Scar Revision & Resurfacing
Facial scars are often a source of self-consciousness for patients. When considering a scar revision or resurfacing in Seattle or Bellevue, it is important to realize that scars can never be completely removed, only made less visible.
Dr. Stella is skilled at performing scar revision and resurfacing. She has advanced training in facial plastic surgery and is board certified in Facial Plastic and Reconstructive Surgery, as well as Otolaryngology - Head and Neck Surgery.
To learn more about scar revision and resurfacing or other treatments offered at the Stella Center for Facial Plastic Surgery, request a consultation or call our office at 206-682-3223. We look forward to helping you with any questions or concerns you may have, and getting you on your way to looking and feeling your best!
Stella Desyatnikova, M.D.
Meet Dr. Stella, a board-certified Facial Plastic Surgeon and Otolaryngologist who is committed to enhancing natural beauty and creating an appealing, harmonious look.
Introduction to scar revision
The goal of surgical scar treatments is to improve the appearance of a scar; this can be done by relocating the scar or lessening its appearance. Several considerations have to be made in order to effectively revise a scar – such considerations include patients' skin color and type, age, health history and the type of scarring present.
Not all scars are created equal; therefore, different scars respond to different treatments. For example, keloid or hypertropic scars are usually raised and wide, and are often treated first with injections of steroids. They should be addressed in a timely fashion when they start to form.
Multiple factors contribute to scar formation, and are important considerations in the revision surgery. Maximum improvement may require more than one procedure, and takes patience on the part of the surgeon as well as the patient. Scars remodel for up to a year after the initial injury, and it is important to wait for an appropriate time before undertaking revision surgery. Different techniques may be employed, among them excision of the scar, revision with skin flaps, dermabrasion, laser resurfacing, and injectable fillers for indented scars.
What is involved in this procedure?
Commonly, scar revision entails the surgical removal of the scar tissue in its entirety. Skin flaps, created by the use of healthy skin around the scar site, can then be moved to form a new incision line which will heal more appealingly. Skin grafts, wherein a section of skin from a different site is attached to the scar site, may also be used for certain revisions.
Raised scars can be effectively treated with laser resurfacing or dermabrasion. This makes the scar smoother to the touch and less visible, and it also helps to remodel the tissue around the scar to allow it to blend in.
Scars which are dark or hyperpigmented may be effectively treated using different lasers or chemical peels.