Surgical scar revision in Wrocław
Surgical scar revision improves the look and comfort of post-operative, post-traumatic, hypertrophic or tethered scars - by excising and carefully re-closing the scar or changing its direction. At Luna Clinic in Wrocław we revise, among others, scars after gender-affirming surgery (such as mastectomy) and after other operations. It is performed by Dr Aleksandra Łuniewska, usually under local anaesthetic.
Surgical scar revision improves the look and comfort of post-operative, post-traumatic, hypertrophic or tethered scars - by excising and carefully re-closing the scar or changing its direction. At Luna Clinic in Wrocław we revise, among others, scars after gender-affirming surgery (such as mastectomy) and after other operations. It is performed by Dr Aleksandra Łuniewska, usually under local anaesthetic.
Surgical scar revision - what does the procedure involve?
Scar revision is a surgical procedure of excising or resculpting an existing scar and precisely re-suturing the tissues to achieve a more aesthetic and less visible result. At Luna Clinic we understand how important the appearance of scars after transition surgery is - it is not only a matter of aesthetics but also of accepting one’s own body. That is why the procedure is performed by Dr Aleksandra Łuniewska - a plastic surgery specialist with extensive experience and an individual approach to transgender people, known for her empathy and ability to listen to the patient.
The revision consists of excising the abnormal scar and re-suturing it in layers without tension - if needed with a change in the course of the scar (Z/W-plasty) or supplemented with silicone therapy and massage. We revise the scar when it is mature, usually 6-12 months after the original operation.
Indications for the procedure
Whether the procedure is advisable for you is ultimately decided by the doctor during the consultation.
- Scars after a mastectomy (e.g. uneven, hypertrophic, wide)
- Scars after other transition procedures (e.g. after previous chest operations, reconstructions)
- Post-traumatic or post-burn scars
- Scars that restrict movement or cause discomfort
- Scars that cause dysphoria or interfere with daily functioning
Contraindications
How to prepare for the procedure?
The procedure is always preceded by a qualification consultation with a plastic surgeon - we discuss expectations, examine the area to be operated on and establish an individual treatment plan. As standard, we order a full set of tests (blood count, coagulation, electrolytes, ECG for general anaesthesia) and, if necessary, additional specialist consultations.
- Surgical consultation with a detailed discussion of expectations
- Assessment of health status, possible laboratory tests
- Stopping anticoagulant medications at least 7 days before the procedure (after consultation)
- Avoiding alcohol and smoking for at least 48 hours before the operation
- On the day of the procedure: body hygiene, without lotions or make-up in the operated area
The scar correction procedure step by step
Recovery and post-procedure recommendations
- Sutures removed after 7-14 days (depending on the location)
- Dressings changed according to the doctor’s recommendations
- The scar should be protected from the sun for a minimum of 6 months
- After healing - massage and products supporting scar maturation according to the doctor’s recommendations
- Avoiding stretching the operated area for at least 2 weeks
- Check-ups: after 1, 3, 6 and 12 months
Treatment effects
The result of surgical scar revision is a thinner, lighter and flatter scar that blends better into its surroundings - and the resolution of complaints (pulling, itching, pain). We assess the final appearance of the new scar after 6-12 months of systematic care.
The goal is a thinner, smoother and less visible scar, which translates into greater psychological comfort for the patient and easier acceptance of the body. The full effect can be assessed after 6-7 months, as the scar matures.
Possible complications and risks
Like any surgical procedure, this one also carries a certain risk. It is reduced by careful qualification before the procedure and by following the aftercare recommendations. Possible complications include:
- Haematoma or bleeding requiring drainage
- Infection requiring antibiotic therapy
- Temporary or rarely permanent sensory disturbances in the operated area
- Hypertrophic or discoloured scars
- Asymmetry requiring correction
- Longer-lasting swelling or bruising
- An unsatisfactory aesthetic result requiring possible re-operation
Frequently asked questions
Does the procedure hurt?
No - it is performed under local anaesthesia.
Will the new scar be visible?
Every operation leaves a mark, but the goal is to achieve the thinnest and most delicate scar possible.
Can the procedure be repeated?
Yes, if the result is unsatisfactory or the scar tends to become hypertrophic.
When can I return to work?
To office work - even the next day, but we recommend limiting exertion.
When to start massaging the scar?
After complete healing - usually about 3-4 weeks.
Do I need to buy anything special for the scar?
Yes - the doctor selects a product or silicone patches for use after healing.
Will the chest scar be completely invisible?
No - but it should be much less visible and more aesthetic.
How long does healing take?
Initial - 2 weeks, full maturation - up to a year.
Do I need a sick note?
Usually not, but if needed we issue a sick note.
What to do if the scar heals badly?
Come in for a check-up - we will arrange additional treatment.
Can a mastectomy (top surgery) scar be improved?
Yes - revising widened or uneven sections of the scar, revising dog-ears at the ends of the incisions or improving symmetry are common and rewarding procedures, usually under local anaesthesia.
Will the scar disappear completely?
No method removes a scar without a trace - the goal of revision is a scar that is as thin, flat and light as possible, much less visible than the original.
Surgical scar revision in Wrocław: how much does it cost?
Scar revision is quoted individually; the amount follows the surgical consultation (PLN 300) once the scar has been assessed.
Dr Aleksandra Łuniewska
Dr Aleksandra Łuniewska - a plastic surgery specialist with over 17 years of experience, founder and chief surgeon of Luna Clinic. A member of the Polish Society of Plastic Surgery, she completed her specialist training in Gdańsk and Wrocław. Her philosophy is based on natural and harmonious results that emphasise the patient’s individual beauty.
Take the first step
Book a consultation - an honest conversation about expectations, options and the treatment plan.
Surgical scar revision: price and consultation
Surgical scar revision is quoted individually at Luna Clinic. The price depends on the length and location of the scar, the technique (simple excision, Z-plasty, fat grafting under the scar) and the number of scars. For flat but discoloured or uneven scars, dermatological methods may be better - see scar treatment.
How to book
Call +48 666 850 666 (Monday-Friday, 9:00-17:00) or send the consultation form. All prices: Luna Clinic price list.
Where we are
Luna Clinic, ul. Władysława Syrokomli 46, 51-141 Wrocław, Poland - in the Karłowice area of the Psie Pole district. There is parking for patients by the clinic. Directions and map