Is Cutting out Scar Tissue and Sewing it up with Small Stitches an Effective Scar Revision Method?

Yes, this is a very effective technique if the scar isn’t wide.  Also, this technique is better used on people over the age of 35 because there’s less resistance in the skin, caused by a decrease in elasticity.  Younger skin has a larger amount of elasticity which allows the skin to stretch and pull against the suture line increasing the possibility of scar tissue and keloids.

Scar revision procedures can improve scars but typically do not completely eliminate the scar.  Leg scars can be difficult to improve.  It is probably best if you decide to have a scar revsion to have a limited procedure and then assess whether the scars improve.  It should be considered that it is possible for scars to look worse after a revision procedure.

In general, scars on the legs do not usually heal as well as say scars on the face.  Small sutures or not, it may not help.

Thank you for the question.

With the you are a candidate for a scar revision of the scars of the lower extremity will be best determined after direct examination;  scars the legs can be tricky when it comes to scar revision for several reasons.

Generally, if scars are wide they may be amendable to scar revision surgery.  The scars can be excised,  the surrounding tissue “mobilized” ( to decrease tension on closure),  and careful re- closure  performed.  This will serve to hopefully make these cars then there ( but will not “get rid of scars”) is.

It will be in your best interest to be examined by well experienced board-certified plastic surgeons.

Best wishes.