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Scar Revision


Scars are a very common skin flaw and may be located in 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 and unappealing. They may be too wide or too big, dark, bumpy, recessed, or raised. Based on where the scar is placed and the state of it, scar revision surgery can be performed to improve how it looks. Plastic surgeon Dr. Ryan Couvillion in Houston, TX performs scar revision surgery at SBA Dermatology, which is a cosmetic procedure that helps decrease your scar's size and appearance.


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
    The most subtle type of scars, superficial scars do not cause any concerns besides a blemished appearance.
  • Keloid Scars
    Keloid scars are larger in size and may be painful. The skin surrounding the scar is typically discolored and extends past the borders of the original wound.
  • 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
    A contracture scar is deemed more complicated as the scar develops across a greater section of skin. A burn is one example of a contracture scar. In many cases, the scar feels tight and also impairs movement for some patients.


"Dr Couvillion kept me talking through my procedure and kept me distracted and was wonderful. His staff is also wonderful. I truly recommend him for any procedure."

- T.L. / Healthgrades / Aug 07, 2019

284 Total Reviews



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 who get scar revision surgery to understand that although this treatment is designed to improve the physical appearance of the scar and decrease its size, 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.


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 oval 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 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 and tissue to be reconnected. 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 can recommend a filler treatment to produce a more even, natural surface.


Following a scar revision treatment, incision care is an important aspect of the healing process. Dr. Couvillion or a member of his staff can 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, more natural appearance.


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 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 usually takes between six months and longer for optimal results.

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.

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 little to no discomfort during treatment. After the procedure, you may feel sore, itchy, or experience some mild redness and swelling.


When you have an unsightly scar that troubles you, SBA Dermatology has numerous options to make it less noticeable. After examining the shape, size, type, and depth of your scar, a revision treatment plan can be developed to help minimize its appearance. Using surgical or nonsurgical procedures, plastic surgeon Dr. Ryan Couvillion will transform the scar and surrounding skin for a more natural and normal appearance. We invite you to contact our office in Houston, TX to schedule your scar consultation.

 When it comes to treating your skin, it's important to choose a specialist who knows the skin inside and out. To meet with one of our board-certified dermatologists or other experienced practitioners, call our office at 713-850-0240.