Facial Scar Revision Surgery

Facial Scar Revision Surgery
With very few exceptions most people are self-conscious about facial scars. Once a scar forms, it is permanent but may be made less visible or relocated surgically to improve your appearance, your self-confidence, or your level of facial functioning.

Is Facial Scar Treatment For You?
A person considering facial scar revision must understand 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. Skin color and type, age, and the type of scarring, are all important factors that must be part of the discussion prior to surgery.

Different types of scars respond to different plastic surgery techniques. Some surgeons advise against any scar revision in cases of injury for a period that might extend up to a year after the injury. This interval allows the body enough time to heal fully.

Making The Decision For Scar Treatment
Different scars require different treatments. The agreement between you and the surgeon on how to proceed is a prerequisite for successful surgery. Because scars are highly individualistic and the patient’s attitude toward scars is so personal, maximum improvement in facial scars may require more than one procedure, and more than one technique may be employed.

Understanding The Surgery
Re-excising the scar and reapproximating the edges of the deeper tissues as well as the skin with fine sutures will help improve a widened or irregular scar. Sometimes a scar is more noticeable because of shadows that are created by depressions in the scar itself. Dermal fillers, such as collagen and hyaluronic acid, can be used to fill these depressions to make the scar less noticeable. Dermabrasion and laser resurfacing are methods a surgeon uses to make “rough or elevated” scars less prominent. This works well for acne scars.

Clearly, the scar will remain, but it will be smoother and less visible.
Keloid or hypertropic scars are often treated first with steroid injections to reduce their 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.

What To Expect After The Surgery
You can expect to feel some discomfort after surgery but this can usually be controlled with Tylenol. Some swelling, bruising and redness are generally unavoidable though minor. It is important for you to follow your after-care recommendations to the letter. Though the sutures will be removed within days after the surgery, the surgeon will like you to avoid any activity that may place undue stress on the incision. It is important to remember that scar tissues require a year or more to fully heal and achieve maximum improved appearance.

Mike Majmundar, M.D., with Northside Facial Cosmetic Surgery, is an Atlanta Facial Plastic and Reconstructive Surgeon who specializes in cosmetic surgery of the face and neck. For a Complimentary Cosmetic Consultation, call 770.475.3361 (Alpharetta / Roswell office) or 770.888.1651 (Atlanta / Cumming office) or visit www.northsideplasticsurgery.com

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