Scar Revision in Beverly Hills, Los Angeles Area
A scar on your face can be a constant reminder of a surgery, trauma, accident or acne. Most people are self-conscious about scars they have on their face. Many people undergo scar revision to improve their appearance, self-confidence and level of facial functioning, as well as to help them put a negative experience behind them. Although a scar is permanent, there are ways to make it less noticeable and blend it with the rest of your face using surgery, dermabrasion, lasers or fillers.
At your consultation with Dr.Sunder, she will review your goals, examine the scar, offer treatment options and discuss realistic expectations in order to help you achieve the best possible results. A scar cannot be removed completely. However, it can be disguised or made less obvious. Factors that affect the success of scar revision, include the patient’s age, skin color, skin type, type of scarring and location. The timing of the scar revision is a critical consideration. In some cases, it is best to delay a surgical revision for one year after the injury, in order to allow enough time to heal from the initial trauma. In other situations, treatment can be started sooner.
There are various types of scar that can occur. A keloid occurs as a result of overproduction of collagen after a wound has healed and has grown beyond the boundaries of the scar. Hypertophic scars, on the other hand, are limited to the boundaries of the scar, but have a thick, raised appearance which can be unattractive or limit some normal function. A scar contracture is a broad scar that can occur as a result of a burn, with puckering of skin and limitation of function.
Facial scars are so complex and a person’s attitude to his/her scar is extremely personal that in order to achieve maximal improvement, more than one procedure may be necessary and multiple techniques may need to be employed.
Surgical Options for Scar Revision
A noticeable scar that is running in one direction can be morphed into a less noticeable scar running in a different direction using a “z-plasty” technique. A “z-plasty” can also be used in order to hide a scar in a nearby fold, wrinkle or crease. Excising an existing scar and replacing it with a “w-plasty” or “irregular geometric pattern” can camouflage a scar by tricking the eye into seeing short bursts of lines instead of one long scar. Skin flaps can be used in order to rotate adjacent, healthy tissue into an area that once had scar tissue. In cases where a flap is not possible, a skin graft may be taken from a nearby site and placed into the area where the scar existed. With time, new blood vessels will grow into the graft site and allow it to survive.
Non-Surgical Options for Scar Revision
Dermabrasion and laser resurfacing (such as Fraxel Laser Repair) are methods a surgeon employs to make “rough or elevated” scars less prominent, by removing part of the upper layers of skin with an abrading tool or laser light. While the scar may remain, it will be smoother and less visible. Acne scars are often treated with laser (Fraxel Repair) or dermabrasion.
Keloid or hypertropic scars can be treated first with injections of steroids to reduce size. If this is not satisfactory, the scars can be removed surgically, and the incisions closed with fine stitches, often resulting in less prominent scars.
Depressed scars can be injected with intradermal fillers, such as Restylane, Juvederm or Prevelle Silk, in order to raise them to match the level of the rest of the skin and make them less noticeable.
Changing the appearance of your scar can help change how you feel about yourself. Schedule a consultation with Dr.Sunder to see what options are available to you.