Surgical Scar Removal
The surgical removal of scars is necessary when non-surgical techniques are deemed ineffective. Non-surgical options include the following:
- Laser technologies to improve tone and texture
- Fillers to “fill in” depressed and sunken scars, making them more uniform in texture
- Silicone gel sheets, particularly useful in smoothing down hypertrophic and keloid scars
This may be the case for patients who wish to reduce the size and/or length of their undesirable scar or smooth it down/elevate it to make it more even with the healthier skin surrounding it. While scar removal is not designed to eliminate the appearance of the scar entirely, it can minimize it to the point that it becomes barely noticeable.
During surgical scar removal, anesthesia is administered. The type of anesthetic is usually local, although general may be administered if the scar requires extensive treatment. Dr. Brown removes the scarred tissue by excision, then sutures the remaining healthy skin together with a little tension as possible to create a smaller scar. The incisions made to do this may not be straight. Rather, they may be irregularly shaped or zig zag (z-plasty) to help create a less noticeable scar by following the natural creases in your skin.
For deep scars that are often the result of acne, punch grafting may be a more suitable surgical technique. A small device is used to create a hole in the skin where the deep acne scar is, removing it. A small piece of skin is then placed into the hole and taped into position. Over the course of a week or so, this heals over, making the surface of the skin more even.
Because it takes time for scars to heal, you may need to wait for up to a year to see how your results are. During the recovery period, you should follow Dr. Brown post-operative care instructions to ensure proper healing.
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