Dr. Neal Goldberg performs scar revision to improve aesthetic appearance of the scar and function of the affected area, essentially replacing one scar for another smaller or less noticeable one. Though reconstructive plastic surgery can improve the appearance of a scar, whether from an injury, surgery or other cause, it is important to keep in mind that complete restoration to preinjury state is impossible.
Scar types that may respond to revision include keloid scars, hypertrophic scars, and contractures. Keloids appear as an abnormal proliferation of scar tissue that grows beyond the boundaries of the original injury. Hypertrophic scars, on the other hand, are raised scars that do not grow beyond boundaries of injury, and may diminish over time. Contractures occur when scar tissue pulls the edges of the skin together, often restricting movement.
Among the many approaches our plastic surgeon uses for scar revision are Z and W-plasty; fusiform scar, shave, and partial or serial excisions; local flap coverage; skin grafting; and pedicled or free flaps.
Some scar revision treatments are best cared for with pain medication, rest, and wound and bandage care. If skin grafts or flaps are used, postoperative care will begin in the hospital. Dr. Goldberg may recommend follow-up sessions to determine the success of the surgery and your recovery.
For more information about scar revision, call our office for a consultation at 866-481-5585.