When Are Scars Considered Disturbing?

Scars are the natural result of injuries or surgical procedures.
Most wounds heal well and leave behind only a thin, fine line.
However, if sutures are left in too long or if the material is too thick, the healing process may lead to uneven or cratered scars, sometimes with the so-called “ladder phenomenon” along the edges.

While these changes are functionally harmless, they can be aesthetic or emotional burdens for patients.
Scars may also be accompanied by numbness, tenderness, or even painful hypersensitivity.
In some cases, excessive scar formation with growth tendency can occur, known as a keloid, which may cause pain and discomfort depending on its location.

Choosing the right therapy is crucial for the best possible correction and long-term outcome.

How Are Scars Corrected? What Is a 3-Dimensional Scar Revision?

Scars can be treated minimally invasively with cortisone injections or surgical correction.
If this is not sufficient, the entire scar and surrounding affected tissue are removed and reconstructed layer by layer.
As a plastic surgeon, I create a controlled, new scar—predicting the future growth pattern and adjusting the reconstruction accordingly.

Often, it is necessary to offset tissue layers and pad them with small local fat flaps to achieve an optimal aesthetic and functional result.
This method is called three-dimensional scar correction.