Scar Revision Philadelphia
A scar forms when a surgical or traumatic wound heals. Simple structures under the skin such as fat and the subcutaneous tissues regenerate. The skin is a complex structure and heals by the formation of a predominantly fibrous tissue, resulting in a scar. Sometimes scars form and are inconspicuous; other times, they may be disfiguring.
Examples of disfiguring scars include keloids, widened scars, and thickened hypertrophic scars. Both keloid and hypertrophic scars are wounds that heal in excess above the skin surface.The difference between a keloid and a hypertrophic scar is that a keloid continues to enlarge beyond the original size and shape of the wound, while a hypertrophied scar enlarges within the confines of the original wounded area. Although both can be red and raised, keloids continue to grow and hypertrophic scars tend to regress over time. Both can recur after surgical excision; however, the recurrence of keloid scars is more common. Widened scars are wounds that separate during the healing process, usually in response to excess tension on the wound edges.
In New Jersey and the Philadelphia area, board certified plastic surgeons are extensively trained in facial reconstructive surgery and have many tools as well as techniques at their disposal to provide revision.
Surface treatment options to remove scar tissue include:
- Dermabrasion: a common method of mechanically polishing the skin
- Laser therapy: fundamentally causes surface changes that allow new skin to form over the scar
- Chemical peel: synthetic compounds in solution form that penetrate the surface of the skin in order to soften distortions in texture and color.
- Skin bleaching: topical medications applied to lighten the skin and reduce the appearance of scar tissue
Non-Surgical Revision Methods
- Silicone Gel – In studies it has been shown to significantly decrease scar volume when used over time.
- Steroid Injections – Injections induce flattening and fading.
- Vitamin E therapy.
- Zinc Oxide therapy.
- Antineoplastic Agents.
Surgical Revision Methods
- The BEST method is prevention by utilizing proper multi-layer cosmetic closure of all surgical incisions.
- Primary Excision or Serial Excision.
- Excision with Flap Reconstruction.
- Z and W plasty techniques.
- Tissue Expansion and serial excision.
- Fat Grafting for depressed Scars.
- Irradiation for persistent keloid formation.