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@headingTag>
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.
"Dr. Colin Failey came highly recommended to me. I searched for a long time to find the right dr who I would be able to trust in. Dr Failey operated on me last week and I cannot say enough about this man. He has a bedside magical and totally honest way about him. I am very happy I met Dr Failey in my life. He corrected all the former mistakes that was performed on me by previous dr. Also the entire staff at the Peer Group is wonderful. Made me feel comfortable and confident about what I was going to experience . God Bless Dr Failey"- Anonymous / RateMDs / May 22, 2016
"Amazing Lift - Can't say enough about Dr. Lange. Compassionate, calming, pleasant, reassuring, confident and most of all excellent surgical skills. - - I had a facelift, brow and lip lift on 9/2/16 for my daughters wedding on 10/7, less than 5 wks later by wonderful Dr. Lange in Peer Group. I new I was in excellent hands from the consult. He's soft spoken, calm, observant, reassuring, and skillful. I had a brow lift and top lip lift in addition to facelift. He would not do blepharoplasty or chemical peel as I would not be healed enough with makeup for the wedding pictures. But I have a firm jawline and all fat and neck skin are gone. Despite this no one, not even daughters, recognized that it was done. Only that I looked beautiful and in my 50's instead of pushing 70. Now I'm ready for the eyes and chemical peel around the mouth with Dr. Langel of course. Face still numb and swollen but no pain and is going down. Also, I only had a little discomfort for first couple days and bruising resolved quickly. PS the 3 facial glycolic peels by the esthetic Ian , are included in the surgical cost. I have Laura and she's very nice. Wonderful group."- S. / RealSelf / Oct 11, 2016
"Stephanie Shultis is the Aesthetician I see at the Peer Group, and she is fantastic! She is a true professional in her field and I trust no one else with my skin. Stephanie is so kind, extremely thorough, and designs a regimen that fits your skin's exact needs. I have been seeing Stephanie for about 2 years now, and have noticed a great improvement in my skin's texture and appearance. I always get asked what I do to keep my skin looking so great, and my answer is, you need to go see Stephanie! I have referred all of my friends, who are equally thrilled with their results. She is the best of the best! I look forward to going in for my visits and I am glowing when I leave. Couldn't be happier that I found her!"- A.F. / Google / Jan 21, 2017
"Aesthetician Stephanie Shultis has been caring for my skin for 10+ years. She is extremely personable, very knowledgeable, caring and professional. Stephanie knows her products and when to use what on my face depending upon the condition of my skin. She is helpful, informative and diligent about keeping me apprised of what my skin care routine should entail. It's a delight to be her patient."- J.D. / Yelp / Jan 16, 2017
"I've had nothing but the best skin care treatments from Shari at The Peer Group! I wish I had a dime for every person that tells me how great my skin looks. Thank you Shari for all of your guidance with products and for the superb care your give me."- A.M. / Google / Jan 13, 2017
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@headingTag>
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.