The ideal candidate for this surgery realizes that surgery cannot remove their burn scars entirely, but may be able to help improve basic functions or make scars less noticeable. If contracture from scarring is limiting the normal motion of the neck, shoulder, hands, or legs, release of scar contractures may be of benefit. Facial scarring that leads to problems with the eyelids, lips, nose, or hair loss can also be addressed. Scars that are abnormally thick, wide, or discolored might also be improved by a variety of operative methods by Dr. Rahul Goyal.
You will be given a pre-operative information packet that explains everything you should do and know before your surgery date. Your surgeon Dr. Rahul Goyal will give you specific instructions on how to prepare for surgery, including guidelines on preoperative skin cleansing, eating and drinking, smoking, and taking or avoiding certain vitamins and medications. Whether your surgery is done on an outpatient or inpatient basis, you should arrange for someone to drive you home after your surgery, and to help you out for a day or two after you leave the hospital, if needed.
Since a variety of procedures can be performed, your individual postoperative instructions may vary. In general, skin grafts require kind of “bolster” dressing to keep them in place for 3-5 days without any movement of the skin graft. The bolster helps the skin graft “stick” to the wound and begin to heal. Smaller operations (scar revisions, Z-plasties) might require only a small, soft dressing afterwards. After scar releases on the hand, your surgeon may place you in a larger dressing that incorporates a plaster splint for support after surgery. In general, follow-up visits are scheduled within 2 weeks of surgery, and there may be sutures to remove at that time.