How does scar revision work?
Do you struggle with acne scars or suffer from scarring due to surgery or a traumatic experience? The team at Deschutes Dermatology is here to help you find relief. Although scars cannot be completely eliminated, they can be made much less visible. There are several scar revision treatments available to help improve the appearance of scars. Non-surgical methods include cortisone or platelet-rich fibrin injections, laser treatment, dermabrasion, chemical peels, and microneedling. In certain cases, concave scars are treated with injectable dermal fillers. Some scars require surgical revision for the best cosmetic outcome. Deeper scars can require surgery.
Since every scar is different, your revision treatment plan will be unique. Together, you and Dr. Carter will determine an individual combination of treatments that is right for you.
Types of Scars
Atrophic scars are typically the result of acne. These scars are concave, dipping lower than the surface of the skin. Their depth can vary. There are several scar revision options available to treat these marks.
Hypertrophic scars are convex, bulging upward from the skin’s surface. These are caused by the body’s overproduction of collagen and can take on a red, raised appearance. In some cases, hypertrophic scars may itch, burn, or sting.
Keloid scars are also convex and bulge upward from the skin. These types of scars can continue to grow and surpass the original area of injury. When hypertrophic or keloid scars are symptomatic their treatment may be covered by insurance as medically necessary.
Stretch marks are a common type of scarring, often caused by pregnancy, weight gain, or weight loss. They result from damage to the elastic fibers of the skin. The appearance of stretch marks can be diminished by a wide variety of scar revision treatments.
Scar Revision Methods
Scar revision is a highly customized treatment tailored to treat your specific type of scar. However, there are some common approaches that are safely and effectively used to remediate scarring.
Before committing to a revision operation, you can try prescribed or over-the-counter topical creams to diminish the appearance of scars. After a period of time, if you are unhappy with the results, you and your doctor may consider more invasive procedures.
Injections are commonly used for scar revision. Cortisone injections can successfully soften raised scar tissue, allowing it to settle more closely to the skin. Dermal fillers or PRF (Platelet Rich Fibrin) can be used to fill depressions caused by acne.
Skin resurfacing is another popular option. Laser treatments, chemical peels, and microneedling treatments can be used to soften scars and diminish their appearance. All of these procedures improve scar texture by stimulating the formation of new collagen which replaces the abnormal collagen in the scar.
For larger, more severe, or resistant scars, surgical revision is a viable option. The scar is literally removed surgically and the incision is closed with stitches. It’s important to remember that the operation itself will leave some scarring. The goal of this approach is to leave a smaller, less visible scar than the one that is removed.
Revision options are as diverse as the scars they treat, making it crucial that you discuss all your choices with the specialists at Deschutes Dermatology before deciding which is right for you. For more information about scar revision, please contact our office.