Scar revision minimizes the appearance of a mark left over from a prior surgery/injury. The goal of treatment is to make raised, recessed or otherwise noticeable or unsightly scars look more similar to the surrounding skin in both color and texture. Dr. Guyuron has several options for improving the appearance of different types of facial scars.
Scars are visible reminders of a burn, cut or tear in the skin. Some scars may be very minor, while others are quite obvious and even disfiguring. They may be partially concealed by makeup but still visible. In extreme cases, a scar on a person’s joint can limit range of motion.
Keloid scars are raised nodules that appear at the site of a wound. Upon sustaining an injury, the skin cells and connective tissue cells multiply to repair the damage, a process that continues even after the wound has been filled in. This causes the keloid to project away from the surface of the skin and resemble a mound. Keloids may be hyperpigmented, itchy, red and/or painful. Keloid scars are common in areas where there is little underlying fatty tissue, like the face, neck, chest and shoulders. These scars are more likely to develop in people with darker skin.
Hypertrophic scars are thick clusters of scar tissue that appear at the site of a wound. Hypertrophic scars may be red, raised and uncomfortable, and may widen with time. They may be darker or lighter in color than the surrounding skin.
Acne scars are generally less noticeable than keloid or hypertrophic scars, but still may be bothersome. They are usually discolored and have a different surface than the surrounding skin.
Contractures occur in cases of significant tissue loss (e.g. , burn scars). When the skin and underlying tissue pulls together during healing, a contracture will form and could restrict movement. Contractures most often affect the fingers, elbows, neck or knees.
The type of treatment that Dr. Guyuron recommends will depend on the type and severity of the scar.