Facial Scar Revision
Facial scar revision
involves removing the entire scar surgically and rejoining the skin.
Although a new scar will form, the goal of the surgical technique is to
create a less obvious scar.
Is Facial Scar Revision for You?
If
you are considering facial scar revision, it is important to realize
that there is no way to remove scars completely. The goal is to improve
the appearance of the scar either by disguising it, relocating it, or
minimizing its prominence.
Your Personal Consultation
When
you sit down for your personal, confidential consultation, you will be
asked about the results you would like to achieve from scar revision
surgery. This will help Dr. Rooney understand your expectations and
determine whether they realistically can be achieved.
Skin color
and type, age, and the nature of scarring are all important factors
that must be part of the discussion prior to surgery. All surgical
possibilities will be discussed in the initial consultation along with
risks involved for each type of scarring.
About the Procedure
When
a scar is a contracture, surgery generally involves removing the scar
tissue entirely. Skin flaps, composed of adjacent healthy, unscarred
skin, are then lifted and moved to form a new incision line. Where a
flap is not possible, a skin graft may be used. A graft involves taking
a section of skin tissue from one area and attaching it to another.
Z-plasty is a method to move a scar from one area to another, usually
into a natural fold or crease in the skin, to minimize its visibility.
While Z-plasty does not remove all signs of a scar, it does make it
less noticeable.
Dermabrasion and laser resurfacing are methods
a surgeon uses to make rough or elevated scars less prominent, by
removing part of the upper layers of skin with an abrading tool or
laser light.
Keloid or hypertropic scars often are 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.
Recovery and Beyond
Many
factors will be involved in the degree of healing of your particular
scar, with some scars taking more than a year to show improvement in
appearance following surgery.
Understanding the Risks
Fortunately,
significant complications from scar revision are infrequent. Every
year, many people undergo successful scar revision surgery, experience
no major problems, and are delighted with the results. Anyone
considering surgery, however, should be aware of both the benefits and
the risks. These issues will be discussed during your consultation.