Scar Revision

Scar revision is a surgical procedure, which can minimize the appearance of scars that are raised, widened or depressed. While surgery cannot entirely remove a scar, it can minimize its appearance.

THE SCAR REVISION PROCEDURE

Dr. O’Mara performs scar revision procedure in his office procedure room at Facial Plastic Surgery of Beaumont, Texas. Procedure times average one hour. During the surgery, excessive scar tissue is removed and the skin edges are then meticulously sutured together to create a thinner, less visible scar. In some cases, post-operative steroid injections are performed to improve the results.

SCAR REVISION RECOVERY

The recovery after scar revision procedure may involve some minor swelling and bruising. Sometimes the scar will appear red immediately after surgery but it will eventually fade into a fine line. Sutures are removed after one week. Most patients are able to return to work within one week and can resume more strenuous activities and exercise within two to three weeks. It will take a year for the scar to fully heal and mature.

SCAR REVISION CANDIDATES

For individuals who are bothered by an unsightly scar, scar revision can be a very rewarding procedure.

FAQ

I am a 27 year old black male. As a teenager I had horrible acne. Now as an adult where the worst of the acne was has very dark scar tissue. Will dermabrasion treatments fix this?

I would consider conservative dermabrasion in very small areas of the face in very select cases in patients with no history of keloid formation. However, in my experience, I have more often performed scar revision for non-active acne scarring in African American individuals.

I have a thin scar under my lip that I would like to remove. I am a 42 year-old African American woman and I read that women with darker skin have lower success rates with skin resurfacing, is that true?

In my experience, scar revision can be very successful if the scar is widened, depressed, or elevated, even in darker skinned individuals. I would not recommend skin resurfacing as a primary treatment for scars such as this, however, but possibly excising unwanted scar tissue and performing a scar revision surgically to minimize the visibility. If your scar is minimal but you want some improvement, I would recommend conservative dermabrasion treatment.

I used to wear long heavy earrings for years. My right earlobe ripped and my left lobe is nearly torn, too. I want to wear my mother’s heirloom earrings to my daughter’s wedding, can you fix my lobes?

Yes, torn earlobes are a common problem. It is a relatively simple office procedure in which the scar tissue within the torn part of the earlobe is removed and the lobe is sutured together to recreate the natural curvature of the ear. Re-piercing the earlobe can be done approximately 6-8 weeks after repair. If you want to wear your mother’s earrings to the wedding, schedule your procedure at least two months before the big day.

I have a large scar on my upper left cheek that I would like removed. What is the process of scar revision? Is the scar completely eliminated after the procedure?

I would need to evaluate your scar to fully answer this question. However, in general, scars that are wide, elevated, depressed, or aligned in an unpleasing direction on the face can be revised. There are several techniques to revise scars that include removal of the scar tissue and meticulous skin closure. The final result is a much less visible, thin, flat scar. Scar tissue is not completely eliminated after scar revision.

I am 30 and I’ve always been embarrassed by my “Marilyn Monroe” mole on my upper lip. Can this be removed without extensive scaring?

If you are excessively concerned about your mole, the small thin scar is almost always less visible that them mole after healing.  Sometimes patients opt out of having the mole removed when they begin to see it as a personal unique trait of their face.  I always have them consider it that way…..like Marilyn Monroe!