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Scar Revision

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WHAT IS SCAR REVISION?

Scars are very common and may be located on any area of the body. For some people, a scar is an unwanted reminder of an old wound or some other issue that created a disruption to the skin. While some scars aren't a concern, certain scars are unsightly or unappealing. They may be wide, bumpy, depressed, or raised.  They also can be painful, restricting of movement or distort normal structures. Based on where the scar is located and its age, scar revision surgery may be possible to improve how it looks. Plastic surgeon Dr. Ryan Couvillion in Houston, TX performs scar revision surgery at SBA Dermatology & Plastic Surgery, which is a cosmetic procedure that helps decrease your scar's size and appearance.

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TYPES OF SCARS

There are several different types of scars. The type you have can determine the available techniques to correct it. The most frequent scars Dr. Couvillion treats are:

Superficial Scars

Superficial Scars
The most subtle type of scars, superficial scars does not cause any concerns besides a blemished appearance.

Keloid Scars

Keloid Scars
Keloid scars are larger in size and may be increasing in size. The scar itself extents past the edges of the original wound.  These scars often run in families.

Hypertrophic Scars

Hypertrophic Scars
A hypertrophic scar may also be large. They tend to be thicker and grow in time, but hypertrophic scars don't typically extend past the original wound borders.

Contracture Scars

Contracture Scars
A contracture scar is a scar that has shrunk over time and may distort or restrict other areas of the skin. A burn can be an injury that can cause a contracted scar. In many cases, the scar feels tight and impairs movement.

WHO IS AN IDEAL CANDIDATE FOR SCAR REVISION?

Men, women, and children who have a scar that is unsightly, bothersome, or creates insecurity and embarrassment may consider scar revision surgery. It's critical for candidates at SBA Dermatology & Plastic Surgery who get scar revision surgery to understand that although this treatment is designed to improve the physical appearance of the scar it won't be able to make it completely disappear. The type of procedure performed will be based on where the scar is, the type of scar, and the depth, size, and shape of it.

HOW DOES SCAR REVISION WORK?

Dr. Couvillion may employ local anesthesia or sedation based on the complexity of the case. For bumpy or thick scars, a shave excision may be performed to even out and level the scar. Scars that are raised and larger can be decreased in size with an elliptical incision, which excises the scar and part of the skin and tissue surrounding it. The skin is then re-sutured with a thin, clean line. For scars that exist due to improper healing, this may be able to provide a big improvement. Bigger scars or contracture scars will often require a tissue expansion or skin graft so that the original scar can be removed, permitting healthy skin to replace the scarred tissue. For some patients, it’s not the shape or size of the scar that is bothersome but the texture or color. There are some great laser treatments that may lessen the visibility and color of a scar, eliminating the need for surgery. Finally, if you have a depressed scar or it looks "pitted," Dr. Couvillion may recommend a filler treatment instead of surgical revision.

WHAT CAN I EXPECT AFTER SCAR REVISION?

Following a scar revision treatment, incision care is an important aspect of the healing process. Dr. Couvillion will provide detailed instructions to help you care for your wound so the revised scar is thinner, lighter, and smaller. As mentioned, the scar cannot be completely erased; however, most well-performed scar revision treatments can lead to a softer, less noticeable scar.

SCAR REVISION FAQs

How much does scar revision cost?

The cost of your procedure relies on a variety of factors, including the area being treated, the type of scar, and the size of the scar. During your consultation, our staff can provide an estimated cost of your procedure. SBA Dermatology & Plastic Surgery accepts many payment methods, and we can help you find low-interest medical financing.

Does scar revision eliminate the original scar?

Post-surgery care is critical when it comes to scar revision. Patients must adhere to the medications and proper wound care to promote better healing of the new wound resulting in a less visible scar. Although a scar will still exist on the site, patients note a significant improvement. It often takes 6 months or longer to reach the final appearance of the new scar.

Are there nonsurgical options for scar revision?

Scars that are depressed or concave may benefit from an injectable filler. There are a wide variety of fillers on the cosmetic market that may be considered. During the procedure, the filler will be injected into the skin through a syringe. Dr. Couvillion may manipulate the outside of the skin to help shape the surface accordingly.  There are also laser options to treat the color of a scar, but these are not an option for every patient and only treat the color, not the size of the scar.

Can scar revision be combined with another procedure?

Scar revision can be combined with a dermal filler or laser skin resurfacing. Laser treatments are especially ideal if you are concerned about other skin issues, such as hyperpigmentation or rough skin texture. During your initial consultation, it’s important that you discuss all your concerns so we can help address your cosmetic needs with a customized treatment plan.

Does scar revision hurt?

Since some form of anesthesia is used, patients typically experience minimal discomfort during treatment. After the procedure, you may feel sore, itchy, or experience some mild redness and swelling.  The amount of post-procedure discomfort really depends on the size and location of the scar treated.

IMPROVE YOUR SCAR'S APPEARANCE

When you have an unsightly scar that troubles you, SBA Dermatology & Plastic Surgery has numerous options to make it less noticeable. After examining the shape, size, type, and depth of your scar, Dr. Couvillion will create a revision treatment plan to help minimize its appearance. We invite you to contact our office in Houston, TX to schedule your scar consultation.

When it comes to aesthetic plastic surgery, it's important to choose a dedicated surgeon who is committed to your desired surgical goals. To meet with our double board-certified plastic surgeon, Ryan Couvillion, MD and his team, call our office at 713-850-0240.