Archive for the ‘Facial Scar Revision’ Category

For many people the biggest scars that they have to worry about being visible are those that were created through acne. Acne scaring can be an irritating life-long scarring of the face. While in general acne is mostly seen during a person’s adolescence it is a chronic disease and most people may still have to fight off the occasional outburst. They call the acne scars and ice pick scar as it truly looks like someone was stabbed in the face repeatedly with an ice pick. For most people that have to deal with these scars, they are always on the look out for something that may revert their face back into its pre-adolescence state. That is where acne revision comes into play.

There are many different forms of acne scar revision currently available and the one you need will actually depend on a few underlying circumstances associated with your particular case. For starters, the method used to repair these acne scars can depend on your overall health as well as your current age and medical history. Furthermore the severity of the acne scaring will play a pivotal role in the methods used to revise your acne scars. Finally it will also depend on the type of acne scar and your ability to tolerate certain medications and procedures.

You may be eligible for a subcision in which the pit is actually raised to the level of the surrounding skin using a tiny hook tipped needle. After this procedure is performed rather than pits you are left with small lumps. Luckily these small lumps can be taken care of using a microdermabrasion of laser resurfacing procedure. The subcision procedure is performed under anesthesia because it may cause some discomfort. Furthermore the procedure may also cause your facial skin to bruise in the treated areas. The subcision procedure can cause bleeding but this is easily controlled while at the same time it may also cause the formation of subcutaneous nodules but this too can be remedied with a direct injection of corticosteroid.

You may also opt to undergo a TCA CROSS procedure in which each independent pit is spot treated using trichloroacetic acid. This acid is placed just on the inside of the acne scar causing the collagen in your skin to flare up and push the pit back up to the surface level.

It is even possible to remedy those unsightly acne scars using Restylane. This Restylane is a filler and it is of a gelatinous form of hyaluronic acid. This does roughly the same thing as the trichloroacetic acid approach but has a smaller chance of an allergic reaction.

Laser scar revision

Restylane

Laser skin resurfacing

Dr. Jim Greene would like to invite you to visit the resources above to further your knowledge about acne scar revision and other alternative methods of getting rid of acne.

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When the skin is in the process of recovering from any injury (accident, surgery, burns, or acne) scarring will occur. Once a scar forms, it is permanent and most people are self-conscious about facial scars. Facial plastic surgery helps to make scars less noticeable and hence boost your self esteem.

What is a scar?
A scar results from the biologic process of wound repair in the skin. Thus, scarring is a natural part of the healing process. The composition of a scar may vary – appearing flat, lumpy, sunken, colored, painful, or itchy.

Is Facial Scar Treatment For You?
A person considering facial scar revision must understand that there is no way to remove scars completely. The goal is to improve the appearance of the scar either by disguising it, relocating it, or minimizing its prominence. Skin color and type, age, and the type of scarring, are all important factors and are a part of the discussion prior to surgery. Maximum improvement in facial scars may require more than one procedure, and more than one technique may be employed. Scar revision should not be done for a period of 6 months after the injury. This interval allows the body enough time to heal fully.

Understanding the Surgery
Often the scar is simply cut out and closed with tiny stitches, leaving a thinner, less noticeable scar. If the scar lies across the natural skin creases (or “lines of relaxation”) the surgeon may be able to reposition it with a “Z-plasty”, to run parallel to these lines, where it will be less conspicuous.

Acne scars which per se are of three main types (icepick, rolling and boxcar) are generally removed with punch excision or subcutaneous excision (subcision) in which the base of the depressed scar is released from the underlying structures. Dermabrasion and laser resurfacing are methods a surgeon uses to make “rough or elevated” scars less prominent, by removing part of the upper layers of skin with an abrading tool or laser light.

Keloid or hypertrophic scars are treated first with injections of steroids/ silicon sheet/pressure therapy to reduce size. If these maneuvers do not produce good results, then options available are surgical removal/ radiotherapy.

What to Expect After the Surgery
There is some discomfort (swelling, bruising and redness) after facial scar revision surgery. It is advisable to avoid any activity that places undue stress on the area of the incision. Sun exposure has to be minimized. It is important to remember that scar tissues require about a year to fully heal and achieve maximum improved appearance.

Advice
“Prevention is better than cure” – The ultimate appearance of the scar is much better if it is taken care of by a specialist right from the time of injury

Dr K.D.Aneja is a premiere plastic surgeon who is dedicated to improving your quality of life through advanced cosmetic surgery. A self-described “perfectionist,” his attention to detail is evident in all elements of the surgery process—from start to finish Breast augmentation, liposuction, tummy tuck, face and neck lifts, rhinoplasty (nose surgery) and blepharoplasty (eyelid lift) are all performed with a keen attention to your unique features, measurements and goals. The main goal is make you as beautiful as you can be, while promising realistic results.

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Scars are a common concern for many people, particularly when they are on your face. Whether they have just happened or are years old, scars are unsightly reminders of a traumatic event. The desire to remove scars is evident by the many over-the-counter treatment products and the endless scar treatments touted on the internet. As a plastic surgeon, I not only create scars through surgery but see patients who would like their existing scars removed.

Despite the hype and marketing of many scar products and technologies, the reality is that scar excision remains the most effective treatment for many scar problems. Cutting out the scar and putting it back together is the most effective strategy for many scar problems. It is often not what patients want to hear and you can’t put it in a bottle and sell it on the internet. But more times than not, this is the really effective scar treatment strategy. Depending upon the scar type and its location (orientation), narrowing and geometric rearrangement are the best method for diminishing the scar’s appearance.

Geometric rearrangement of scars refers to changing the straight line of a scar to an irregular one. This is particularly advantageous if the scar violates the natural skin creases. (for example, a vertical scar on the forehead) Scars that run perpendicular or obliquely to these natural skin creases (otherwise known as RSTL, relaxed skin tension lines) are not only very visible to the eye but become more obvious with facial expressions as the natural wrinkles are noticeably distorted.

Scar line rearrangement can be done in a variety of geometric patterns known as z-plasty, running w-plasty, and a few other letters of the alphabet…..all which serve to break up a straight line and make it distort less with facial movements and wrinkling. Such scar techniques have been around for many decades and they are not new. They are tried and true techniques of plastic surgery. It is critical that the patient understand that the realistic objective is decreased scar appearance. There is no magic eraser that can make scars go away completely.

The biggest issue that any patient faces when considering scar excision and geometric rearrangement is that one must take a step back to eventually move forward. It is a commitment of time and patience. The scar must be cut out and closed and go through many months of healing before the final result will be seen. As all scars go through a redness phase, this may mean up to a year to get to where you want to be. This process of scar maturation, however, is where some newer technologies such as pulsed light therapies may be beneficial. They are capable of making the scar mature and settle faster. Even if it is just a few months of shortening the process that would be considered a benefit by most patients.

Dr Barry Eppley is a board-certified plastic surgeon in private practice in Indianapolis, Indiana at Clarian Health Systems. (http://www.eppleyplasticsurgery.com) He writes a daily blog on plastic surgery, spa therapies, and medical skin care at http://www.exploreplasticsurgery.com

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