Scar revision is a procedure that aims to reduce the appearance of scars by making them blend in with the surrounding skin. It minimizes pigmentation, disfiguration, and other visible unsightly issues that come with scar formation, making the scarred area less conspicuous and resulting in improved uniformity in facial skin tone and texture.
Scars can be improved through topical creams or minimally invasive treatments such as fillers and skin resurfacing, but they may also require surgical revision for more severe cases. Successful scar revision can help give patients increased self-confidence, as well as improve the quality of their lives.
Scars come in different shapes and sizes. They also vary in texture and depth. Whatever type of scar a person may have, such skin irregularities can negatively affect the aesthetic quality of the skin. Certain scars, such as contractures, can also restrict skin movement, which can cause certain functional issues particularly when located near the eyes or lips.
Undergoing scar revision can help improve the following:
Scar revision minimizes the appearance of unsightly skin irregularities for a smoother and clearer complexion. In some cases, scar revision can also improve the functional capabilities of certain facial features affected by the scarred area.
Dr. Jacob Sedgh is a double-board certified facial plastic surgeon with nearly a decade of success in cosmetic and reconstructive surgery. He provides fully tailored treatment plans for each patient to ensure pleasing, natural-looking results.
The benefits of undergoing scar revision include:
Even with something as minimally invasive as scar revision, an initial consultation must be conducted so that you can align your goals and expectations with your doctor.
During this meeting, Dr. Sedgh will also patiently listen to your expected outcome before explaining the methods and techniques involved in the procedure. He will also:
If you live overseas or in another state and cannot travel to Dr. Sedgh’s office, you can schedule a virtual consultation via video conferencing. Once you have decided to undergo the procedure, you can also avail of travel assistance provided by the doctor’s office to help you make the necessary travel arrangements for your surgery. This should include transportation, accommodation, and even pre or post-surgery leisure activities, if desired.
The procedure will vary depending on the degree of alteration that needs to be done to address each specific scar. Factors that need to be taken into consideration would be the scar type, size, depth, pigmentation, texture, and location.
Typically, a combination of techniques are used to achieve the best possible outcome.
There are three ways to improve the appearance of a scar: (1) Topical treatment, (2) minimally invasive procedures involving fillers or resurfacing modalities such as laser, chemical peel, or dermabrasion and (3) surgical scar revision procedure.
Shallow or surface scars may be treated through topical treatments such as gels, external compression, and tapes. Topical treatments may also be used to help in the proper healing of surgical scar revision.
In the case of depressed scars, injectable dermal fillers can be used to raise the skin and improve the scar’s appearance. For raised scars such as keloids, steroidal-based compounds can be injected to reduce collagen formation, which can help reduce the size and improve the texture of the scar tissue.
Treatments that offer skin surface enhancements such as dermabrasion, chemical peels, laser skin resurfacing, or topical bleaching creams can be used to further improve the appearance of the scar. These treatments work by minimizing surface irregularities and pigmentation through the elimination of the top layers of the skin or by modifying the affected tissues.
In more severe cases, surgical treatments can be used for maximum effectivity. These will involve incisions and sutures There are a variety of advanced scar revision techniques for different types of scars, including layered closure, complex flap closure, and W-plasty or Z-plasty.
Tissue expansion or skin grafts may also be used in cases where there is not enough healthy tissue for the closure of scar excisions, such as with severe burn scars.
Discomfort, swelling, or discoloration may be present for one to two weeks following the procedure. It will take several weeks for the scar to completely heal, but the patient can expect to see gradual improvements to the quality and color of the scarred skin throughout this period.
If performed in conjunction with surface treatments such as chemical peels, laser resurfacing, or dermabrasion, increased skin sensitivity may also be experienced.
Patients must avoid sun exposure during their recovery, as this can affect the healing process. They will be prescribed specific aftercare instructions, medications, and even topical ointments to ensure optimum healing.
Dr. Sedgh will personally monitor and evaluate your progress as you go through your recovery. He will conduct a series of regularly scheduled appointments, usually beginning on the first day post-surgery up to a year after, so that he can keep close tabs on your postoperative health and the results of the procedure.
“I don’t think it is an overstatement to say that Dr. Sedgh was a godsend to me for his willingness to do surgery on my nose when several notable surgeons refused to take on the task of correcting the damage that three previous surgeries had done. Dr. Sedgh clearly has an artistic eye as well as a very professional ability at nose surgery. He has earned my trust and respect.”
Randy, R. (65)
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