Numerous methods are available to “hide” or minimize scars including placing them within the nose or mouth, behind the eyelid or hairline or within natural skin creases. However, certain scars can require scar revision or a procedure designed to optimize their appearance. These include keloids (common on the ears, chest and back in people with dark skin), hypertrophic scars (thick, raised texture) and traumatic scars that cross the natural creases of the face or junctions between different regions of the face. Dr. Weber’s goal when planning and completing surgery is to handle the tissue delicately and perform meticulous work to provide an optimal scar.
Luckily, time is your friend with regard to improvement in scars. The typical scar will “mature” and improve in appearance for up to 12 months following an injury or surgical incision. Scars that interfere with facial function (a scar that pulls the eyelid down resulting in dryness of the eye, for example) are usually treated in a more urgent fashion to prevent subsequent injury. Steroid injections can be used to reduce the thickness and swelling present in hypertrophic or keloid scar tissue. Dermabrasion can be used as early as six weeks following trauma or surgical incision to flatten a scar and improve camouflage of the scar, itself. Scar revision involves either excising the scar and performing a more meticulous wound closure without tension on the wound edges or performing surgical maneuvers to re-orient or “move” the scar.
Contact us to schedule a complimentary consultation with Stephen Weber, M.D., F.A.C.S.