After trauma has occurred and your body has healed, a scar will appear. The manner in which scars develop is unpredictable and varies greatly from one patient to the next. The severity of your scar is dependent upon the size and depth of the wound, the blood supply to the region, the thickness and color of your skin, and the direction of the wound. Most scars will fade with time; therefore, scar revision is generally not recommended until at least one year after the injury occurred. While scars cannot be completely removed, Dr. Joshua Hyman can improve their appearance with scar revision in New York, New York.
Initial Consultation for Scar Revision Surgery
During your initial consultation with Dr. Joshua Hyman, the two of you will discuss your objectives and expectations from the surgery or treatment. The initial consultation will include a review of your complete medical history, and an examination of the area of concern. Based on the consultation, our plastic surgeon will suggest a procedure that suits you best, in addition to answering any questions that you might have.
Scar Revision Surgery
Scar treatment will depend upon the scar’s origin, location, and type. Keloids are thick, dark, and itchy areas of scar tissue that have grown beyond the edges of the wound or incision. These can be treated with steroid injections, which will reduce the itching and redness. In some cases, keloids can be excised, but they have a strong tendency to recur after revision surgery. Hypertrophic scars are also dark and raised, but remain within the boundaries of the original incision or wound. They generally improve naturally with time and can be excised, if desired. Contractures result from scar tissue that pulls the skin together in a tight manner, restricting normal motion. For correction, this type of scar generally needs to be removed and replaced with healthy, unscarred tissue.
Facial scars can be particularly distressing for our patients. Direct excision of the scar can be done to leave a thinner and less noticeable scar. Dermabrasion can soften the scar by scraping off the top layers of the skin, but it will not erase the scar completely. In some cases, the tissue around the scar can be repositioned to allow it to conform better to the natural lines and creases of the skin.
Scar revision surgery can take between 1 and 2 hours, depending on the site and severity of the scar. Local anesthesia alone may be sufficient for small scars, but most patients are more comfortable with a combination of local anesthesia and sedation provided by an anesthesiologist.
Post-Scar Revision Surgery
Following surgery for scar revision, a small dressing is applied to the scar. Any stitches placed during surgery will be removed within one week, and the results of the surgery are immediate. Your scar will be minimized and blend more consistently with your skin texture and tone.
How Do I Get Started?
Dr. Joshua Hyman and his staff will be happy to discuss this procedure with you. Please feel free to call for a private consultation with our plastic surgeon, or you can request an appointment online.