Scar Revision New Jersey

Scars from injuries and surgeries can be bothersome especially when they are in obvious locations like the face. These scars can be made less visible and even seamless in most cases. The techniques used for scar correction vary depending on the type of scar, its location, and patient goals.

Below are some options for scar revision / correction. These are more for information purposes as it is best to have the scar evaluated by Dr. Z first in order to help decide which options would be most ideal.

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STEROID INJECTION:

This works best for scars that are inflamed and hypertrophic, as well as keloids. These reddish, raised, and/or overgrown scars are injected with diluted steroid to help decrease the inflammation. Initial results are usually visible within the first week. This may need to be repeated in some cases.

MICRONEEDLING

Microneedling involves the use of a special device with many tiny needles that puncture the skin, inducing a self-healing process. This works well to soften scars, especially in cases of ACNE SCARS. It is often combined with platelet rich plasm (PRP).

SUBCISION:

In cases where the scar is indented and attached to the deeper tissues below, we can release it through a process called subcision. Once the area is numb, a needle is used to carefully detach the deeper attachments, releasing the skin above. These types of scars can develop after trauma, in deep wrinkle lines, or large acne scars.

In some cases, filler can then be injected to help keep this area of skin separated, preventing it from re-adhering.

FILLER:

As mentioned in the subcision section, some scars are depressed or indented. Trauma can result in a loss of fat and soft tissue in the area, leading to such indentation. Additionally, some incisions have a tendency to heal and contract, creating a similar effect. Subcision may or may not be required along with the filler.

LASER RESURFACING:

Lasers vary greatly in type and function. While this is not the forum to distinguish between laser technology, we can separate them into ablative and non-ablative categories. The non-ablative lasers do not remove the superficial skin, but rather stimulate the tissues below to promote healing. The ablative lasers remove the top layers of skin, forcing a new layer to regrow in its place, thus improving the appearance of many types of scars.

SURGICAL EXCISION / REVISION:

In situations where other methods are inappropriate or ineffective, the scar tissue can be excised and the skin closed with meticulous plastic surgery techniques. In some cases, we even rearrange the incisions to a more favorable position that will heal better and would be less noticeable. Excision / revision is a relatively simple method of improving scars, and can be used for most types of issues. However, it is up to the surgeon to determine if this will yield results superior to those from much simpler modalities such as steroid injection.