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Plastic Surgeon In Hyderabad, India

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Scars and moles can often be improved with surgery. In scar surgery, more importantly than any other surgery personal assessment and individuals skin type and healing capacity play an important role. Most scars can be improved, but scars will not vanish without a trace. Also result takes at least 6 months to stabilize. Therefore, realistic expectations are important for patient satisfaction.

The following procedures are available for scar/mole improvement:
  • Scar Revision Surgery
  • Mole Excision
  • Dermabrasion
  • Skin Grafting
  • Chemical Peeling

Scar Revision Surgery

Before

Before

After

After

  • Indications
    • Old injury scars
    • Old badly stitched scars
  • What is Done: Scar is cut out and removed and skin is stitched with fine materials
  • How many stages: One or more depending on scar
  • Anaesthesia: Usually local anaesthesia
  • Rest: No rest is required
  • Stitches: Removed in 5-10 days. If you are from outstation, absorbable stitches can be used
  • Result: Best results in 6 moths to 1 year

Frequently Asked Questions – Scar Revision Surgery

Will the scar disappear completely?

No, it will improve a lot and become very faint- visible only on close inspection.

Will the result be immediate?

No, scars take time to mature and improve after surgery. Give it 6 months time.

Do I need to follow any precautions after surgery?

Yes, regular follow-up visits for 6 months are important apart from certain creams.

to view the article on how to minimize scar after surgery.

I am told that result differs from person to person according to skin type and healing quality. What does it mean?

There are 6 types of skins. Fairest and delicate Scandinavian skin is type one and thickest dark African skin is type 6. In between these are other skin types from fairer to darker. Tendency of scarring is least in fair, type one skin and maximum in dark type 6 skin. Indian skin is type 4 to 5. Fairer skinned people have better scars than darker people generally.

What is keloid scar?

Keloid is a type of scar that does not stop growing even after the skin is healed. It may grow bigger with time, may be elevated, hard, red and itchy and sometimes painful. Keloid can sometimes occur after a pinprick, a pimple or without any noticeable injury or surgery. Keloid is more common on shoulder, chest and back.

What is the treatment of keloid scar?

Prevention is better than cure. After any injury or surgery if the scar is becoming elevated and itchy consult your plastic surgeon immediately. Fresh keloids can be treated without surgery by injecting steroids into keloid many times, application of pressure and silicon sheet. Surgery is done only for a few cases because any surgery will cause further keloid. This can be prevented by doing surgery and injecting steroid into the scar after surgery 3-4 times and follow up with plastic surgeon for a long time to detect and suppress early reformation of keloid.

What is a hypertrophic scar?

Hypertrophic scar is an elevated bad looking scar, and a milder form of keloid. Treatment is same as keloid.

My father has a keloid scar. Does it mean I also have keloid tendency?

You may have keloid tendency.

My previous operation scars are fine, what are my chances of developing bad scar after my next surgery?

Chances of bad scarring are very low but results also vary from area to area and some areas of body are more prone to scarring than others.

I had met with an accident some years ago and the scars on my arm are not good. I am now Planning to have a plastic surgery. Am I likely to have bad scars again?

Scars plastic surgery is better than other scars.

Do self-absorbable stitches give the best result?

Plastic surgeons stitch the wound in layers. Absorbable stitches are used in deeper layers and fine non-absorbable stitches on the skin surface. Outer stitches are removed in 4 to 5 days. These special nonabsorbable stitches are very smooth, do not leave marks and are not painful during removal. Absorbable stitches on skin are not preferred because they absorb slowly and may leave marks. Sometimes absorbable stitches under the skin alone are used and no stitches are applied on skin. Your plastic surgeon is the best person to decide which kind of technique will suit you the most.

Is it better if my skin is closed with glue rather than the stitches?

Plastic surgery stitches give the best result and do not leave stitch marks. Glue is only for uncooperative children.

My daughter had stitches on her face due to fall. Now she is 6 years old. What is the right age for scar revision surgery?

If she is not very affected by scar and if you can wait it is best to delay the surgery as late as possible that is 16 years or later. There is a chance that the scar may fade significantly on its own. Grown ups are not scared of local anesthesia and also with maturing of skin healing tends to be better. If the scarring is too bad and child is being pointed out by others and developing psychological problems, then surgery can be done earlier.

Is laser better than surgery for scar removal?

Different scars respond to different treatments. Scars that respond to surgery do not respond to laser and vice versa. Generally speaking very few types of scars respond to laser.


Mole Excision

Before

Before

After

After

  • What is Done: Mole is cut out and removed and skin is stitched with fine materials. If mole is suspicious then it is removed with a margin of healthy skin and sent for biopsy. If mole is too big or close to eye/nose/mouth then more complex procedures like flap pr full thickness skin grafting may be required. In case of simple small moles only shaving with knife or radiofrequency without any stitches is sufficient
  • How many stages: One or more depending on mole
  • Anaesthesia: Usually local anaesthesia
  • Rest: No rest is required usually
  • Stitches: Removed in 5-10 days. If you are from outstation, absorbable stitches can be used
    Result: A fine line like scar which improves over next 6 months to one year. Therefore you should plan this surgery much in advance of any important event like marriage. The resulting scar is very fine and visible only on closer look.

Frequently Asked Questions – Mole Excision

Can mole be removed without surgery?

Some moles that are superficial, harmless and elevated can be removed with radiofrequency burning.

Are there scars after mole removal surgery?

Whatever marks of surgery are there they are not as visible as the mole. There may be a faint line like mark or spot.

Are moles dangerous?

Yes, some moles can be dangerous like the moles that are growing and those that are itchy or crusty. These can be basal cell carcinoma or melanoma, both of which are cancers. Suspicious moles are removed with wide margins and sent for biopsy.


Dermabrasion

Before

Before

After

After

  • Indications
    • Pitted acne treatment for scars
    • Multiple scars
  • What is Done: The uneven pitted skin is leveled by peeling it surgically with a instrument called dermabrader (similar to smoothening of wood in carpentry)
  • How many stages: One or more depending on the depth
  • Anaesthesia: Usually local anaesthesia , For full face dermabrasion: General anaesthesia
  • Where: Operation theatre
  • Rest: Bed rest not needed
  • Stitches: None
  • Recovery: Initially there is dressing and pads on the face for a week. New skin grows from underneath in a weeks time, which is pinkish while initially. The skin gradually becomes darker to reach the normal skin colour. Darker the skin tone longer it takes to match, usually one to 3 months.

Special matching makeup is available to match the skin during early days so that you can join your work in a week or 10 days

  • Precautions: You should take sun protection for next 6 months, in form of sunscreen and umbrella etc,.
  • Result: Best results take 6 months to 1 year and skin become more even with natural look.

Frequently Asked Questions – Dermabrasion

Can dermabrasion make my skin completely smooth?

Your skin may not become completely smooth. 50 to 80 percent of improvement can be expected.

Is one sitting of dermabrasion enough?

That depends on depth of scarring. More than one sitting may be required for deeper scars.

Will i get pimples again after dermabrasion?

Dermabrasion will not stop new pimples from coming. Good medical treatment is available to control them.

Are there any side effects of dermabrasion?

Side effects are unusual but possible. Hyperpigmentation (dark colour) or hypopigmentation (light colour) may occur, which may take long time to match. Rarely more scarring can occur.

Will the new skin look natural?

Yes.

How long does it take for the skin to become completely normal?

Skin heals completely in a week or two. It is completely normal except in two aspects- it is lighter in colour and more sensitive to sun. Colour matching happens slowly over 1-4 months depending on depth of dermabrasion and persons original colour. It takes longer if pits are deep and person is dark. Since the skin is otherwise normal special cream of matching colour can be used to get a normal look, till natural matching occurs.

What if I get exposed to sun after surgery?

New skin may burn and develop darker colour.

Can I get my cheek skin removed and get new skin put there by plastic surgery?

That is not a good option and may make you look worse with a patchy unnatural look.


Skin Grafting

  • Indications
    • Very big scars/ moles that can not be stitched directly
    • Big moles on eyelids/ nose
    • After large tattoo removal
  • What is Done: Scar/mole is cut out. Full thickness skin graft is taken from behind the ears or groin (donor areas) and stitched onto the defect from where the scar/mole was removed. The donor area is stitched up and since it is in hidden area it does not cause any problem
  • How many stages: One usually
  • Anaesthesia: Usually local anaesthesia
  • Where: Operation theatre
  • Rest: No movement of grafted part for 5 days
  • Stitches: Absorbable
  • Recovery: Initially there is dressing which is changed after 4-5 days to see if the graft has taken up. After that part can be left open but takes another 1 week for total healing. The grafted skin looks like a patch initially, which is usually darker than surrounding skin. Matching happens slowly one year or more. Special matching makeup is available to match the skin during early days so that you can join your work.
  • Precautions: You should take sun protection for next 6 months, in form of sunscreen and umbrella etc,.
  • Result: Final result may be much better than the original problem but complete match may not be achievable.

Click here to view the article on skin grafting myths and reality.

Frequently Asked Questions – Skin Grafting

Can the skin be taken from another person’s body?

No.

Will the grafted skin match completely?

Hundred percent matching is rare. Generally matching can be 80 percent or less. It takes 1-2 years for that much matching to occur.

How does the grafted skin look?

It looks darker, also the margins of graft may be visible.

My right cheek was burnt and looks scarred. Can skin grafting improve it?

Skin grafting can improve it. Matching will take 1 to 2 years and 100 percent matching will not occur.

Can laser remove old burn scars?

No.

Can skin grafting make burnt face look normal?

To some extent it can, but not completely. There is no technology available to make a burnt face completely normal.


Chemical Peeling

  • Indications
    • Pigmented spots due to healed acne
    • Fine lines
    • Uneven pigmentation
    • Rough and dull skin
  • What is Done: Mild acid in measured concentration is applied to the face for a few minutes and washed off
  • How many stages: 6 to 10
  • Anaesthesia: None
  • Where: Clinic
  • Rest: None
  • Dressing: None
  • Stitches: None
  • Recovery: There is no visible redness or peeling, you notice results gradually
  • Precautions: You should take sun protection for next 6 months in the form of sunscreen, an umbrella, etc.
  • Result: More even, lighter skin tone with glow

Frequently Asked Questions – Chemical Peeling

Are chemicals harmful to the skin?

Chemicals used for peeling are scientifically prepared and applied under supervision for short periods. They improve the skin.

Are there side effects of a chemical peel?

Uncommonly pigmentation can occur which is usually reversible and temporary.

Are chemical peels suitable for Indian skin?

Some deeper peels like phenol are not suitable for Indian skin. Milder peels like glycolic, salicylic and TCA are suitable.

How many sittings are required?

4 to 10 at 2 weeks interval.

Does the skin gets burnt and then peel off?

Skin does not get burnt. It looks normal and peeling is very subtle.

What precautions are required?

Sun protection is required.