Each person is unique and the way one person scars may be much different from the way another person may scar. Scar revision is performed after the body has had time to heal itself (usually 1 year or so after the initial trauma). Your surgeon will meet you at the initial consultation and let you know if a scar revision would be of benefit to you. Frequently, a scar revision can be performed in our office under local anesthetic, allowing you to go home soon after the procedure.
Types of Scars
- Hypertrophic Scars: Often raised, thick, red and/or uncomfortable.
- Hyper/Hypo-pigmented Scars: Hyper-pigmented (darker in color) or hypo-pigmented (lighter in color).
- Keloid Scars: Generally much larger than hypertrophic scars and extend out further than the original wound.
Keloid scars can be treated with a series of injections of Kenalog. Kenalog is a steroid that can be injected into the scar to help improve it’s appearance. Another treatment option for scar revision, the most common one used, is by excision. Scar revision with this technique involves removing the previous scar by making small incisions on both sides of the site followed by closure of the wound. The result is a thin, less noticeable scar.
Scar revision can be performed in our office under local anesthetic or in the operating room under general anesthesia depending on the degree of the patient’s scar. When the scar revision is performed under local anesthesia they are able to go home soon after the procedure.