Scar revision is a procedure that aims to minimize the appearance of a scar in terms of size, color, texture, and contour, to help it blend in better with the surrounding healthy skin.
The skin is a complex and highly specialized organ. Scars are what remains after a wound has healed, and can be due to injury or surgery. Poor healing can result in scars that are obvious, disfiguring, painful, or restrict movement.
Sometimes healed skin can result in abnormal scars, called keloids, in which the scar is raised and extends beyond the area of injury, creating firm scar tissue that can not only cause pain and itching, but can be unsightly.
Scar Revision Evaluation and Treatment
During the consultation, Dr. Mahmood will obtain a medical history including cause and age of the scar, surgical history, medications, and previous treatments to the scar, if any. She will examine the scar and surrounding skin, including areas that may also be affected by the scar, and discuss the best approach for treatment.
If surgical scar revision is recommended, the procedure can be done under local anesthesia, IV sedation, or general anesthesia. This depends on the type of scar, extent of surgery required, and patient preference.
The procedure differs depending on the type of scar being addressed:
- Simple Scars: In these cases, the scar can be removed completely and the incision closed meticulously, minimizing the risk of poor scarring. Another technique used is dermabrasion. In this, a device is used to remove the upper layer of skin, stimulating new healthy skin growth. This technique is used to remove superficial skin irregularities.
- Large Scars: Larger scars, such as burns or those caused by serious injury, necessitate a more extensive approach since the goal is both to improve the appearance of the scar, as well as correct the constriction, or tightness, of the scar and its effects on the surrounding skin. In these cases, more comprehensive reconstruction techniques may be needed, including a skin graft or the use of tissue flaps, which involve transferring healthy skin and tissue from other areas into the wound.
For more information, or to determine if you are a candidate for scar revision, contact Dr. Umbareen Mahmood at her NY practice.