Scar Revision Surgery - Fort Worth, TX
What to Expect During and After Surgery
All scar revision procedures are performed in an accredited surgical facility. Some procedures will require general anesthesia, but most can be done with local anesthesia. Patients are asked to follow a post-procedure daily scar treatment regimen to promote wound site healing. It is imperative to protect the treated are from sun exposure to avoid any further discoloration. This treatment cannot fully eliminate a scar, but it will minimize the visible imperfections. Most patients agree that after treatment they are far more confident exposing the section of skin where their scar had formerly shown.
Plan Your Procedure
|Average Cost||$1,800 - $4,500|
|Recovery Time||1 Week|
|Avg Procedure Time||1-2 Hours|
|Post-Op Follow-Up||1 Week|
Types of Scars Treated
To understand the different methods used to treat scars, it is useful to first know the various types of scars that can form:
- Superficial scars are the subtlest scars. While unsightly, they do not cause any actual problems.• Superficial scars are the subtlest scars. While unsightly, they do not cause any actual problems.
- Keloid scars are larger, painful scars, which are often discolored and tend to extend beyond the edges of a wound.
- A hypertrophic scar does not extend beyond wound edges, but does continue to become larger, thicker, and more painful over time.
- A contracture scar develops over a larger body surface area, creating tightness and impairing movement. This type is usually associated with severe burns.
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A variety of techniques are available for scar revision. Your treatment plan will be chosen based on your scar’s location, type, and size.
For raised scars, a shave excision can remove the top layer of the scar and even out the surface with the rest of the skin, leaving a smoother, flatter appearance. Only the raised portion of the scar is removed with the surgical shaver, and sutures are usually not necessary.
This variable technique is also used for raised scars. In the elliptical removal pattern, both the scar as well as an edging (ellipse) of skin encompassing the scar are removed, creating a clean enclosure. Sutures may then be placed inside or outside the skin. In cases where a scar formed because of a poorly-closed prior incision, reopening the scar and resuturing the skin in a different direction will minimize the overall scar.
Skin grafting/tissue expansion
In cases of significantly large scars, a skin graft may be required. This is where skin is taken from another area on the body and used to close the wound once the scar has been removed. Sutures are then skillfully placed around the graft to close it and blend the skin together for optimal healing. If a skin graft is not needed, tissue expansion may be used instead. Here, a tissue expander is placed under the skin where the scar resides and filled with a sterile solution. Once the adequate expansion is reached, the surgeon stretches the skin and joins the edges together, placing sutures carefully into the tissue wall.
Scars that are sunken may benefit from a filling material known as injectable derma filler. There are several fillers on the cosmetic surgery market that can be used for this purpose, with collagen being the most widely used choice. During the procedure, the injectable material will be inserted into the skin via syringe. The surgeon may manually manipulate the outside of the skin to help shape and smooth the surface as needed.
Some scars can be treated with a series of skin rejuvenation treatments to soften the surface of the skin, smooth out uneven texture, or lighten pigmentation. Skin surface treatments include laser skin resurfacing, chemical peels, dermabrasion, and skin bleaching.
When the body has suffered a trauma and then gone through the healing process, it is often left with an unsightly scar. These reminders of injury can make us feel self-conscious about our appearance, and in some instances, cause continued discomfort. But with Scar Revision Surgery, these physical reminders can be minimized. Scar Revision Surgery can help improve the appearance of scarring and make it less obvious, but it will not completely erase a scar. Everything possible will be done to help scars blend into the surrounding skin, but patients must understand that no scar will be truly invisible. During initial consultation, Fort Worth plastic surgeon, Dr. Daniels, will discuss available scar treatment options and convey realistic expectations for your specific situation. Patients are asked to wait at least a year after injury to allow natural healing before consulting with Dr. Daniels for Scar Revision Surgery.