A facial scar can impact personality and self-confidence. Although no procedure completely eliminates, scar revision surgery can make skin imperfections less conspicuous. Much of the goal is to maximize through camouflage. This can be done through abrasion (see Dermabrasion) or excision, with or without irregularization.

The casual eye is automatically drawn to a straight line. That being said, irregular lines are less conspicuous. Each scar is different, so the procedure that your surgeon may recommend will vary for each individual.

Understanding the Procedure

Scar revision is usually performed with local anesthesia and IV sedation. The scarred area can be thoroughly anesthetized with creams and small injections. The scar is usually excised and replaced with a new one which is less conspicuous. The incisions are usually closed in multiple layers with dissolvable skin sutures.

What to Expect After the Surgery

The operated area usually does not require a bandage. It is, however, important to keep the wound clean, free of crusts and covered with a moisturizing ointment. Diluted hydrogen peroxide helps to remove unwanted scabs and crusts during the first couple of days. Soap and water can touch the wound starting 36-48 hours after surgery, but do not scrub or dry vigorously for at least two weeks. It is imperative to protect the wound from sun exposure. Use sunscreen, bandage, and wide-brimmed hats when outdoors.

Frequently Asked Questions

Is scar revision surgery covered by insurance?
Most scar revision is considered elective surgery. On occasion a scar can cause a functional impairment due to limited mobility. Under these circumstances, the necessity of its repair and revision may be recognized by an insurance company.

Will this make my scar disappear?
As discussed earlier, realistic expectations are imperative for all facial plastic procedures. In the case of scar revision, the aim is to make the scar less conspicuous; however, it is not possible to make the scar entirely disappear. While the techniques available are usually quite effective, understanding this concept is important preoperatively.