Understanding Scar Revision

Scar revision is any treatment designed to address scars and marks that are left behind after your skin has fully healed from an injury. When Dr. Firouz approaches scar revision, the ultimate goal is always to help the scar blend seamlessly with the surrounding skin so it becomes much less prominent. We are almost always able to significantly improve the appearance of your scar, but unfortunately, we cannot completely remove them.

The good news is that there are a wide variety of advanced scar revision techniques available today, including injectables, surface treatments, and surgical excision, each tailored to address specific types of scarring. The approach that Dr. Firouz ultimately recommends will depend on several factors, including the unique characteristics of your scar, the quality of your skin, and your overall treatment goals.

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Types of Scars

  • Contracture scars result in a tightening of your skin. They tend to develop after a burn.
  • Depressed scars create sunken spots and indentations in the skin. Acne scars are a common form of depressed scars.
  • Flat scars are pink or red and heal completely flat.
    Keloids are particularly challenging scars to treat, but it is not impossible. They are raised above the skin’s surface and extend beyond the injury site.
  • Raised scars, also known as hypertrophic scars, are raised like keloids but do not spread outside of the injury. They may also get smaller with time. 

When Should I Treat My Scar?

It is important to wait until the scar is mature before treating it. This is because most new scars do not respond optimally to revision. As a general rule, Dr. Firouz recommends waiting about one year before attempting scar revision treatments.

Scar Revision Techniques

During your initial consultation, Dr. Firouz will review all the scar revision techniques with you and help you determine which one will be most effective for your scar. 

Injectables

If you have a keloid or raised scar, an injectable like a steroid can help to reduce the collagen in the skin and minimize the scar. If you have depressed scars, dermal fillers like Juvéderm and Restylane can fill them in. 

Resurfacing Treatments

Chemical peels, CO2 laser treatments, and other resurfacing procedures are effective ways to treat some scars. They are non-surgical, in-office treatments that tend to work best when your scars are mild to moderate. 

Surgical Excision

If your scar is deep or severe, an incision may be made to remove it. If enough skin is present, Dr. Firouz can close the incisions again while minimizing the new scar. If there isn’t enough tissue to close the incisions, a skin graft may be necessary.

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Scar RevisionFAQ

How much will my scar improve?

That depends on the severity of the scar, and the scar type, size, and location. In some cases, a single technique may be all that is necessary for significant improvement. However, Dr. Firouz may need to use a combination of scar revision treatments to achieve optimal results.

Is it possible to completely remove my scar?

Unfortunately, we cannot erase a scar. However, we can make it far less noticeable so that it blends in with your surrounding skin.

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