Many variables can affect the severity of scarring, including the size and depth of the wound, the blood supply to the area, the thickness and color of your skin, and the direction of the scar. How much the appearance of a scar bothers you is, of course, a personal matter. A facial plastic surgeon has many options for treating and improving facial scars and makes it possible to correct facial flaws that can undermine self-confidence. Changing how your scar looks can help change how you feel about yourself.
The various surgical techniques for scar revision are designed to make the scar as smooth and invisible as possible. This can involve recreating the incision, moving skin around or even moving the scar to make it less visible. What would work best for your specific scar will depend on where it is located and how it looks, Dr. Gupta will evaluate you and discuss the options for revision surgery.
Some scars, especially when raised, may be improved with dermabrasion and laser resurfacing. These are methods a surgeon uses to make "rough or elevated" scars less prominent, by removing part of the upper layers of skin with an abrading tool or laser light. Clearly, the scar will remain, but will be smoother and less visible.
Keloid or Hypertropic scars are often treated first with injection of medications to reduce size. If this is not satisfactory, the scars can be removed surgically, and the incisions closed with fine stitches, often resulting in less prominent scars; but Recurrence is very high especially with keloid.
Often more than one treatment or a combination of techniques is needed to attain the best results. No matter how bad a scar looks, it usually can be made to look better.
You can expect to feel some discomfort after facial scar revision surgery. Some swelling, bruising and redness are generally present. It is important to follow your surgeon's after care recommendations. Surgeons generally insist on decreased activity after surgery and instruct the patient to keep the head elevated when lying down, to use cold compresses to reduce swelling, and to avoid any activity that places undue stress on the area of the incision. Though the sutures will be removed within days after the surgery, your skin needs time to heal. It is important to remember that scar tissues require a year or more to fully heal and achieve maximum improved appearance.
The final results of your scar revision surgery will be long-lasting, however it may take several months for your final results to become apparent and in some cases it may take a year for the new scar to fully heal and fade.
The practice of medicine and surgery is not an exact science. Although good results are expected, there are no guarantees; and in some situations, it may not be possible to achieve optimal results with a single surgical procedure and another surgery may be necessary.