Facial Scar Treatment | Acne Revision | Plano Facial Plastic Surgeon
When the skin is in the process of recovering from an injury, whether the result of an accident, surgery, a burn, or acne, scarring will occur wherever multiple layers of the skin have been affected. Once a scar forms, it is permanent but may be made less visible or relocated surgically.
With very few exceptions most people are self-conscious about facial scars. Some people may also experience diminished functioning of the eyes, mouth, or nose due to scarring. If you’ve wondered how facial scar revision could improve your appearance, your self-confidence, or your level of facial functioning, you need to know how scar revision treatments work.
Successful facial plastic surgery is a result of good rapport between patient and surgeon. Trust, based on realistic expectations and exacting medical expertise, develops in the consulting stages before surgery or any treatment is performed. Expert facial plastic surgeon, Dr. D.J. Verret can answer specific questions about your specific needs.
Is Facial Scar Treatment Right For You?
The most basic requirement for all surgery is good health. Other requirements are more subtle and should be carefully considered in discussion with Dr. Verret. Expectations of the surgery and of the surgeon must be realistic. A person considering facial scar revision must understand that there is no way to remove scars completely. The goal is to improve the appearance of the scar either by disguising it, relocating it, or minimizing its prominence. Skin color and type, age, and the type of scarring, are all important factors that must be part of the discussion prior to surgery.
Different types of scars respond to different plastic surgery techniques. Timing of surgery is another important choice. In some cases, waiting for a time, even a year or more, is necessary before undertaking any scar revision. This interval allows the body enough time to heal fully.
Making the Decision For Scar Revision Surgery. Consult with Dr. Verret.
Whether the surgery is desired for functional or cosmetic reasons, your choice of a facial plastic surgeon is of paramount importance. Dr. Verret will examine the scar in order to decide upon the proper treatment and inform you of outcomes that can be expected from facial scar revision surgery.
Different scars require different treatments. For example, severe burns that destroy large sections of skin cause the skin to heal in a puckered way. As the skin heals, muscles and tendons may be affected in this “contracting” movement. Keloid scars are a result of the skin’s overproduction of collagen after a wound has healed. These scars generally appear as growths in the scar site. Hypertrophic scars, unlike keloids, do not grow out of the boundaries of the scar area, but because of their thick, raised texture, can be unsightly and may also restrict the natural movement of muscles and tendons.
Some facial scars are unattractive simply because of where they appear on the face, while others affect facial expressions. All surgical possibilities will be discussed in the initial consultation along with risks involved for each type of scarring. The agreement between you and Dr. Verret on how to proceed is a prerequisite for successful surgery. After you both decide to proceed with scar revision, Dr. Verret will inform you about the anesthesia, the surgical facility, any supportive surgery options, and costs.
Because scars are highly individualistic and the patient’s attitude toward scars is so personal, maximum improvement in facial scars may require more than one procedure, and more than one technique may be employed.
Understanding Facial Scar Revision Surgery.
When a scar is of the contracture type, scar revision surgery generally involves removing the scar tissue entirely. Skin flaps, composed of adjacent healthy, unscarred skin, are then lifted and moved to form a new incision line. Where a flap is not possible, a skin graft may be used. A graft involves taking a section of skin tissue from one area and attaching it to another, and time must be allowed following surgery for new blood vessels and soft tissue to form. Z-plasty is a method to move a scar from one area to another, usually into a natural fold or crease in the skin to minimize its visibility. While Z-plasty does not remove all signs of a scar, it does make it less noticeable.
Dermabrasion and laser resurfacing are methods Dr. Verret 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 it will be smoother and less visible. Keloid or hypertropic scars are often treated first with injections of steroids 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. For keloids which are removed surgically, some form of additional treatment is necessary to help prevent the keloid from recurring. This treatment may be steroid injections, radiation treatment, compression dressings, or imiquimod cream depending on Dr. Verret’s consultation with the patient.
What to Expect After Scar Revision Surgery or Procedures.
You can expect to feel some discomfort after facial scar revision surgery. Some swelling, bruising and redness are generally unavoidable. It is important for you to follow Dr. Verret’s after care recommendations to the letter. Though the sutures will be removed within about a week after the surgery, your skin needs time to heal. Dr. Verret’s post care instructions outline a time of decreased activity after scar revision 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. Depending on the surgery performed and the site of the scar, Dr. Verret will explain the types of activities to avoid. No medication should be taken without first consulting Dr. Verret. It is important to remember that scar tissues require a year or more to fully heal and achieve maximum improved appearance.
Facial Plastic & Reconstructive Surgery Information
Facial plastic & reconstruction surgery in Frisco 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. For more information about acne scar removal, scar treatment, acne scar treatment, keloid scar, hypertrophic scar, thyroidectomy scar, or acne scar surgery consider visiting Dr. Verret.
Insurance does not generally cover surgery that is purely for cosmetic reasons. Surgery to correct or improve scars caused by injury may be reimbursable in whole or in part. It is the patient’s responsibility to check with the insurance carrier for information on the degree of coverage. We can help you to file insurance if it is covered by your policy.