Dr Ljiljana Paunković
specialist in plastic and reconstructive surgery
Book an appointment with Dr Ljiljana PaunkovićScar revision and keloid treatment in Niš
Surgical revision does not remove a scar but makes it less noticeable. The surgeon chooses the method after a consultation.
At a glance
- Procedure
- Surgical scar revision
- Anaesthetic
- usually Local
- Price depends on
- Size and complexitysmall, medium, large, complex
- Realistic expectation
- A less noticeable scara scar is not removed completely
Facts and description
Scar revision is a surgical procedure in which the plastic surgeon makes a scar from an injury or operation less noticeable, for example narrower, flatter or better positioned. A scar cannot be removed completely. At Maja Hospital, Vizantijski bulevar 39 in Niš, scar revision is carried out by specialists in plastic and reconstructive surgery, usually under local anaesthetic, and the price depends on the size and complexity of the scar.
All facts
- Procedure
- Surgical scar revision: cutting out and re-stitching or reshaping, as assessed by the surgeon
- Anaesthetic
- Usually local
- Size
- The price list distinguishes small, medium, large and complex scars and revision of two medium scars
- Keloids
- Treatment of keloids and hypertrophic scars is planned by the surgeon; a keloid can come back
- Price
- Depends on the size and complexity of the scar. The items are in the price table on this page.
When the procedure is usually considered
- A wide, raised or sunken scar after an injury or operation
- A scar that pulls the skin or limits movement
- A scar in a visible place that bothers you
- A keloid or thickened (hypertrophic) scar, after the surgeon's assessment
What the procedure cannot do
- A scar cannot be removed completely
- A fresh scar matures over months, so revision is often postponed
- A keloid can come back
The path to the procedure
Step 1: Plastic surgery consultation
The surgeon talks about your reasons and expectations, examines the area and explains the options.
Step 2: Plan and preparation
The method, anaesthetic and tests are agreed. With general anaesthesia or sedation you are also seen by an anaesthetist.
Step 3: Day of the procedure
After admission the surgeon explains the procedure once more, and you sign a consent form.
Step 4: After the procedure
You receive instructions for wound care and dressings; the surgeon decides on the length of stay.
Step 5: Follow-up
At the follow-up the surgeon checks healing, removes stitches when needed and discusses scar care.
Scar revision: prices
Our specialists
Dr Dimitrije Adamović
specialist in plastic and reconstructive surgery
Book an appointment with Dr Dimitrije AdamovićRecovery
- Swelling, bruising and tenderness in the treated area are expected in the first days and gradually subside.
- Take pain relief as advised by the surgeon.
- Keep the wound clean and dry and change the dressing as instructed after the procedure.
- Stitches, unless they are dissolvable, are removed at the follow-up appointment, on a date set by the surgeon.
Show 3 more: Recovery
- A scar matures over months; the surgeon explains scar care and sun protection at the follow-up.
- Exercise, sport and returning to work are agreed with the surgeon, depending on the procedure.
- Contact the surgeon without delay if you develop a temperature, redness, warmth or pus at the wound, bleeding that does not stop with pressure, or pain and swelling that get worse.
How to prepare
- Bring your results and a list of medicines you take regularly.
- Tell the doctor about allergies, especially to local anaesthetics, and about blood thinners; do not stop any treatment on your own.
- Have blood tests if the doctor asks for them.
- For a procedure under local anaesthetic, fasting is usually not needed; you will receive instructions when booking.
- If sedation is given with the procedure, arrange for someone to accompany you and do not drive yourself afterwards.
When to contact the surgeon
Contact the surgeon without delay if after the procedure you have:
- A temperature of 38 °C or higher, or shivering
- Redness, warmth or pus at the wound
- Bleeding that does not stop with pressure
- Pain or swelling that gets worse
Call the emergency service (194) if:
- You have difficulty breathing or chest pain
- You have severe swelling of the face, lips or tongue
In detail
What is surgical scar revision?
A scar is the natural way skin heals after an injury or operation. Some scars stay wide, raised, sunken or pull the skin. In surgical scar revision the plastic surgeon makes the scar less noticeable: usually by cutting it out and carefully re-stitching it, and for some scars by changing its direction or shape. Revision does not remove the scar but replaces it with a new, usually less noticeable one.
Keloids and hypertrophic scars
A hypertrophic scar is thickened and raised but stays within the original wound and often settles over time. A keloid grows beyond the edges of the wound and is more common in some people. Treatment of keloids and hypertrophic scars may include injection therapy and other methods the surgeon suggests after a consultation. A keloid can come back, so treatment is planned carefully.
Frequently asked questions
How much does scar revision cost in Niš?
The price depends on the size and complexity of the scar. The Maja Hospital price list has items for small, medium and large scars under local anaesthetic, for two medium scars and for surgical revision of small, medium, large and complex scars. All are in the price table on this page.
Can a scar be removed completely?
No. Surgical revision replaces the existing scar with a new, usually less noticeable one.
How is a keloid treated?
Treatment of keloids and hypertrophic scars may include injection therapy and other methods the plastic surgeon suggests after a consultation. A keloid can come back, so treatment is planned carefully.
What is the difference between a keloid and a hypertrophic scar?
A hypertrophic scar is thickened and raised but stays within the original wound. A keloid grows beyond the edges of the wound. The doctor assesses the difference.
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The information in this text is general in nature and does not replace an examination by a doctor.
Book an appointment: Scar revision
Information on this website does not replace a medical examination. Treatment is decided by a doctor after the examination.