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Updated: Feb 13, 2026

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Self-harm scar revision.

Nicholas Parkhouse1, Isabella Joy de Vere Hunt2

  • 1Department of Plastic and Reconstructive Surgery, The McIndoe Centre, East Grinstead, RH19 3EB, UK.

BMJ Case Reports
|March 23, 2018
PubMed
Summary

Scar revision surgery can offer significant psychological benefits for individuals with self-harm scars. Replacing self-harm scars with a new, distinct scar improved the patient's well-being.

Area of Science:

  • Psychology
  • Plastic Surgery
  • Dermatology

Background:

  • Self-harm scars can cause significant psychological distress and impact quality of life.
  • Surgical scar revision is a potential treatment option for altering the appearance of self-harm scars.

Observation:

  • A case study explored a patient's experience with scar revision for self-harm scars.
  • Semistructured interviews were conducted at 6 weeks and 6 months postoperatively.

Findings:

  • The patient reported a pronounced psychological benefit from a new, conspicuous scar distinct from self-harm scars.
  • The revised scar, while noticeable, did not carry the same negative psychological burden.

Implications:

  • This case highlights the potential psychological benefits of scar revision for self-harm scars.
Keywords:
plastic and reconstructive surgerypsychiatry

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  • There is a need for active management of psychological sequelae associated with self-harm scars.
  • Facilitating access to surgical treatment may be beneficial for select patients.