Healing scar tissue

Effective understanding of scar tissue, how it forms and how best to heal it, forms a major part of plastic surgery. Inevitably surgical procedures require incisions into the skin. These are extremely well planned and discreetly positioned in skin creases so scarring will be for the most part, undetected.
This applies to all procedures – a face lift may conceal a scar in front and behind the ear and breast surgery will disguise scars under the breast. Naturally, scars need a certain amount of time before they fade and flatten out. Individuals tend to heal differently, some have a capacity for very fast healing and others may take a little extra time. The healing time depends on your individual body, the type of procedure and extent of the incision.

To help speed up the healing process please follow these guidelines diligently:
Cigarette smoking slows healing time and can culminate in unnecessary scar formation.
Tissue oil massage and Micropore® taping are key healing procedures necessary in post-operative care.
Using the help of beauty therapists can greatly benefit certain procedures.

During an in-depth consultation, Dr Jedeikin will explain all the finer details and you will be fully briefed on everything you need to know for both pre and post-operative procedures.


For at least three weeks before surgery, patients who smoke must stop altogether. If necessary, smoking can be resumed three weeks after the operation. Our bodies heal by sending blood to the area that needs it. When you smoke it decreases the rate of blood flow and affects healing. Giving up smoking is absolutely necessary if you intend to undergo plastic surgery.


South African law specifies that anesthetics can only be administered by Specialist Anesthesiologists . That means firstly qualifying as a medical doctor and then undergoing another four years of supervised anesthetic training. After that a specialist exam determines the qualification.

Medical History

Before any procedures are undertaken full information is required about your current and past medical history. This also includes medication you are currently taking, and allergies you may have. Detailed information will save time and allow the anesthetist to prepare for any special needs you may have. A medical history form is supplied for this purpose.

Fasting Pre Operative

Food or drink is not allowed for a period of 6 to 9 hours before surgery. This minimises the risk of vomiting and other potential complications.

Medication & Medical Problems

Approximately two hours before surgery you will be required to take routine oral medicine with a small amount of water. Certain supplements should be avoided for 3 weeks before surgery. This includes Vitamins A and E, any products with aspirin including Disprin; anti-inflammatories; Arnica; and herbal supplements. Diabetic and asthmatic patients need to inform the Anesthesiologist well in advance. Any other medication you are on or unsure of can also be discussed in advance.

Pre Operative Consultation

All checks need to be completed in full before any surgery begins. This includes full medical disclosure and copies of any relevant medical reports from your physician. If travelling from abroad please make sure you obtain all the details you might need for assessment by our local physician and surgeon. A consent form is also necessary. This will be provided to you. Before surgery, your Specialist Anaesthesiologist will go through your medical history with you and assess your needs. If you or your family have had any negative reactions to anaesthetic, it’s important to tell your Anaesthetist. Once a full medical evaluation has been completed the surgeon reserves the right not to proceed with surgery and is under no obligation to do so. Similarly, the patient is also under no obligation to continue with his or her intended surgery.

Post Operative

After your procedure, once you are awake and in a stable condition you will be moved to your ward. Here you will be given something to eat and drink. You will be monitored closely and if you have any uncomfortable symptoms like pain or nausea the nurse will administer medication prescribed by your anaesthesiologist. When you are ready you will be taken in a wheelchair to pre-arranged transport.
If you have elected to stay in the medical B ‘n B at Sutton Place we will arrange for transport to take you straight there. Do you want a link to this?

Overseas Patients

If you have a long flight before or after surgery, special precautions need to be observed to reduce the risk of Thromboembolic Complication (Deep Vein Thrombosis ‘DVT’). This means purchasing and wearing Anti-Embolism stockings during the flight and also after surgery. Walking around and moving periodically during the flight is necessary to encourage good blood circulation. Staying hydrated is also important so drinking water (and not alcohol) is paramount. You can order the required stockings from www.elitemedical.com in USA or www.laboratoripiazza.it in Europe. Long distance flights from America, England and Australia should ask their G.P for an antithrombotic injection (Clexane) or tablet (Xarelto) before they fly.

Photographic Requirements

To facilitate a thorough assessment of the scheduled work, Dr. Jedeikin will request a series of quality photographs. Follow the link below for a full description of how to best capture the photographs, how to save them and email them through. They should be taken digitally and emailed to drlj@plasticsurgerysa.co.za. Kindly reduce them to a small size and save them as a JPEG. Don’t forget to put your name in the subject line.