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Scar Revision

Scar Revision Surgery in Atlanta & Snellville, GA

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Overview

Scar revision is a plastic surgery performed to improve the condition or appearance of a scar anywhere on the body. It is important to remember that any wound, repaired laceration, or closure of a surgical incision results in a scar. The difference is that in most cases the scar heals so that it is concealed or difficult to perceive over time. An abnormal healing process can affect the quality of the scar making it more noticeable. Atlanta plastic surgeon, Dr. Earl Stephenson, is a scar revision specialist and offers significant improvement for scars that have unsightly characteristics.

Types of Scars

The type of scar a patient has will determine the appropriate techniques Dr. Stephenson will use to improve its appearance. Listed below are various scar types.

Scars with Discoloration

  • No impairment of function
  • Does not cause physical discomfort
  • Examples: Scars from acne, minor injuries and prior surgical incisions

Hypertropic Scars

  • Cluster of scar tissue that develops directly at a wound site
  • Thick, raised, red and/or uncomfortable
  • May become wider over time
  • Can be hyperpigmented (darker in color) or hypopigmented (lighter in color)

Keloid Scars

  • Larger than hypertropic scars
  • Can be painful or itchy
  • Extend beyond the edges of an original wound or incision
  • Can occur anywhere on your body, especially on the face, neck, ears, chest or shoulders

Contracture Scars

  • Scars that restrict movement
  • Occur when there is a large amount of tissue loss, such as after a burn
  • Often form where a wound crosses a joint, restricting movement of the fingers, elbows, knees or neck

What To Expect

Dr. Stephenson will evaluate the overall health of the existing scar. The degree of improvement that can be achieved with scar revision will depend on the severity of the scarring and the type, size, and location of the scar. In some cases, a single technique may provide significant improvement. However, Dr. Stephenson may recommend a combination of scar revision techniques to achieve the best results. Scar revision may include:

Topical treatments

  • Including gels, tapes, or external compression

Injectable treatments

  • Used to fill depressed or concave scars
  • Can be steroidal-based compounds

Surface treatments

  • These methods can soften surface irregularities and reduce uneven pigmentation
  • Dermabrasion, a mechanical polishing of the skin
  • Laser or light therapy allows new, healthy skin to form at the scar site
  • Chemical peel solutions soften irregularities in texture and color
  • Skin bleaching agents, medications applied topically to lighten the skin

Surgical Incision

  • Used in deeper scars
  • Requires layered closure
  • May require complex flap closure to reposition a scar or improve flexibility of a contracture

Tissue Substitutes

  • Used if ample healthy tissue is not present
  • More likely with revision of severe burn scars

Tissue expansion

  • An inflatable balloon is placed under the skin near the scar site
  • Over time, the balloon is filled with sterile solution to expand the area of healthy skin
  • Once the skin has been stretched sufficiently, the expander and the scar are removed and the stretched skin is moved to replace the scar tissue
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Plan Your Procedure

Average Cost  
$500 - $4,000
Recovery Time  
Varies
Average Procedure Time  
1-3 Hours
Procedure Recovery Location  
Out-Patient
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Scar Revision Recovery

At the completion of a scar revision procedure, patients will be placed in a surgical dressing. Sometimes a small, thin tube may be temporarily placed under the skin to drain any excess blood or fluid. This tube will be removed early in the healing process. Patients will be given specific wound care instructions in order to allow for the best possible healing and outcome. Swelling and bruising are expected after scar revision. The swelling and bruising will start to resolve about a week after surgery, although this will vary between patients.

Expected Cost

The cost for scar revision surgery will depend on the type, location and severity of the scar. It could be as little as $500 or as high as $4,000 if grafts, expanders or any other reconstruction process needs to occur to attain the best result.

Correct an Unsightly Scar

If you have a scar on your body that you consider too large, too wide, uncomfortable or unsightly and would like to understand what options exist to create a better scar appearance, please call our office today. During a private consultation with Dr. Stephenson, he will evaluate the existing scar and provide you with an honest and realistic approach for correcting the appearance.

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*Individual results are not guaranteed and may vary from person to person. Images may contain models.