About Scar Revision
Scars are a very common skin flaw and may be located on any area of the body. For some people, a scar is an unwanted reminder of an old wound or some other issue that created a disruption to the skin. While some scars aren't problematic, certain scars are unsightly and unappealing. They may be too wide or too big, dark, bumpy, recessed, or raised. Based on where the scar is placed and its state of healing, scar revision surgery can be performed to improve the appearance. Houston, TX plastic and reconstructive surgeon Dr. Derek Lou performs scar revision surgery at Lou Plastic Surgery, which is a cosmetic procedure that helps decrease the size and appearance of unsightly scars.
Types of Scars
There are many types of scars. The type you have can determine the possible surgeries to improve it. The most frequent scars Dr. Lou sees are:
- Superficial Scars
The most subtle type of scars. Superficial scars don't cause any concerns besides a blemished appearance.
- Keloid Scars
Keloid scars are larger in size and may be painful. The skin surrounding the scar is typically discolored and extends past the borders of the original wound.
- Hypertrophic Scars
A hypertrophic scar may also be large. They tend to be thicker and grow in time, but hypertrophic scars don't typically extend past the original wound borders.
- Contracture Scars
A contracture scar is deemed more complicated as the scar develops across a greater section of skin. A burn is one example of a contracture scar. In many cases, the scar feels tight and also impairs movement for some patients.
"Dr. Lou was great! He completely put me at ease. I had something done that I thought would be more complicated. He explained the procedure and said it could be done in his office in a 30 minute time span. So easy! Now I regret waiting so long."- A. / Healthgrades / Jan 10, 2019
"Dr. Lou and Erica are simply amazing! Dr. Lou is not only a very talented surgeon he is a very patient, nice, and comforting Dr. Him and Erica never made me feel rushed or like I was asking too many questions and made me feel completely comfortable, I love them and am forever grateful to them for changing my life. Allie has been wonderful with post op treatments as well, could not ask for a better team than Lou Plastic Surgery!"- S.H. / Google / Oct 16, 2019
"Dr. Lou and his team are absolutely phenomenal and were God sent. I'd previously considered another surgeon for my procedure but didn't feel quite comfortable with him. So, I searched my insurance portal, and found Dr. Lou. I respect how he believes in knowing exactly what he's going into before a surgical procedure. Therefore, I was scheduled to have several CAT scans done before cutting into the unknown. He was very attentive during my healing process, and even came to my aid on Christmas day to check on me. His right hand person/office manager, Erica is more kind than I can express! She assured me that everything would go as planned, and ALWAYS greeted me with a smile....she even took out time to listen to me speak about my past moments of depression due to my displeasure with my body. What more can I say? Dr. Lou is an absolutely AMAZING and extremely CARING surgeon!! I'd choose this practice all over again if need be."- C.Y. / Google / Oct 12, 2019
"I saw Dr. Lou for a second opinion after an incident involving my thumb. There's a long story behind how the injury got so bad, but finding Dr. Lou was the best thing that ever happened to me. I only wish I had known him at the onset of this ordeal. The day before I met Dr. Lou, another doctor (at a clinic) was trying to convince me to go into emergency surgery to open my thumb up for what they said was infected very badly. Turns out, there was no infection at all, which was exactly what Dr. Lou confirmed before the results even came back. Dr. Lou is the best in my opinion. A doctor has to be able to listen (and there was a lot of background to give him), have compassion for the patient (which I was totally convinced he cared about me, what I was going through and my fears) and still provide the best solution for the problem. He had to clean up (cut) my thumb pretty good (and by good - it wasn't pretty, but I felt nothing b/c I was numb), but I immediately started the down road to recovery which no other doctor (I had seen 3 already) could get me to. It's because of Dr. Lou and his staff that I write this long review. I haven't experienced anything this traumatic in my adult life! Some people would say "it's just a thumb"...but you don't realize how much you need a thumb until it's almost gone! I'm almost 100% healed and Dr. Lou and his nurses have guided me every step of the way. They make you feel like family and you just don't get better than that these days! Thank you for everything Dr. Lou, Erika and Allie!"- K.M. / Google / Oct 11, 2019
"I wanted to write a review to thank Erika for helping me arranged my appointment with Dr. Lou to get some injections done. She helped me iron out some questions I had about the injectable products. I've been going to Dr. Lou for over a year now and his work is superior and he really provides excellent patient care. I definitely recommend Dr. Lou for all cosmetic needs whether it's small or large. Remember to ask for Erika when you call to book your appointment."- A.H. / Yelp / Oct 03, 2019
Men, women, and children who have a scar that is unsightly, bothersome, or creates insecurity and embarrassment may consider scar revision surgery. It's critical for candidates at Lou Plastic Surgery who get scar revision surgery to understand that although this treatment can improve the physical appearance of the scar and decrease its size, it won't be able to make it completely disappear. The type of procedure performed will be based on where the scar is, the type of scar, and the depth, shape, and size.
Treatments for scar revision are usually performed within Lou Plastic Surgery. Dr. Lou may employ a local anesthesia or sedation based on the complexity of the case. For bumpy or thick scars, a shave excision may be performed to even out and level the scar. Scars that are raised and larger can be decreased in size with an oval incision, which excises the scar and part of the skin and tissue surrounding the scar. The skin is then re-sutured with a new, thin line. For scars that exist due to improper healing, this may be a big improvement. Bigger scars or contracture scars will often require a tissue expansion or skin graft so that the original scar can be removed, permitting healthy skin and tissue to be reconnected. For some patients, it's not the shape or size of the scar that is bothersome but the texture or color. There are some great laser treatments that may lessen the visibility and color of a scar, eliminating the need for surgery. Finally, if you have a depressed scar or it looks "pitted," Dr. Lou can recommend a filler treatment to produce a more even, natural surface.
What to Expect
Following a scar revision treatment, incision care is an important aspect of the healing process. Dr. Lou or a member of his staff can provide detailed instructions to help you care for your wound so the revised scar is thinner, smaller, and lighter. As mentioned, the scar cannot be completely erased; however, most well-performed scar revision treatments can lead to a softer, more natural complexion.
Frequently Asked Questions
How much does scar revision cost?
The cost of your procedure relies on a variety of factors, including the area being treated, the type of scar, and the size of the scar. During your consultation, Dr. Lou can provide an estimated cost of your procedure. Lou Plastic Surgery accepts many payments and we can help you find low-interest medical financing.
Does scar revision eliminate the original scar?
Post-surgery care is critical when it comes to scar revision. Patients must adhere to the medications and proper wound care to promote better healing of the new wound resulting in a less visible scar. Although a scar will still exist on the site, patients note significant improvement. It usually takes six months or longer for optimal results.
Are there nonsurgical options for scar revision?
Scars that are depressed or concave may benefit from an injectable filler. There are a wide variety of fillers on the cosmetic market that may be considered. During the procedure, the filler will be injected into the skin through a syringe. Dr. Lou may manipulate the outside of the skin to help shape the surface accordingly.
Can scar revision be combined with another procedure?
Scar revision can be combined with a dermal filler or laser skin resurfacing. Laser treatments are especially ideal if you are concerned about other skin issues, such as hyperpigmentation or rough skin texture. During your initial meeting with Dr. Lou, it's important that you discuss all your concerns so he can help address your cosmetic needs with a customized treatment plan.
Does scar revision hurt?
Since some form of anesthesia is used, patients typically experience little to no discomfort during treatment. After the procedure, you may feel sore, itchy, or experience some mild redness and swelling.
Improve Your Scar's Appearance
When you have an unsightly scar that troubles you, Lou Plastic Surgery has numerous options to make it less noticeable. After examining the shape, size, type, and depth of your scar, a revision treatment plan can be developed to help minimize its appearance. Using surgical or nonsurgical procedures, Dr. Derek Lou will transform the scar and surrounding skin for a more natural and normal appearance. Our office invites you to contact Lou Plastic Surgery in Houston, TX to schedule your scar consultation.