Scar Revision

Scars as a result of trauma or surgery can sometimes be unsightly and draw negative attention to the scarred area.  Some patients are also prone to hypertrophic scarring or keloid formation, which can cause significant deformities.  Wounds, whether the result of surgery or trauma ALL heal by scar formation.  There is no such thing as “no scar”, just good scars and bad scars.  Bad scars are those that tend to be more noticeable to the outside observer.  Most commonly this is due to the scar being red, raised, depressed or falling against the natural creases of the face.  Good scars, when fully healed, tend to be hardly visible to the outside observer.  Good scars have good color match to the surrounding skin, follow the natural contours of the face, and are hidden within the natural creases of the head and neck.  Dr. Wudel can revise bad scars to help camouflage the scar and make it much less noticeable.

What other procedures can help improve the appearance of my scar?

Oftentimes patients benefit from multiple procedures to help improve the appearance of a scar.  One of the most common procedures is dermabrasion, in which the top layer of the scar tissue is sanded down to blend the scar into the surrounding tissue.  Laser therapy is also often used to help stimulate collagen formation, reduce redness of scars, and improve the overall appearance.

How long does it take for a scar to fully heal?

While much of the healing after scar revision surgery takes place in the first few months, scars are not fully healed until 1 year after surgery.  During this time the scar continues to contract, soften and improve its appearance.

Are there any other creams or treatments I can use to improve the appearance of my scar after surgery?

Dr. Wudel recommends the use of silicone-based scar creams starting 6 weeks after surgery.  Silicone scar creams have been shown to improve the appearance and healing of scars.  

I have a keloid – is that treatable by scar revision?

Keloids are some of the most difficult scars to treat and are associated with a genetic predisposition to form scars that extend beyond the boundary of the original wound.  However, keloid scars can be successfully managed with multiple modality treatment.  Often this includes excision followed by a combination of post-operative corticosteroid injections and silicone-based scar treatments.