One of the paramount concerns in plastic surgery revolves around scarring. Patients often express a desire for scars that are virtually invisible—thin, flat, and faint. Dr. Rady Rahban understands this concern intimately and emphasizes the meticulous techniques required to achieve such results. From the initial incision to the final stages of healing, Dr. Rahban explains how each step is vital in minimizing scar visibility and enhancing the overall outcome.
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So, what's the most important thing in plastic surgery? The number one thing that patients ask for across the board, irrespective of their age or the procedure they're having done, they want an excellent or scarless or invisible scar. What is that? That is a thin, flat, light scar. That's the best scar you can possibly have.
So the question is, how do we get it? It's just like anything else. It requires discipline. So closure is such a significant, if not the overwhelming contributor to a good scar at the end. So here are the things that I think are important that often get overlooked:
Number one is actually how I open. So for example, many surgeons open the skin with a blade and then use a coterie and burn through the dermis and burn through the skin because they don't want bleeding along the edges 'cause it's annoying. Well, the minute you burn the dermis, Now, you have charred the deep layers and you're like, "Oh, I don't understand why your scar is so thick."
Next, you want to release all the tension. When you bring it together, if there's a lot of tension, the scar thickens.
Next, you want to make sure you didn't crush any of the tissue with your instruments while you're manhandling them because the blood supply doesn't get there.
Then you want to close layer by layer by layer, putting the least amount of tension on the outer layer, the greatest amount of tension on the deeper layers that don't get seen
And lastly you want a perfectly re-approximated edge which takes nothing more than time and diligence.
~ Rady Rahban
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When Dr. Rahban does a consultation with a prospective patient, he wants it to be two things above all others: thorough and honest. He will find out from you just what you want from cosmetic surgery. And he will tell you honestly if you can get the result you want, and how he can best help you do so.
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