Scar Management

Cosmetic Procedures
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Scar Management

Scars form as a normal part of healing when the skin is damaged from a burn, trauma, or surgery. Everyone forms different scars. It can take up to 1 year for scars to heal completely. It will take at least 6 to 8 weeks after surgery or injury for you to start to see a difference in your child’s scar. At this time, scars begin to change from a thick, red, raised scar to a thin, flat, white scar. It is important to use scar management techniques on your child’s scar. This will help to make the scar more flat, smooth and flexible. The more flat, smooth and flexible a scar is the less painful and noticeable it is for your child. Scar management techniques are: scar massage, silicone application, and sunblock. A scar revision is a procedure done on a scar to alter the appearance of the scar. The revision may improve the cosmetic appearance of the scar, restore function to a part of the body that may have been restricted by the scar, or improve an itchy scar. It is important to remember that scars cannot be completely removed.

Face and neck scars can be noticeable and disfiguring. Many people are told that nothing can be done to improve these scars. This is not true in the majority of cases. We offer a variety of scar revision techniques including Z-plasty, running W-plasty, geometric broken line closure, local rotation and advancement flaps, laser dermabrasion, etc.

If the keloid scar is not responsive to nonsurgical management options, surgery may be done. One type of surgery directly removes the scar formation with an incision, and stitches are placed to help close the wound. Sometimes, skin grafts are used to help close the wound. This involves replacing or attaching skin to an area that is missing skin. Skin grafts are done by taking a piece of healthy skin from another area of the body (called the donor site) and attaching it to the needed area.

Another option for keloid scar treatment is laser surgery. Scars may be treated with a variety of different lasers, depending on the underlying cause of the scar. Lasers may be used to smooth a scar, remove the abnormal color of a scar, or flatten a scar. Most laser therapy for keloid scars is done in conjunction with other treatments, including injections of steroids, use of special dressings, and the use of bandages. Multiple treatments may be required, regardless of the initial type of therapy.

Scars come in many shapes and sizes. If you have two or more scars, you may notice that the two scars look very different. This happens because so much affects what a scar looks like, including the

  • Cause (accident, acne, burn, surgery, etc.)
  • Wound (size and how deeply the wound penetrated your skin)
  • Body part (where you wounded your skin)
  • Wound care (how you treated the wound)
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