Scar Revision in Turkey, Large Scars (10-20 cm)

Large scar revision addresses scars measuring 10-20 cm using surgical techniques designed to dramatically improve their appearance. Larger scars often require more sophisticated approaches than smaller ones, as the tissue involved is more extensive.

Techniques used for large scar revision include:

• Surgical excision and layered closure, the scar is removed and the wound is closed in multiple layers (deep tissue, then skin) to distribute tension and create the thinnest possible new scar
• Z-plasty or geometric broken-line closure, the scar is re-angled using a pattern that breaks up its linear appearance, reduces tightness, and makes the scar less conspicuous
• Serial excision, for very wide scars, the revision may be staged over 2-3 sessions, progressively narrowing the scar each time
• Tissue expansion, in some cases, a balloon-like device is placed under the healthy skin adjacent to the scar. Over several weeks, it stretches the skin to provide additional tissue for closure
• Combination approach, excision combined with laser, dermabrasion, or steroid injections for optimal results

Large scars from abdominal surgery, C-sections, trauma, or burns are commonly revised. The procedure typically takes 1-2 hours under local anaesthesia or light sedation, depending on the complexity.

Large scar revision may be right for you if:

• You have a scar measuring 10-20 cm that significantly affects your confidence or comfort
• Your scar is raised, widened, tight, irregular, or discoloured
• The scar restricts your movement or causes physical discomfort
• Your scar is fully healed, at least 12 months old for best results
• You are in good general health and over 18
• You are a non-smoker, or willing to stop smoking before and after the procedure
• You have realistic expectations about what revision can achieve

Large scars are more complex to revise, but the improvement can be dramatic. During your free consultation, your surgeon will assess your scar in detail, its type, location, orientation, and how it has healed, to recommend the most effective revision strategy.

Before Your Procedure

Your journey begins with a free consultation. Share detailed photographs of your scar from multiple angles. Your surgeon will assess the scar type and plan the revision technique.

Preparation includes stopping blood-thinning medications and smoking at least 2 weeks before. If your scar is in an area prone to movement (abdomen, limbs), your surgeon will discuss post-procedure activity restrictions.

During Your Procedure

The procedure takes place at a licensed clinic under local anaesthesia or light sedation, depending on the complexity and your comfort preference. Your surgeon carefully marks the treatment plan before beginning.

The existing scar tissue is removed and the wound is closed using advanced layered suturing techniques to minimise tension. If Z-plasty or geometric closure is used, the scar is reconfigured into a pattern that will heal less visibly. The procedure takes approximately 1-2 hours.

After Your Procedure

You will have dressings and fine sutures in place. You can return to your hotel, though you may prefer to rest for the remainder of the day. Pain is manageable with prescribed pain relief.

You will stay in Turkey for 3 nights to allow your surgeon to check the wound before you travel. Sutures are removed after 7-14 days depending on the location. Scar management products and detailed aftercare instructions are provided.

Large scar revision requires a longer recovery window than smaller procedures. Patience during the healing phase is rewarded with the best possible result.

Days 1-3: Moderate swelling and tenderness. Rest the area and avoid any tension or stretching. Keep the wound clean and dressings in place. Pain is managed with prescribed medication.

Days 3-5: Your surgeon will check the wound before you travel home. Early healing should be progressing well.

Week 1-2: Sutures may be removed during this period (timing depends on location). The area will be red and slightly raised. Avoid heavy lifting and strenuous activity.

Week 2-4: Redness gradually begins to fade. You can return to light daily activities. Continue avoiding anything that puts tension on the area.

Month 1-3: Begin using silicone scar sheets or gel daily. Apply SPF 50 to the area whenever exposed to sunlight. The scar is actively remodelling.

Month 3-6: Visible improvement becomes significant. The scar is flatter, narrower, and less conspicuous than the original.

Month 6-18: The scar reaches its final appearance. Larger revisions can take up to 18 months to fully mature, but the improvement is typically substantial.

Large scar revision is performed by experienced surgeons who specialise in scar management. The procedure has a well-established safety profile, though larger scars involve more tissue and require careful management.

Common effects (expected and temporary):

• Swelling and discomfort, resolves over 2-3 weeks
• Redness and firmness at the site, gradually improves over months
• Numbness around the scar, common, usually resolves over weeks to months
• Itching during healing, normal

Less common considerations:

• Recurrence of keloid or hypertrophic scarring, preventative measures are used if you are prone to this
• The scar may look worse initially during early healing, this is expected
• Wound opening, minimised by avoiding tension and following activity restrictions

Rare:

• Infection, uncommon with proper wound care
• Nerve or blood vessel damage, rare with experienced surgeons

Your procedure includes aftercare support and scar management products. Your team monitors your healing and is available for questions throughout your recovery.