Cosmetic Dermatology

Cosmetic Dermatology

Scar Revision

Scars happen as a result of acne, chickenpox, trauma and surgery. While the old adage that "time heals old wounds" is true, the marks and scars persist for months to years. Many techniques exist for minimizing the appearance of unwanted scars. If a scar is depressed and sunken in, we elevate it by "subcision". If a scar is deep and penetrating ("ice- pick") we remove it and resurface the new healed skin. When a scar is elevated and tender ("keloid"), we inject it with medication to flatten it. Rest assured that many treatment options exist to help you improve the appearance of even the most stubborn scar.
 

Surgical Scar Revision

Wide or long scars in prominent locations (such as the face) may be improved with surgical excision.  This involves removing a scar and rejoining the normal skin in a less conspicious fashion.  Because of the skin's ability to stretch, wide scars can be excised and closed ina way that results in a narrower, less obvious scar.  Longer scars can be made shorter witht eh same technique.  Some scars may have their directions changed so that they lie within a wrinkle or natural fold.

Subcisional Scar Release

Subcisional scar release is accomplished by inserting a very small blade under the scar tissue and releasing it from the muscle below.  This is more commonly used to treat indented or pock-type scars.

 

Are there different types of scars?

There are many types of scars, including those appearing raised, pigmented or depressed. The appearance of scars largely depends on the age of the skin, color of the skin and location on the body of the wound. Younger skin tends to over-heal, resulting in larger, thicker scars than may be found on older skin. Skin over the knees or jawbone is tighter and will make a scar appear more visible than one located where the skin has less tension. Scars that cross natural expression lines will be more prominent because they do not follow a natural pattern.

Is there treatment for scars?

As there are many types and textures to scars, there are many treatments for them. While scars cannot be completely removed and there is not a treatment to return the skin to its uninjured state, there are treatments that successfully minimize the appearance of the scars.

What can I expect from my scar revision procedure?

Each scar is different and will require a different technique or combination of techniques to treat it. It is important to remember that scar revision will not erase a scar or return skin to an uninjured state. It should, however, make a scar less noticeable and give your skin a more even appearance. Scar revision ultimately takes an unsightly scar and gives it a more acceptable appearance. Dr. Sharata will consult with you to determine what you dislike most about your scar and he will tailor a treatment suitable to your skin and scar type to achieve your desired result.
 

Before Scar Revision:

  • Avoid blood thinners, such as aspirin, alcohol, vitamin E and herbal supplements one week prior to the procedure.


After Revision:

  • Avoid strenuous activity and bending
  • No Shaving in the area of surgery