Procedures

Few things about scars

All scars undergo a maturation process which takes up to 18 months. During this time the scar will become redder or darker, shiny, lumpy and itchy before it settles down and usually pales in colour. The scar usually looks worst at 3-6 months post operatively. It is important that you look after your scar by keeping it out of the sun, use a high sun factor, massage it every day after 3 months with a non-perfumed cream for 5-10 minutes and tape it the rest of the time after surgery. The longer you do this the better the scar will be, but I recommend that patients tape their scars for 3-6 months. You can also use silicone creams/ lotions on the scar, applying them once a day, but you should not massage with silicone products as this is likely to irritate the scar.

You can use steristrips or 3M plaster to tape your scar. The taping supports the scar and prevents it from stretching. Other links to taping and scar here.

There are three recognised bad forms of scarring: keloid, hypertrophic (darker, raised and itchy, but it stays within the original wound margins) and stretched (can be either paler or darker, but is wider than the original wound) scars.These can be treated, but with limited success.If you know you suffer from any of these forms of bad scarring you should consider any surgery very carefully.

 

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  • These are good scars. Some scars become darker than you normal skin colour, some paler.
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  • Keloid scars.
    Are darker, raised,
    itchy and larger
    than the original wound.

Procedure Overview

Face
Before you consider any operations on your face, decide what it is which bothers you most and what effect you would like.It is essential that you stop smoking before any operation, as this will reduce the rate of complications.
Breast 
Breast surgery is done to regain the youthful appearance of breast after childbirth and breast feeding, to equalise asymmetrical breasts from birth or after breast surgery or if your breasts are too heavy and large giving you back problems.
Body
For operations on the body it is especially important you are as close to your normal weight as possible, this will ensure the optimal result and diminish the chances for complications.
Gynaecological procedures
Plastic Surgery of the external female genitalia can remove lesions or reconstore a natural look after cancer resection.
Non-Surgical
Non-surgical treatments can be done immediately in the consultation rooms. It is important to say which procedure you are interested in and which product you wish to be treated with, so the appropriate time and product can be arranged.
Hand Surgery
All hand surgery requires Hand Therapy and you will be able to see the Hand Therapist the same day of your consultation. All hand surgery carries the risk of Complex Regional Pain Syndrome, which is an abnormal reaction to trauma. It is a very rare reaction, but can be very disabling. The symptoms include: severe pain, not controlled by painkillers, a change in skin colour to purple or darker, swollen fingers and hands, a severely reduced mobility of the hand, changed sweating of the hand and abnormal hairgrowth on the hand. It is imperative that this is recognised early for maximum recovery, so if you feel that your pain is disproportionate to the surgery you have had, you must contact Miss Barbara Jemec as soon as possible. The treatment consists of intense physiotherapy and specialist pain medication.

List of Procedures