Question : I have a history of forming bad scars. How will this be addressed before my otoplasty surgery?
Answer : It is very important to look at the previous scars with the patient. Depending on how bad the scar is will determine what techniques are used to perform a procedure. If the patient has extremely thick keloid scarring from very minimal incisions, these are very large scars that will grow in the border. I may suggest that no procedure be performed or a so-called incisionless technique be used. If the problem is really just a mild hypertrophic scar, then this can be addressed by injecting special compounds into the scar and this most often creates a very good scar. I also like to understand how the scar was formed. If the patient just had a cut which was not closed by a facial plastic surgeon and the scar is wide, this may not really indicate that the patient has bad scarring and may be just that the scar was never managed properly. This would be as opposed to scar which was closed carefully, closed properly and still formed a very bad scar.