Scars are visible signs that remain after a wound has healed. Scar revision is surgery to improve or reduce the appearance of scars. It is meant to minimize the scar so that it is more consistent with the skin’s tone and texture. Along with the obvious cosmetic and functional damage a scar can have, it can also have a significant psychological impact on a patient. Whether the scar is caused from trauma or from removal of lesions from the face like skin cancer, reconstruction can many times pose a significant challenge.
The basic idea behind scar revision is not only to remove the scar, but to have the new scar blend with the surrounding tissue and have as inconspicuous an appearance as possible. The face is broken into 9 aesthetic subunits and any scar that crosses one of those subunits becomes visible.
Dr. Roberto Garcia has performed thousands of surgeries for scar revision and has developed a very conservative and natural approach that provides patients with minimal downtime and amazing results.
Commonly Asked Questions about Scar Revision
What can Scar Revision do for me?
Scar revision is effective for correcting the following:
- Horizontal scars in locations that prefer vertical lines
- Vertical scars in locations that prefer horizontal lines
- Scars that cross from one subunit to another
- Scars that are wide
- Scars that are elevated or sunken
- Straight line scars
Who are good candidates for scar revision?
A patient in good health who desires correction of a scar that is wide, sunken, red, raised, pale or a scar that causes a distortion of other parts of the face.
How is scar revision performed?
Dr. Roberto Garcia performs scar revision surgery either alone or in conjunction with other facial surgeries. If performed alone, the procedure can be performed in an office based surgery setting under mild sedation with a local anesthetic. If Dr. Garcia is performing the scar revision as part of another surgery necessitating heavier anesthesia, it will be done in a JCAHO/AAAHC accredited surgery center with board certified Anesthesiologists, Certified Registered Nurse Anesthetists, and Registered Nurses. Patients may have a choice of IV sedation or general anesthesia. The procedure can vary from 1-3 hours in length.
The various techniques for scar revision are designed to make the scar as smooth and invisible as possible. Some of these techniques may involve one or a combination of the following: Dermabrasion, Laser, Excision, or steroid injections
Dr. Garcia performs a unique and natural technique with barely visible scars that blend into certain folds of the face, making the new and improved scar appear imperceptible.
What are the risks of scar revision surgery?
Although rare, possible complications of a scar revision include bleeding, infection, bruising, swelling, and possible premature loss of the sutures necessitating a revision. Dr. Garcia takes the utmost care in treating these scar revisions, so this should not be a worry.
What is the recovery from scar revision like?
After a scar revision, Dr. Garcia will place small pieces of skin colored tape on the stitch line and will leave it untouched for one week.
Dr. Garcia specializes in a very meticulous closure of all incisions and these stitches are carefully removed one week after the surgery. Swelling, numbness, bruising and a feeling of tightness may occur after any scar revision, but generally subsides within 2 weeks. Patients can usually return to usual activities in 4-5 days.