Factors that Affect Scar Revision
The right treatment approach for a facial scar and the overall improvement in appearance depend on individual factors that include:
- The location and extent of scarring
- The type of scarring (such as from acne, a burn, an injury or prior surgery)
- Skin tone, texture and color
- Personal healing rate
Scars are a byproduct of the body’s healing process, and in some cases the effects of healing include keloid scars, hypertrophic scars or contracture scars.
Keloid scars are caused by the body’s overproduction of collagen at an injury site after the skin heals, and they often appear in red, growth-like clusters in the scar site. Hypertrophic scars are typically red, thick scars that appear within an injury or incision site; they may restrict movement of underlying muscles and tendons. Contracture scars are pucker-like marks that often accompany burns; they can also limit muscle and tendon function.
Nonsurgical Scar Revision Options
If scarring is minor and the surrounding skin is otherwise healthy and has consistent texture and coloring, procedures such as dermabrasion or a chemical peel may be used to soften the rough texture and rejuvenate skin tone.
Minor concave or depressed scars may respond to dermal fillers designed to plump the skin and restore a smooth tone. In some cases, laser resurfacing can improve the appearance of the skin tone and texture, and stimulate the production of new skin cells at the scar site.
When scarring is more severe or affects muscle movements and facial expressions, surgery may be recommended.
Facial Scar Surgery
There are a number of surgical techniques that can reduce the visibility of facial scars. Surgery is generally intended to minimize the appearance of the scar and make the scar tissue look consistent with the surrounding skin tone, texture and color.
Plastic surgery can remove some contracture scars entirely, leaving a smooth, virtually seamless appearance. In other cases, flaps of adjacent healthy skin may be lifted and repositioned to improve both appearance and functionality.
In some circumstances, the scar itself may be repositioned with a technique often referred to as a Z-plasty. This procedure shifts the scar to follow natural facial contours, which makes the scar less conspicuous. If scarring is severe, skin grafts or multiple treatments may be necessary to achieve optimal results.
Scar Revision Recovery and Results
Individual results and recovery times from scar revision procedures differ greatly. Your plastic surgeon will help you set realistic expectations for your personal treatment.
Your surgeon will also review your healing guidelines with you in detail, and remain a partner in your recovery, checking on your progress and clearing you for increased physical activity based on the extent of your surgery.
To schedule your personal consultation at one of our Long Island locations, please contact Precision Medical Arts today.