids tend to develop more frequently in dark-skinned people than fair. This type of condition is usually treated by injecting a steroid medication directly into the affected scar tissue to initially reduce the redness, itching, and burning, followed by a Z-plasty procedure once the Keloid has begun to settle.

Z-plasty procedure

Z-plasty revision is a surgical technique used to reposition a scar so that it more closely conforms to the natural lines, creases and folds of the surrounding skin. The aim of this procedure is to make a scar lie in a position and manner that will make it appear less noticeable. This procedure can also be used to relieve the tension caused by a scar that has contracted. A Z-plasty procedure is performed by cutting out the old scar and making new incisions each side or the scar in order to create small triangular flaps of skin. These flaps are then rearranged to cover the wound at a different angle, giving the scar a "Z"pattern. To complete the surgery, the wound is then closed with fine stitches, which are usually removed around 5 days later.

How long do you need to be hospitalised?

Excision of Keloid procedure normally performed as a day case.

Recuperation

While each person's wound healing is unique, the wound must be kept free from possible infection.

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