Scar Revision

Children may develop scars from injuries, surgery, or burns that are raised, stretched, thickened, or restrict movement. Because children's skin heals differently and they continue to grow, some scars may change over time or become more prominent, especially on the face, hands, or joints.

Scars typically take 12 to 18 months to mature.  In this early phase non-surgical scar management is crucial to optimise the long-term appearance of the scar.  These techniques include application of moisturiser, gentle massage, silicone therapy and strict sun avoidance to avoid hyper-pigmentation.  

Paediatric scar revision surgery is designed to improve the appearance or function of problematic scars while accounting for the child's age and growth potential. The goal may not be to remove the scar completely, but to make it less noticeable and more comfortable, using camouflage techniques or skin re-orientation. Careful pre-operative planning, and the implementation of special techniques tailored to the scar's type and location allow the surgeon minimise trauma and reduce the risk of developing a problematic secondary scar. In some cases, non-surgical treatments such as silicone therapy, laser treatment, or steroid injections may be used in combination or as an alternative. 

A Plastic and Reconstructive Surgeon is able to carefully assess each problematic scar and offer a treatment plan combining both surgical and non-surgical options.