Scar revision surgery is a reconstructive plastic surgery procedure aimed at improving the appearance, texture, alignment, and functional impact of scars resulting from surgery, trauma, burns, or infections. While scarring is a natural outcome of wound healing, some scars heal in a manner that is cosmetically noticeable, functionally restrictive, or psychologically distressing. Scar revision does not eliminate scars entirely but seeks to make them less visible, more flexible, and better integrated with surrounding skin.

Scars vary widely in type and behavior. They may appear widened, depressed, raised, pigmented, irregular, or tight. Some scars restrict movement when located across joints or mobile areas, while others cause discomfort, itching, or pain. The appearance of a scar depends on wound depth, healing process, skin type, location, tension, infection, and individual genetic predisposition. Importantly, scars also evolve over time, often maturing over months to years.

Patients seeking scar revision frequently report dissatisfaction with visible scars on the face, neck, hands, or other exposed areas. Others experience functional problems such as limited mobility, skin tightness, or distortion of nearby anatomical structures. Psychological effects can be significant, especially when scars are associated with trauma or affect personal identity and confidence.

Evaluation for scar revision involves detailed assessment of scar type, maturity, location, size, skin quality, and functional impact. Timing is critical, as immature scars may improve naturally, while mature scars are more suitable for intervention. Patient expectations are carefully discussed, emphasizing improvement rather than perfection.

Scar revision surgery involves repositioning or reshaping scar tissue to improve alignment with natural skin lines, reduce tension, and enhance flexibility. Surgical planning prioritizes both function and aesthetics. Postoperative care focuses on optimizing healing, scar maturation, and long-term outcomes.

Scar revision is often part of a broader reconstructive journey. When thoughtfully planned and executed, it can significantly improve appearance, comfort, and confidence, helping patients move forward from the physical and emotional impact of scarring.