Plastic Surgeon Questions Plastic Surgeon

How do you fix scars on your face from plastic surgery?

I have plastic surgery scars on my face. How do you fix scars on your face from plastic surgery?

6 Answers

This depends on the type of scar, how old it is, and where it is. Best to be evaluated in person to get a treatment plan customized to your needs.
There are various ways from scar revision to laser resurfacing to dermabrasion
There are three primary pathways for scar management, which I ordered from non-invasive (medicine) to invasive (surgery): 1. Medical management. This includes scar therapy, particularly using products that contain silicone, whether silicone gel or silicone strips. I have all of my patients use a silicone/SPF combination gel called Biocorneum, which they start anywhere from 1-3 weeks postop and finish out their courses before transitioning to moisturizer and sunscreen. Scar therapy should be done at least twice a day, if not more frequently, with rubbing done along the grain of the incision or scar. Scar therapy is only effective at modulating and softening scars that are less than 12 months (1 year) old. So, if it's been over a year since your surgery or injury, you will need to look into surgical correction (option #3 below). 2. Steroid injections. This is typically done with triamcinolone, also called Kenalog. Your plastic surgeon or a dermatologist can administer Kenalog injections in the office. You cannot have steroid injections more frequently than every 4-6 weeks as you can risk atrophy (weakness) of the skin or scar, which can even lead to wounding or infection. This option is a step up from silicone scar therapy. Steroid injections will not work on scars that have reached maturity, meaning scars that are 12 months (1 year) or older. 3. Surgical scar revision. I do not offer this until someone has healed 9-12 months typically. This requires complete surgical removal of the scar tissue and re-suturing the remaining, good skin. Depending on the extent of the scarring, this can be done in the office under local anesthesia. For more extensive scarring, you may have to go back to surgery. I hope this helps, and I hope you're at the phase of healing where medical management (choice #1) is still the best pathway. Discuss your concerns in person with a Board-Certified Plastic Surgeon so that you can ensure you're on the right treatment protocol for your facial scarring. Nirav B. Patel, MD, JD, FACS, FCLM Board-Certified Plastic Surgeon Plastic, Reconstructive, Aesthetic, & Oculoplastic Surgery Patel Plastic Surgery, LLC 1519 Johnson Ferry Road Suite 250 East Cobb, GA 30062 Office 470-395-6932 Fax 470-395-6951 https://www.drpatelplasticsurgery.com/
How scars are "fixed" on the face depends on the size, location, and configuration of those scars, and characteristics of the scar that contribute to visibility (color, texture, and topographical relationship to surrounding skin. Your complexion plays a role in decision making, along with your age, underlying health conditions, lifestyle, and professional demands. In summary, the clinical approach to scar management is like any other medical or surgical problem: treatment is in the context of history, examination, other important data, and patient preferences.
There are several ways to revise scars on the face, both surgical and non-surgical methods for this. I would recommend consulting with your surgeon to discuss.
Thank you for your inquiry. It would be difficult to answer that question without an actual consultation because it depends on what type of scars, etc.
Whenever you have surgery, there are always scars. It just depends on how long it’s been and how they look. Sorry for the ambiguity but it’s really difficult to evaluate.