While many scars fade over time and eventually transform to become barely noticeable, many patients experience disruptions to the healing process that cause scars to become easily visible. Many patients are unhappy and embarrassed by the appearance of these scars, especially when they are located in prominent areas, and seek treatment to improve them. The board-certified plastic surgeons at The Peer Group provide comprehensive scar revision services in Florham Park, New Jersey to help patients achieve smooth, clear skin, and ease their self-consciousness. While an existing scar cannot be fully erased, it can be made to appear more natural and less noticeable, which is the ultimate goal of scar revision surgery.
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 extend beyond the edges of a wound.
- A hypertrophic 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.
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"Peer Group is a wonderful and entirely professi... - Peer Group is a wonderful and entirely professional medical group...All personnel and staff kind and helpful...Dr. Colon is wonderful...Love working with him"- V.L. / Solutionreach / Nov 08, 2017
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"I had an impressive first appointment with Dr. Lange. He was highly recommended to me by a friend so I had some lofty expectations going in, and they were surpassed. Dr. Langwe was knowledgable, patient, safety-minded, encouraging, and supportive. He spent over an hour explaining various options to me, did an examination, reviewed some photographs, and was honest about what he could and could not provide. There was no hard sell, but rather an array of choices from which to choose.I have been to other MDs who seemed pushy and unprofessional. They would talk about my poorly aging skin as, I guess, a motivation to take care of under their scalpels, but it made me uncomfortable. No one knows my skin better than I do, and I do not need to feel worse about the way I look. I have been looking for solutions, not confirmation of the problems.I appreciated Annrika who explained the financial part of the practice - again, no hard sell, just the facts. I didn't feel manipulated by financing options. The office staff was friendly and efficient, and the office space is clean and beautifully designed.I recommend Dr. Lange and the practice without hesitation - and my friend's eye lift was magnificent! Treat yourself!"- B.C. / Yelp / Mar 01, 2018
Scar revision treatment will be chosen based on the scar’s location, type, size and overall extent. There are various techniques to consider.
The appearance of most scars can benefit from Fraxel laser treatments. These skin rejuvenation treatments, 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 remodeling that takes place. Other skin surface treatments include skin care, resurfacing, chemical peels and dermabrasion.
Scars that are depressed or concave may benefit from an injectable filler. Common products are Juvéderm and Restylane. During the procedure, the filler will be injected into the scar. The surgeon may manipulate the outside of the skin to help shape the surface accordingly.
Shave Excision 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 blade is used to remove 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 straight, clean enclosure can be made. The sutures are placed on the inside and the outside of the skin. Sometimes a scar exists because the incision was closed poorly.
Sometimes a tight contracted scar needs to be revised by excision and W-Plasty or Z-Plasty technique in order to create more flexibility. These procedures redirect the line of the scar toward the resting tension lines of the skin. By doing this, 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 scar is removed and the surgeon stretches and joins the edges of the expanded skin together.
Plan Your Procedure
- Recovery Time
- 1 Week
- Average Procedure Time
- 1-2 Hours
- Procedure Recovery Location
Early treatments for incisions once the sutures are removed include covering the skin with surgical tape or with a silicone gel for 6 weeks. Scars take a year to mature and are normally pink for a few months. Covering the scar can speed the healing process.