At Austin Plastic Surgery Institute, we can help you move forward after a surgery, an accident, or to finally remove old scar tissue with scar revision surgery. A scar is a constant reminder of a wound that once existed. As a scar can be located anywhere on the body, come in a variety of shapes and sizes, and may be raised or recessed, many patients wish to get rid of an unsightly scar that causes insecurity.
Our board-certified plastic surgeons in Austin, TX want to help. Scar revision treatment is a cosmetic surgery that helps minimize the appearance of an unsightly scar and improve its condition. It’s important to have realistic expectations. This procedure can reduce the appearance of a scar, but it will not make it completely disappear. We can also limit the damage of Mohs surgery (excision treatment for skin cancer), and limit the severity of skin damage that surgery can cause.
"Dr. Gorman and his staff are absolutely amazing! They are genuinely nice people and go above and beyond to answer all your questions and make you feel comfortable with getting your surgery. I have never been at a doctor's office that is so warm and inviting. I am so glad I found Dr. Gorman and highly recommend him. I would also like to recommend Lauren for your Botox needs. She is absolutely amazing and so sweet and gentle. I love her so much! Thank you Dr. Gorman and staff! Y'all are the best!"- M.W. / Facebook / Feb 06, 2017
"Best experience. Dr Wilder is great, Mitzi is amazing and soo Sweet and Trisha is so wonderful. The whole experience from calling and setting up appointments to consult to surgery to post was all so comforting. Highly recommend Dr Wilder"- A.D. / Google / Sep 20, 2018
"I am 4 weeks Post op Tummy Tuck/Lipo and breast Lift and everyday I am loving my results more and more. Dr. Gorman and his staff are super nice and caring. Scheduling an appointment is never an issue . I never have to wait no more than a few minutes in the waiting room or exam room. From Day 1, Dr. Gorman made me feel comfortable and at ease the day of surgery. He made sure to educate me on what I was wanting to get done and not once did he push me to getting anything else. Margaret is wonderful! She made sure I was taken care of the entire time. I would highly recommend Dr. Gorman to anyone who asks. Thank You Dr. Gorman and Staff."- J.V. / Google / Sep 07, 2018
"I am 16 days Post op Tummy Tuck/Lipo and breast Lift and everyday I am loving my results more and more. Dr. Gorman and his staff are super nice and caring. Scheduling an appointment is never an issue . I never have to wait no more than a few minutes in the waiting room or exam room. From Day 1, Dr. Gorman made me feel comfortable and at ease the day of surgery. He made sure to educate me on what I was wanting to get done and not once did he push me to getting anything else. Margaret is wonderful! She made sure I was taken care of the entire time. I would highly recommend Dr. Gorman to anyone who asks. Thank You Dr. Gorman and Staff."- J.V. / Google / Aug 26, 2018
"I honestly wish I had the option to put 1000 stars. This was my first plastic surgery experience and it couldn't have been better. Dr. Gorman was absolutely amazing and exceeded all of my expectations. I had been shopping around before choosing him and the day I had my consultation, I knew they were the one! I put my deposit down that day. He was so friendly and knowledgeable. He gave me the feeling of comfort I was looking for. They even went above and beyond when scheduling the surgery. I knew I would be anxious the day of surgery because it's a big thing and it was new to me (I'm also a worry wart) but I didn't get anxious once. Even going into the OR. His entire team was great! When I woke up, they were very helpful and I felt great the rest of the day. He did such an amazing job I didn't have to take ONE pain pill or sleeping pill- not even ibuprofen. They said that I may bruise- I never bruised. Not even a little bit. I could brag all day about how wonderful my experience was. I am now 3 weeks post op and my breasts are everything I wanted them to be! If you are shopping around, THIS is who you want your surgery done by! Thank you Dr. Gorman!!!!!!!"- J.L. / Yelp / Aug 15, 2018
Types of Scars
There are various methods available to treat unsightly scars, but it helps to first understand the different kinds of scars.
- Superficial scars are the most subtle type of scars. They do not cause any issue other than an unsightly appearance.
- Keloid scars are larger, painful scars, which are often discolored and tend to extend beyond the edges of a wound.
- A hypertropic scar does not extend beyond the wound, but it continues to become larger, thicker, and more painful over time.
- A contracture scar develops over a larger section of skin creating a tight feel and impairing one’s ability to move. A severe burn is an example of this.
Scar revision treatment will be chosen based on the scar’s location, type, size and overall extent. There are various techniques to consider.
For scars that are raised, a shave excision may be performed to remove the top of the scar and even-out the surface with the rest of the skin. This creates a smoother, flatter appearance. During the procedure, a surgical shaver is used to slowly shave off the raised portion of the scar. Sutures are not needed in most shave excision cases.
This is also a technique used for raised scars. It can be accomplished a couple of different ways. First, is the elliptical removal pattern. This involves removing the scar as well as an edging (ellipse) of skin encompassing the scar so a clean enclosure can be made. The sutures may be placed on the inside or outside of the skin. Sometimes a scar exists because the incision was closed poorly. By reopening the scar and resuturing the skin in a different direction, the new scar can be minimized.
Skin Grafting/Tissue Expansion
Large scars may require a skin graft (skin taken from another area on the body) to close the wound once the scar has been removed. Carefully placed sutures will be used around the graft to close and blend the skin together for healing. If a skin graft will not be used, tissue expansion may be used instead. During this process, a tissue expander will be placed under the skin where the scar resides and filled with a sterile solution. Once the expansion process is complete, the surgeon will stretch and join the edges together and place sutures carefully into the tissue wall.
Scars that are depressed or concave may benefit from a filler material known as injectable derma filler. There are a wide variety of fillers on the cosmetic surgery market that may be considered. Collagen is a common filler used for scar revision. During the procedure, the injectable material will be injected into the skin through a syringe. The surgeon may manipulate the outside of the skin to help shape the surface accordingly.
Some scars can be treated with a series of skin rejuvenation treatments, which can soften the surface of the skin, smooth out uneven scarring, reduce uneven pigmentation and lighten the skin where needed. Some scars may even become non-existent because of the skin removal mechanism. Skin surface treatments include laser skin resurfacing, chemical peels, dermabrasion and skin bleaching.
All scar revision procedures are performed in an accredited surgical facility. Some procedures will require general anesthesia, but most will only need local anesthesia. Following this procedure, patients will need to adhere to a daily scar treatment regime so the wound site and new scar can heal. It is important to protect this area of skin from sun exposure to avoid any further skin discoloration. While this treatment does not fully eliminate a scar, the visible imperfections are certainly minimized. Most patients feel more confident exposing the section of skin where the unsightly scar once resided.
Plan Your Procedure
- Average Cost
- From $800
- Recovery Time
- 1-3 days
- Post-op Follow-up
- 1 week
- Procedure Recovery Location