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Scar Revision

Scar revision can reduce or remove unsightly scars that can affect a person’s self-confidence in their appearance.

  • Downtime: Varies, depending on procedure used
  • Pain Level: Depends on procedure used
  • Results Duration: Permanent in most cases

Treats:

Scars left behind from injury, illness, or surgery

Side Effects:

Mild redness, bruising, swelling, and soreness, depending on the treatment used

Location:

Can be used on nearly any area of the face and body

Follow Up:

A series of treatments may be needed to achieve an optimal outcome

How Performed:

Depends on the specific procedure – laser, surgical, cryotherapy, injections, topical treatments

Preparation:

Topical or local anesthesia may be used prior to this treatment

Procedure Type:

Varies

Expected Outcome:

Reduction or elimination of residual scarring

Onset:

Results visible once skin heals after final treatment session

scar revision

After our skin is injured, the body begins the healing process by creating a scar. In some cases, scars can become noticeable enough to affect a person’s self-confidence and self-esteem. In rarer cases, scars can impact the function of a limb.

Fortunately, there are numerous options in scar revision that allow your plastic surgeon to customize treatment to the precise needs and desired outcome of each of his patients. From topical treatments to surgical procedures, your surgeon will personalize your procedure to ensure the best possible results from your scar revision. Customization is the key to any successful plastic surgery procedure.

What types of scars does scar revision treat?

A keloid is a type of scar that protrudes above the skin’s surface, forming an external growth. They mostly develop on the chest, back, shoulders, and earlobes. They rarely develop on the face, but can sometimes form on the jaw-line. Typically they look like an elevated section of skin with an irregular shape that is flat and has a pink or purple color to it.

Keloids typically appear after surgery, but they can also appear from slight irritation on the skin from an acne pimple on the chest or other minor injuries like burns and piercings. Keloids can also start to form sometime after the injury and extend beyond the initial wound site. If untreated, they can also become itchy and tender to the touch.

Hypertrophic scars also form during the scarring process and are thick like keloids, but are different in that they stay within the region of the initial injury. They are also redder in color and usually subside on their own over time. However, this process can take up to a year. Your surgeon may recommend waiting to seek treatment on these types of scars for the first year, since they can resolve effectively without treatment.

What are the Options in Scar RevisioN? 

There are several methods of removing keloids including:

  • Steroid injections
  • Surgery
  • Laser devices
  • Silicone sheets
  • Cryotherapy (freezing the keloid with liquid nitrogen)

After examination, your surgeon can explain to you which method is ideal in your situation. The goal is to personalize your treatment to ensure a safe procedure, an excellent cosmetic outcome, and a low risk the scar will form again.

    When Will I See Results?

    Some treatments will require multiple sessions to achieve an optimal outcome. You should see your results once your skin fully heals after your final appointment. 

    How Long is the Recovery Time After Treatment?

    Patients usually return to their daily routine immediately following treatment or the next day. Mild swelling and skin redness are common, but should not keep you from your usual activities. 

    Publications

    “Treatment of Atrophic Facial Acne Scars With Microneedling Followed by Polymethylmethacrylate-Collagen Gel Dermal Filler.” Dermatologic Surgery, 2019 Dec.

    “The Role of Elastic Fibers in Scar Formation and Treatment” Dermatol Surg. 2017 Jan.

    “Safety and Efficacy Evaluation of Pulsed Dye Laser Treatment, CO<sub>2</sub> Ablative Fractional Resurfacing, and Combined Treatment for Surgical Scar Clearance.” Journal of Drugs in Dermatology, 2016 Nov. 1.

    “Acne scarring: A review of available therapeutic lasers.” Lasers in Surgery and Medicine, 2016 Feb.

    “Use of a picosecond pulse duration laser with specialized optic for treatment of facial acne scarring.” JAMA Dermatology, 2015 March.

    “Use of a Picosecond Pulse Duration Laser With Specialized Optic for Treatment of Facial Acne Scarring.” JAMA Dermatol. 2014 November 19.

     

     

     “Successful Treatment of Acneiform Scarring with CO2 Ablative Fractional Resurfacing.” Lasers in Surgery and Medicine, 2008 August.

    “Ablative Fractional Resurfacing of Acne Scars.” Lasers Surg. Med. 2008.

    “Fractional Photothermoloysis for Treatment of Surgical Scars: A Case Report.” J Cosmet Laser Therapy, 2006 April.

    “Treatment of Atropic Facial Acne Scars with the 1064nm Q-switched Nd:YAG Laser.” Arch Dermatol. 2004 Nov.

    “The Safety and Efficacy of the 308nm Excimer Laser for Pigment Correction of Hypopigmented Scars and Straie Alba.” Arch Dermatol. 2004 Aug.

    “Scar Resurfacing with High-Energy, Short-pulsed and Flashscanning Carbon Dioxide Lasers.” Dermatol Surg. 1998 Jan.

     

     

     

     

    Real Patients Before and After photos

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    Scar Revision

    Questions and Answers

    Q: When Should Scar Revision Be Performed?

    A: Scars can continue to change and improve for up to one year. At that time, you may begin to consider scar revision. Best results tend to appear when the scar is treated soon after that window. However, depending on the type and severity of the scar, you may see positive results when treating even older scars.  

    Q: How Many Treatments Will I Need?

    A: That depends on what we are treating. Surgical treatments typically achieve the desired result in a single treatment. Lasers and cryotherapy may take more than one session to eliminate the scar completely. 

    Q: How Long Do Results Last?

    A: In most cases, scar revision produces permanent results. However, keloids are the one type of scar that can grow back. It is important to work with a doctor who is very experienced in treating keloids to ensure the best possible result.  

    Q: Are There Any Side Effects?

    A: Side effects will depend on the type of treatment performed. Some procedures, such as lasers and cryotherapy, have few side effects and little to no downtime. Others may involve some post-treatment care, as well as pain, tenderness, and bruising before the treatment area is fully healed.

    Q: Am I A Good Candidate For Scar Revision Treatment?

    A: If you have a scar that is affecting your self-confidence in your appearance or your function in some way, scar revision may be the right choice for you. We encourage you to schedule a consultation with Dr. Hoffman for an in-person assessment and treatment recommendations. 

    Next, read about…

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    Scars are often unwanted reminders of medical conditions, injuries, trauma, or surgery. When they are noticeable, they can also lead to significant embarrassment and self-esteem. Fortunately, there are ways to treat scars today that do not involve incisions, anesthesia, and downtime.

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    Body contouring addresses stubborn fat, skin laxity, or cellulite. Our board-certified physicians have been involved in clinical trials to develop new technology that provides superior treatment options. We offer treatments for cellulite, skin tightening, and fat reduction. 

    Fillers

    Laser & Skin Surgery Center of New York’s filler treatments are always performed by board-certified physicians who have extensive experience with injectables. When you come to us for cosmetic care, you can be confident that you can safely achieve a perfectly natural look.

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