Scar Revisions

Depending on the severity, revision of the scarred tissue may aid in the restoration of both form and function. Most minor scars can be treated by injecting a steroid medication directly into the scarred tissue. Other methods include:


Silicone Gel Sheets

These clear sheets are placed on the scar and worn 24 hours a day.

Z-Plasty and Related Tissue-Rearrangement Techniques

The skin is cut around the scar in small triangular flaps that usually follow a Z-shape, though the technique chosen depends on the shape of the scar. The flaps are repositioned to follow natural lines and creases of the skin. Z-plasty can also help relieve the pressure of contracture scars.

Vascular Laser

This method shrinks the blood vessels that feed the scar, thus improving the coloration of red scars. This treatment is often done without anesthetic, the sensation being similar to that of a rubber band snapping on the skin.

Fasciotomy

Treats the early stages of compartment syndrome by placing surgical incisions to release pressure and remove any damaged tissue, thereby preventing any additional decrease in function of the affected area.

Tissue Expansion

In this procedure, a "balloon" is inserted under a patch of healthy skin near a scar and filled with a saline solution to stretch the skin. When the skin has been adequately stretched, which can take several weeks or months, the balloon is removed. The scar is then surgically removed and the balloon-stretched skin is pulled over the previously scarred area and closed.

Skin Grafts

Skin is taken from a healthy part of the body and transplanted to the injured area. While not always cosmetically perfect (for example, the grafted skin may not match the surrounding skin's color or texture), skin grafts can greatly restore function to a severely scarred area.

Collagen Injections

Collagen injections can be used to raise or fill in sunken scars. The results of collagen injections are immediate but not permanent, with scars eventually having to be re-filled as the collagen is slowly absorbed.

Laser Skin Resurfacing

The two types of lasers used for reducing the uneven surface of scars are the CO2 laser and the Erbium YAG Laser. The CO2 laser is typically used for deeper scars, while the Erbium is used for superficial scars and deeper skin tones. Both remove the topmost layers of skin, allowing new, smooth skin to form. Color lasers can effectively treat the abnormal red pigmentation of certain scars.


Schedule an appointment for scar revisions, or call 404-686-8143 for more information.