Scar Revision

Scars, whether they’re caused by accidents or by surgery- are unpredictable. The way a scar develops depends as much on how your body heals as it does on the original injury or on the surgeon’s skills.How much the appearance of a scar bothers you is, of course, a personal matter.

Scars that appear large and unattractive at first may become less noticeable with time. Some can be treated with steroids to relieve symptoms such as tenderness and itching. For these reasons, we recommend waiting as long as a year or more after an injury or surgery before you decide to have scar revision.

No scar can be removed completely. However, plastic surgeons can often by various techniques, improve the appearance of a scar; making it less obvious.Read Client Reviews on RealSelf


Keloids are thick, puckered, itchy clusters of scar tissue that grow beyond the edges of the wound or incision. They are often red or darker in color than the surrounding skin. Keloids can appear anywhere on the body, but they’re most common over the breastbone, on the earlobes, and on the shoulders. They occur more often in dark-skinned people and the tendency to develop keloids lessens with age.

Treatment of Keloids

Keloids are often treated by injecting a steroid medication directly into the scar tissue to reduce redness, itching, burning and to shrink the scar. This treatment is repeated several times with intervals of 4 weeks in between treatments. If steroid treatment is inadequate, the scar tissue can be cut out and the wound closed with one or more layers of stitches.In cases of large keloids, excision can be followed by skin grafting. However the site from which the graft was taken may then develop a keloid. No matter what approach is taken, keloids have a stubborn tendency to recur, sometimes even larger than before. To discourage this, we combine the scar removal with steroid injections, and pressure garments over the area for as long as a year.

Hypertrophic scars

Hypertrophic scars are often confused with keloids, however hypertrophic scars remain within the boundaries of the original incision or wound. They often improve on their own. It may take a year or more-or with the help of steroid applications or injections.

Facial Scars

Because of its location, a facial scar is frequently considered a cosmetic problem, whether or not it is hypertrophic. There are several ways to make a facial scar less noticeable. Often it is simply cut out and closed with tiny stitches (primary closure), leaving a thinner, less noticeable scar. If the scar lies across the natural skin creases (or “lines of relaxation”) the surgeon may be able to reposition it to run parallel to these lines, where it will be less conspicuous. Some facial scars can be softened using a technique called dermabrasion, a controlled scraping of the top layers of the skin using a hand-held, high-speed rotary wheel. Dermabrasion leaves a smoother surface to the skin, but it won’t completely erase the scar.

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