It is important to know at the outset that once a scar forms, it is permanent due to the fact that multiple skin layers have been damaged. However, it is possible for Dr. Wheeler to make them less visible or relocate the scar tissue. Other issues may be involved in addition to self-consciousness and reduced self-esteem: scarring can also reduce mobility of the mouth or eyes or cause other loss of facial functioning. In your consultation, Dr. Wheeler will discuss with you realistic expectations from scar revision surgery.
Specific surgical techniques
There is no one universal technique for scar revision. The choice of procedure might depend on the location of the scar, the depth of the scarring and the timing of the scarring. Depending on your expectations and the extent of the scarring, more than one procedure may be necessary to show maximum improvement.
Dr. Wheeler’s procedure may involve removing the scar tissue completely and forming a flap of healthy skin over the old scar area. Sometimes a skin graft may be required. Z-plasty is an option to move a scar to a natural skin fold or crease.
Dermabrasion or laser resurfacing could be Dr. Wheeler’s recommendation to make elevated scars less noticeable.
Other procedures are available using steroids and similar medications to make scars less noticeable. Dr. Wheeler can discuss the variety of options available to you and the probable outcomes.
After the surgery
Swelling, bruising and redness are normal after the surgery, and you may experience some discomfort. Dr. Wheeler will discuss a regimen of activity and care procedures that you must follow during the recovery period.
For more detailed information visit the American Academy of Facial Plastic and Reconstructive Surgeons website.