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Wide scar of abdomen

What exactly is a scar?

Is it always fairly noticeable, a less than subtle reminder of a previous injury of some sort or of a surgical procedure?

Does it necessarily have to be somewhat wide? Elevated? Thick?

When the term “scar” is brought up, many people conjure up an image of something unpleasant or disturbing in appearance – possibly red, elevated and even wide. However, it doesn’t have to be this way. Scars just don’t get “no respect”.

In reality, they are the enduring and final result of the body’s amazing and complex mechanism of the healing of wounds. Such wounds can be the result of trauma, bites, burns, piercings, infections, surgery or even self inflicted or placed. Except for the most superficial injury or cut, a wound of the skin will result in a scar which is permanent.

Multiple factors play a role in the ultimate scar that develops from a given injury or as a result of a planned surgical procedure. Some wounds heal with fine imperceptible scars whereas others may end up being wide, irregular, unattractive, tattooed, thick, elevated and/or painful. The special cases of hypertophic scars, keloids and burn scars are discussed in other sections.

How can a wide and/or elevated undesirable and possibly conspicuous scar be improved?

Usually by scar revision surgery.

Scar revision surgery is the generic term used to describe any of a multitude of surgical approaches that a plastic surgeon uses which is designed to improve the appearance, symptoms or problems associated with a less than ideal scar. Most involve the excision of the offending site with a meticulous closure that can employ one or more of a variety of techniques. The procedure may yield a scar that is far less perceptible but it cannot magically erase it without leaving a trace.

Postoperative care is also important in attempting to obtain the best possible outcome. Topical agents such as silicone gel, silicone gel sheeting or Mederma® can be helpful in this regard. It is also important to protect the site from significant sun exposure for at least six to nine months. Regular application of a high SPF broad spectrum sunscreen is recommended (full UVA coverage and a 45 SPF or higher for UVB protection).

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A Message Regarding Coronavirus/COVID-19

In light of the coronavirus/COVID-19 pandemic, we would like to let you know of some of the major precautions we are taking in our office to maximize cleanliness and keep the environment as sanitary and safe as possible. Our highest priority is always to ensure the safety of every individual who sees us and we are taking extreme infection-control measures to maintain cleanliness and “sterility” of surfaces and the overall environment.

We will be limiting dates and times for office appointments and consultations due to safety and other issues. Consequently, if you have already made an office appointment or consultation prior to March 18, 2020 to occur at a later time, this may need to be changed.

For anyone considering plastic surgery, we are now offering Virtual Consultations and Telemedicine through Skype. A great number of aesthetic or insurance-related issues can be evaluated via pictures and online video conferencing, making this an excellent way to find out more about particular procedures, determine candidacy for treatment, receive answers to questions and facilitate being able to move forward with care once the government lifts all restrictions.

In an abundance of caution, we are asking all current patients who are experiencing a fever, cough, chills, fatigue or any type of respiratory illness to please delay any upcoming appointments at our practice. We can talk with you by phone or email to establish a new date and time for the appointment.

We are all in this together. Our team urges everyone to follow the guidelines recommended by local health authorities and the Centers for Disease Control and Prevention, which include frequent handwashing for a minimum of 20 seconds, social distancing, staying home if you are feeling sick, and contacting your healthcare provider if you feel you are experiencing symptoms.

For more information, please read our blog – Coronavirus and You: Important Information

For further updates, please check our blog.

If you have any questions or concerns, please contact us by phone or email.

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