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

I read that a common technique used by cosmetic surgeons is to cut out the scar tissue and sew up the wound with small stitches to allow it to heal properly.Can this be done on the legs to get rid of scars?

Doctor Answers 5

Technique for scar revision

You are right - a major part of scar revision technique is cutting out an old scar and closing the resulting wound properly with appropriate fine sutures. But there is more. Depending on the location of the scar and its characteristics - a surgeon may do any/all of the following: freeing up any deeper attachment of the scar that caused puckering, changing the direction of the scar to put it in a more favourable position, breaking up a long scar into a number of smaller scars so that they are less noticeable and lastly repairing the layers of skin in an apporpriate way to support the new scar to avoid any future stretching.

It is never possible to make a scar completely disappear. But using the mentioned techniques an unattractive scar caan be made less noticeable. Hope this helps.

Birmingham Plastic Surgeon
4.8 out of 5 stars 32 reviews

Scar Revision

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.

Paul Carniol, MD
Summit Facial Plastic Surgeon
5.0 out of 5 stars 7 reviews

Scar revision

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.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Scar Revision Candidate?

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.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,498 reviews

Scar revision for leg scar

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.

Timothy Jochen, MD
Palm Springs Dermatologic Surgeon
5.0 out of 5 stars 4 reviews

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