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Scar Camouflage Techniques in Plastic Surgery

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Simple camouflaging makeup and procedures help the postoperative patient regain confidence and restart social interactions.

Medically reviewed by

Dr. Dhepe Snehal Madhav

Published At February 20, 2024
Reviewed AtFebruary 29, 2024

Introduction:

Techniques for cosmetic camouflaging can be used to reduce the visibility of face scars after surgery or trauma. Applying complementary-colored facial foundations helps to minimize the appearance of facial pigmentation problems. By mixing impenetrable facial foundations with colored cosmetics, surface contour faults can be concealed using the principles of high lighting and shadowing.

People should get back into the groove after cosmetic surgery. However, returning to work or participating in normal social activities can be challenging when one still has noticeable bruises, swelling, or incision marks. It might take days, weeks, or even months to pass this. However, people are not obliged to wait at home. Men and women can utilize makeup techniques and products to hide the short-term negative effects of surgery and enhance their confidence.

What Is a Scar Camouflage Tattoo?

Tattoos have long been used as a medical adjunct, and the literature on plastic surgery has documented their effectiveness in masking scars that are depigmented or bald. However, because more types of lasers are being used to treat scars and because of misconceptions regarding tattooing (such as the idea that it requires specific training or is "not suitable for surgeons"), it is frequently disregarded in scar treatment.

When conventional treatments are not suitable, tattooing can be used to repair scars. When surgical reconstruction is not an option, it can be used to disguise a three-dimensional structure, treat depigmented scars that would not significantly benefit from laser treatment, or treat alopecia scars in patients who do not want a hair transplant.

What Are the Uses of Scar Camouflage Techniques?

The use of creams, liquids, or powders to cover up color or contour anomalies on the face or body is known as cosmetic camouflage. Plastic surgeons created the first cosmetic camouflage creams during World War II to treat the severe burns suffered by fighter pilots.

These days, both sexes and kids can utilize cosmetic camouflage to hide anomalies brought on by:

  • Birthmarks.

  • Rosacea.

  • Vascular skin issues.

  • Vitiligo.

  • Melasma (dark patches on the face).

  • Cutaneous lupus erythematosus.

  • Jessner lymphocytic infiltrate of the skin.

  • Thermal burn.

  • Scars from acne, trauma, surgery etc.

  • For covering tattoos.

  • Many other dermatological conditions.

It has been demonstrated that cosmetic concealment considerably raises quality of life. It fosters a sense of personal well-being and boosts patients' self-esteem.

What Are the Principles of Scar Camouflage?

The primary objective of retouching an unattractive linear scar, particularly on a person's face, is to make it less noticeable. Since scar tissue forms to heal any wounds that reach the corium's papillary layer, there is no method to permanently remove a scar. As a result, another scar will grow again after a scar is removed and the skin defect is sutured. When employing one of the three scar revision methods:

  1. Z-Plasty: For the purpose of correcting free margin distortion and performing scar modifications, a Z-plasty is an essential and dependable procedure. A Z-plasty can assist in elongating a contracted scar, redirect a scar to better align it with the relaxed tension lines in the skin, or break and interrupt a scar to improve its disguise.

  2. W-Plasty: A highly common excisional revision procedure is called W-plasty. It entails dividing the scar borders into tiny, triangular pieces that are advanced and interdigitated without being rotated or transposed.

  3. Advancement Flaps: Advancement flaps are essential for wound covering and allow for scar concealment along cosmetic subunit connections. A few fundamental ideas must be grasped in order to design and execute advancement flaps properly. These include the main tension vector's orientation, handling displaced standing cones, and paying close attention to variables that affect flap vascularity.

How Are Scar Camouflage Techniques Used?

A plastic surgeon can suggest fragrance-free, specially formulated camouflage products that are less likely to react negatively when applied to the skin. However, it is feasible that one can utilize the makeup they already own; just be sure to get new products with clean applicators.

Concepts for camouflage cosmetics fall into three categories:

  • Concealing: Bruises and incision lines can be concealed. Concealer makeup is thicker than a typical foundation. Choose one that most closely resembles the skin tone, and stay away from applying concealer over the eyes. The ideal option might be a regular fluid foundation, color corrector, or eye makeup because of the thin, fragile skin around the eyes.

  • Color Correcting: Skin that appears more reddish or yellowish than typical might have its color toned down with color correction. For yellow tones, a color corrector with a lavender tint works well, and for red tones, a green tint works well.

  • Contouring: Swelling is concealed by contouring. Applying makeup with a foundation that is both lighter and darker than the typical foundation color is how it works. Certain portions of the face will stand out more with the lighter product, while others will be hidden by the darker one. To create the illusion of angles without having cosmetic stripes visible, one will need to combine these colors. It may take some experience, but if one gets the hang of it, one can easily reduce facial swelling.

It is crucial to remove camouflage makeup every night because it tends to be thicker and more adherent than regular makeup. To keep the skin healthy while wearing these cosmetics, apply a cleansing cream, an alcohol-free toner, and a moisturizer each night.

Conclusion:

When traditional ways of treating scars are not appropriate, scar camouflage might be used. It can be applied to the depigmented scar that would not significantly benefit from laser therapy, to the alopecia scar of a patient who does not desire a hair transplant, or as camouflage for a three-dimensional structure when surgical repair is not practical.

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Dr. Dhepe Snehal Madhav
Dr. Dhepe Snehal Madhav

Venereology

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