Scar Revision

TO IMPROVE OR REDUCE THE APPEARANCE OF A SCAR, YOU MAY WANT TO CONSIDER SCAR REVISION SURGERY.

What is a scar? A scar is the body’s way of healing after an injury. Scar tissue forms all through the body, not just the one that you see on your skin. Rather than replacing the injured tissue with the same type of tissue, a scar is a collection of collagen. It comes from a variety of injuries including surgery and trauma.

A scar revision can be done under local anaesthetic or general anaesthesia, depending on the nature of the problem. The scar is excised. The tissue is then freed-up so that it is no longer tethered to underlying muscle or bone. Releasing the skin and deep tethering allows the tissue to be brought together with less tension. A multi-layered closure is then performed to minimize any scar tension and maximize the chances for a great result.

What can be done if a scar is still not ideal?

There are several procedures that can be used to try and fix a scar, depending on the problem, including:

The use of silicone patches.

The application of prescription scar cream combined with massage techniques.

Lasers such as IPL or BBL to lighten the colour of the scar. Different wavelengths can be used for this depending on whether it is a pink/purple scar or a pigmented scar.

Profractional can be used to ablate the scar and soften it.

A combination of all the above and some topical steroid that is rubbed into the scar following laser treatment.

Steroid injections into the scar to soften, flatten and make it more pale.

A scar revision.

In extreme cases, a scar revision may be followed with a mild dose of radiation treatment to prevent keloid recurrence.

Dr Shortt will go over your options, so you feel that your surgery is specifically planned for you.

When to consider having this procedure?

In general, candidates for a scar revision are aged 18 – 70 years, are in good health, are able to have general anaesthetic, and may have one or more of the following characteristics:

N

unhappy with scar placement, thickness or appearance

N

dissatisfaction with appearance of a scar on the breasts following a breast reduction, breast lift, lumpectomy or breast reconstruction

N

dissatisfaction with the appearance of a scar on the abdomen following a past surgery or a C-section

N

a shelf-like appearance of redundant skin that produces a scar

What is the recovery time?

In general, the recovery time following a scar revision procedure is very limited. Typically it may last 1-2 weeks. Depending on the nature of the scar and its position there may be certain activity restrictions that Dr. Shortt will discuss with you in order to obtain the best possible chance for a great result.

As with any surgery under general anaesthetic, there are potential risks or complications to consider. During your private consultation, Dr Shortt will take a thorough medical history from you, discuss your surgical options, explain the complete procedure and potential risks, discuss what to expect pre and post surgery, and your estimated recovery time.

Learn more about Scar Revision and Body Surgery in Dr Shortt’s Blog

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Testimonials

Huge Breasts Be Gone!

Absolutely hands down the best! Dr Shortt is very skilled and has a warm, caring personality along with a sense of humour:) You are in the best hands should you choose Dr. Shortt. Thank you Dr Shortt and Joanne for making this a great experience!

He is a masterful surgeon and he has exceeded my expectations.

Dr. Shortt performed breast reduction/tummy tuck surgery and I am very happy with the results. He is a masterful surgeon and he has exceeded my expectations. I’m a 64 yr. old woman who has lived with shoulder and back pain for years. I decided to have a breast reduction in the hope of easing this discomfort and improving my quality of life in retirement. I was able to discuss questions and concerns easily with Dr. Shortt. He has a quiet, kind manner , complemented by a good sense of humour. I would not hesitate to recommend Dr. Shortt to my family and friends. The office staff are also very professional, friendly and helpful.

Dr Shortt is talented, trustworthy, and kind.

Dr Shortt was has been incredible! I went to him in search of options for correctly my breast asymmetry. I read a lot of reviews for plastic surgeons in and around Toronto and I chose Dr Shortt because his reviews were overwhelmingly positive. Initially, I was interested in fat grafting because I feared an implant would be obvious. At my consultation, Dr Shortt explained the advantages and disadvantages of both options. His opinion was that an implant would actually be the better choice because breast augmentation with an implant is much more predictable and due to the difference in my breasts, I would probably need multiple sessions of fat grafting, which would get quite expensive. After the consultation, I understood why an implant would be the better choice for me and my body. He wrote a letter on my behalf advocating that my surgery be covered by OHIP, the Ontario Health Insurance Plan, and they agreed to cover it! I really appreciated that Dr Shortt was honest about what he thought would make me the most happy (an implant in one side), not what would make him the most money (multiple sessions of fat grafting). Throughout the whole process, he was patient, understanding, and confident. His sense of humour put me at ease on surgery day and I couldn’t be happier with the results of my surgery. I didn’t want bigger breasts, just more symmetrical ones and he managed to balance me out beautifully without even touching my bigger left breast. My surgery was three weeks ago and except for the scar (which is healing beautifully) you can’t even tell I had surgery. My new breast looks and feels great and I can’t stop buying pretty new bras now that any bra will work for me. I can’t wait for bikini season! Dr Shortt is talented, trustworthy, and kind. As soon as you meet him, you’ll see that he truly cares about your happiness. Thank you, Dr Shortt!

I would 100% recommend Dr. Shortt and his staff to anyone who is considering breast reconstruction surgery.

I would 100% recommend Dr. Shortt and his staff to anyone who is considering breast reconstruction surgery. Dr. Shortt is a very knowledgeable, thorough and compassionate surgeon. i
felt comfortable with him from the first consultation appointment. He answered every question we had and was never in a rush. I am very grateful to Dr. Shortt for his expertise and his skills for making me feel like a whole woman again
Thank you so much !!

My experience with Dr. Shortt was great.

My experience with Dr. Shortt was great. I highly recommend Dr Shortt if you are considering any surgery. He did my breast reconstruction twice and each was very professional . He also took care of me after that so no concerns.

He was thorough, professional and clearly is the expert in his field.

I had the great pleasure of meeting Dr. Shortt for my initial assessment this week. My appointment was not only on time, but they were able to accommodate my early arrival. Dr. Shortt was a delight. He immediately put me at ease and was not in a rush. He was thorough, professional and clearly is the expert in his field. This is my second assessment and and I very happy that I held out for this referral.

Thank You Dr. Shortt

I wish I had had a breast reduction sooner; the improvement in how I feel physically and mentally is simply amazing. I could repeat so much of what others have said about Dr. Shortt; he is professional, knowleable and is quick with a funny quip when needed. I appreciate and am so grateful for his skill as a surgeon/artist. Joanne is always friendly and helpful and I appreciate her time in scheduling my surgery. Most definately recommend this Dr. Shortt and his team!

Feel and look better than ever before.


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