If the keloid scar is not responsive to nonsurgical management options, surgery may be performed. Surgical intervention can improve the appearance of scars and help to remove scar tissue. One type of surgery directly removes the scar formation with an incision, and stitches are placed to help close the wound. However, surgery is not performed often on hypertrophic scars and keloids due to the high rate of recurrence or creation of even larger keloids.
For atrophic scar, we use an excision process where a special scalpel is used to physically remove the scar. After the excision, the new wound is closed, and a dressing will be applied to assist healing.
There is no clinical downtime with surgical excision as the process is carried out using a local anaesthetic. You can return to your daily activities, whilst adhering to any aftercare instructions that your practitioner advises you.