Scars & Burns by Mr Ioannis Goutos

Scar Revision London

At a glance

Treatment time:

20 minutes – 1 hour depending on the location and size of the scar.

Duration:

Long lasting effects, although may take several months of healing to see the end results.

Return to work:

Same or next day.

Anaesthetic

Local anaesthetic.

Scar Treatment London

Scar tissue is formed during the normal healing process of the skin following insult or injury. There are a number of procedures to help improve the cosmetic appearance of scars, including scar revision at Goutos London.

Part of the scar-forming process involves the laying down of collagen, a tough connective tissue, which forms the basis of the scar itself. If the amount of collagen is excessive or insufficient, or if the collagen is not laid down in the correct pattern, this can result in scars that are either too tight, resulting in contractures, or too bulky, leading to hypertrophic or keloid scars that protrude from the skin. These types of scars can be troublesome in that they can produce pain or itching, restrict movement if overlying a joint and be unsightly, leading to low self-esteem.

There are a number of different procedures and treatment agents to help improve the appearance and symptoms associated with these types of scars, including surgical scar revision.

This involves surgical excision of the scar, and in the case of tight or contracted scars, may also involve the implementation of a skin graft or flap. This is an extremely specialised area of plastic surgery, as the surgical removal of scar tissue will in itself create a wound in the skin which will then heal to form a scar. It takes an experienced and expert hand to perform these procedures without recurrence of the problematic scarring once the surgical wound has healed. This involves the use of special surgical methods, as well as augmented post-operative treatment and wound care.

Mr Ioannis Goutos is a specialist plastic surgeon and leader in the care of scars and burns. He has a wealth of experience to discuss your treatment goals and assess any scarred areas that are causing problems. He takes a holistic approach at his clinic to create individual treatment plans based on each patient.

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Surgical Scar Revision London

Scar revision procedures take meticulous pre-operative assessment and planning. The orientation of the surgery will depend on the area of the body that the scar is located, and aim to respect the natural crease lines in the skin to promote good post-operative healing. Complete scar removal (extralesional excision) is generally superior to partial scar removal (intralesional excision), particularly in the case of managing keloid scarring.

Scar revision surgery is a very precise procedure. It is usually done as an outpatient procedure using a local anaesthetic. This means that you will be awake during the scar revision, but you won’t be able to feel the area of skin being targeted during the procedure, you will also be able to go home from the clinic on the same day. The scarred area is cut out of the skin using small and accurate lines based on the pre-operative planning. The bulky or contracted tissue is then removed. The open area of skin is closed using special techniques to reduce tension in the wound. This aims to minimise the risk of the problem scarring recurring. These techniques include ‘w-plasty’ closure (breaking up the scar margins into small, interdigitated triangular components) and, when appropriate, insertion of skin grafts or flaps taken from another part of the body.

Revision surgery is often performed in conjunction with post-operative radiotherapy, pressure dressings or application of steroid tapes or injectables to ensure maximum results. Once the new wound has healed, it should be less noticeable, more comfortable and have improved function and appearance from the previous scar tissue.

Scar Revision London FAQs

We know having medical, surgical or cosmetic treatment can seem daunting and it is natural to have questions. We are here to ensure your comfort and safety at all times. If you are unable to find the answer to your questions below, then please do not hesitate to contact us so we can help.

What are the risks associated with this treatment?

Although the procedure is carried out under a local anaesthetic, once the revision is complete and the anaesthetic has worn off, there may be some pain, discomfort and swelling over the healing area. This usually lasts 1-2 weeks. Some people also find that they have altered sensation or numbness over the treated area. This is usually temporary and improvement to normal sensation should return within 1-2 months. As with any surgical procedure, there are risks of bleeding and infection, which are minimised by the use of appropriate, specialist surgical techniques and sterile equipment at the clinic. Finally, there is a risk of unfavourable scarring following the healing of the surgical incision. This risk is higher if you are prone to developing keloid or hypertrophic scarring. Your specialist will take particular care in the pre-operative planning and give you thorough post-operative wound care instructions to minimise this risk. Adjunct agents such as support tapes, steroid preparations and radiotherapy are also used post-procedure to reduce the risk of unfavourable scarring.

What are the alternatives to scar revision?

Bulky or keloid scarring can respond to topical treatments such as steroid tapes or silicone gels, as well as steroid injections. These can be used in combination with scar revision procedures to give optimal results.

How should I care for my skin following a scar revision procedure?

It is crucial to keep any surgical wound clean and dry until healed over to reduce the risk of infection. This is typically done using appropriate cleaning methods and the application of clean dressings or plasters for the first week or two. Using massaging techniques over the areas of healing tissue can help to reduce the amount of collagen produced in the scar and promote aesthetic healing. Areas of new scarring are more prone to sun damage, so it is important to avoid direct sun exposure for the first 2 weeks, and then to use adequate sun protection in the form of clothing or sufficient SPF protection (at least 30) to maintain optimal cosmetic results.

If you have also had the addition of a skin graft, there may be additional wound care steps. Your surgeon will be able to give you a details post-operative plan following your procedure, which should include any important aftercare advice.

Can scars be completely removed through scar revision in London?

Scar revision in London has advanced significantly over the years, making it possible to achieve remarkable results in scar removal. While complete removal of scars is not always guaranteed, the skilled surgeons and innovative techniques used at Goutos London can greatly improve the appearance of scars, making them less noticeable or virtually invisible. Additionally, post-operative care and follow-up treatments play a crucial role in optimising the outcome.

Who should consider scar revision surgery in London?

Scar revision surgery is a viable option for individuals who have experienced any form of scarring that affects their physical appearance and self-confidence. This procedure is particularly suitable for those who have scars resulting from accidents, surgeries, burns, or even acne. It is important to note that scar revision surgery is not limited to any specific age group or gender, making it accessible to anyone seeking to improve the appearance of their scars.

How much do scar revisions cost in London?

Scar revision costs can vary depending on various factors such as the size and location of the scarred area, the complexity of the procedure, and the expertise of the surgeon. At Goutos London prices start from £2000. If you would like an accurate assessment and cost breakdown for your specific case, get in touch today.

Surgical Scar Revision London Price

Starting from £2000

At Goutos London, we aim to deliver a premium service with no compromise on quality in order to deliver the best results possible for your needs.

Conditions Scar Revision can treat

Whatever your condition, and whatever your health goals are, we will ensure you get a holistic, focused and bespoke service that offers you the safest options for treatment aiming for the best possible outcome.

Hypertrophic Scars

Tight scars

Keloid Scars

Testimonials

Mr Goutos is delighted to share some of his patient and peer feedback on their experiences of his services.

Louise Steel

2023-08-16

Mr Goutos performed keloidectomy surgery on both my earlobes, and I am so grateful to have been referred to him. From the first consultation, through surgery, and now my 3-month follow-up, I have nothing but good words to say.

Luke Ward

2023-07-10

This man is an extremely intelligent, professional gentleman. He will set realistic expectations from the beginning and will not ‘beat around the bush’ so-to speak. From the initial consultation to post-surgery, it has been a rollercoaster ride. However the high level of expertise & professionalism Mr Goutos maintained has been impeccable. All I can say to any other individual considering treatment with Mr Goutos, is that you are in incredibly safe hands. And on top of this, he has a great sense of humour. I wish nothing but the best for this man, and the best results for his future patients.

Mauricio Lucas

2023-07-06

Outstanding Doctor - Exceptional Expertise I recently had the pleasure of consulting and also going through surgery. Dr. Goutos removed a large class of keloids from my back and chest, and without a doubt, I can confidently say that he is the best doctor I have ever had the privilege of seeing. From the moment I entered his practice, I was immediately struck by his professionalism, knowledge, and exceptional bedside manner. Dr. Goutos possesses an extraordinary level of expertise in his field, and his technical skills are truly remarkable. His ability to diagnose and treat medical conditions is unparalleled, and I have personally witnessed his remarkable success in improving the health and well-being of countless patients. What sets Dr. Goutos apart is his genuine care and concern for his patients. He takes the time to listen attentively, ensuring that he understands every aspect of the medical issue at hand. He communicates clearly and effectively, explaining complex medical concepts in a way that is easy to comprehend, which greatly helps in alleviating any concerns or fears. One aspect that impressed me greatly was Dr. Goutos' commitment to staying updated with the latest advancements in his field. He incorporates cutting-edge techniques and treatments into his practice, ensuring that his patients receive the highest standard of care available. This dedication to continuous learning and improvement is a testament to his unwavering dedication to his profession. Additionally, the support staff at Dr.Goutos' practice deserves recognition for their exceptional service. They are friendly, compassionate, and highly efficient, ensuring that appointments run smoothly and patients feel comfortable throughout the entire process. Overall, I cannot emphasize enough how fortunate I feel to have found Dr.Goutos' exceptional skills, genuine care, and unwavering commitment to his patients make him a truly outstanding specialist. I wholeheartedly recommend him to anyone seeking top-notch medical care.

Kashmala Khan

2023-01-26

Mr. Goutos and his team did an amazing job reversing a scar I had on my forehead. This was a very old scar and had bothered for many years. The laser treatment and fat transfer procedure has changed my life and given me so much confidence. I would definitely recommend him, he is a fantastic and very skilled surgeon. Thank you so much!

Javier

2023-01-14

Mr Goutos and his team removed some lipomas from my arms. The initial consultation right through to the aftercare was professional, sensitive and genuine. Mr Goutos put me at ease right from the start, discussing my history and background and then discussing the various options for the incisions and sutures. The incisions were quick, efficient and professional. I felt completely at ease knowing I was in expert hands. The incisions were extremely neat and have closed and scared really well. I had a number of questions after the operation and one of the sutures became infected. Mr Goutos was quick to make an appointment for me, see me and deal with the infection and offered for me to see him again if the infection didn’t calm down. He was genuinely empathetic to my needs and took time to check each scare, explain things and assure me along the way. He didn’t at any point, make me feel I was asking silly questions or too many. I highly recommend Mr Goutos for his exceptional incisions and suturing as well as his professional conduct, caring approach and after care. The whole experience was smooth and easy and I am very grateful for what he has done for me.

Ieva Lihovida-Yarlett

2022-12-07

We came to see Dr Goutos a few month ago to remove invasive spider nevus on my 9 year old sons nose . After a lovely consultation with Dr Goutos , he suggested to do several laser treatment sessions. After a few sessions we already noticed a massive improvement. On the final laser treatment session the spider nevus was completely gone. Thank you to the Dr Goutos for tackling the problem so rapidly and with great results!

Amy Munson

2022-10-27

We took our 4yr old daughter to Mr Goutos following an accident which resulted in a small burn scar on her cheek. Mr Goutos gave us various options and we went for laser treatment. After 4 appointments the scar has gone! The care that Mr Goutos gave us was exceptional and so good with children. He made us feel very comfortable and confident in his ability. I would recommend him to anyone if they were looking for a doctor in that particular field. Can't thank him enough.