Fleming Island plastic surgeon, Dr. William Wallace, performs scar revision treatments to help minimize and improve the appearance of unsightly scars. Some scars can be very unattractive and cause insecurity for an individual. Therefore, Dr. Wallace understands the necessity of providing a cosmetic surgery that helps to refine the physical defects of a client’s skin. Unwanted scars are sometimes the result of a severe injury, trauma, or major surgery, and can serve as a constant reminder of those past events. The great news is that Fleming Island Plastic Surgery has completed thousands of successful skin revision procedures. However, although this treatment can reduce the appearance of a scar, it can not eliminate it completely.
"Dr. Wallace is one of the most caring and talented doctors I have ever met. And as a paraplegic I have worked with quite a few."- S. / Healthgrades / Jul 10, 2017
"I had a amazing experience at Fleming Island Plastic Surgery! The girls at the front are so sweet, and Dr. Wallace was awesome! He made me feel very comfortable and excited for my cosmetic surgery. He did an amazing job and I’m in love with the end results. I highly recommend Dr. Wallace & FIPS ?"- P.Y. / Facebook / Apr 17, 2018
"Very professional!! Dr. Wallace and his staff made me feel comfortable and were very kind. I had zero issues or problems and they accommodated scheduling my surgery. The surgery center was just..."- A.B. / Yahoo / Mar 27, 2018
"Very professional!! Dr. Wallace and his staff made me feel comfortable and were very kind. I had zero issues or problems and they accommodated scheduling my surgery. The surgery center was just down the road from Dr Wallace's office and the care I received after my surgery was amazing. The nurses were so kind and nurturing after I woke up. I received a breast reduction and tummy tuck and Dr Wallace did an amazing job! I'm still recovering but I can't believe it's my body when I look down!"- A.B. / Yelp / Mar 27, 2018
"From the moment I had my consultation January of 2018, I knew Dr. Wallace was the surgeon I wanted for my mommy makeover. He didn’t try to be a sales man, he wasn’t pushy or tried convincing me about what I should have done, he gave me the information I needed to make an informed decision!! I went to Dr Wallace wanting to have a tummy tuck, breast lift and vaginal tightening. Dr Wallace explained each procedure to me in full detail. He also informed me of alternative vaginal ...tightening procedures that weren’t as invasive as surgery, that’s how thorough he is. I had little knowledge of these other options, so, he told me to do some research and come back in 2 weeks to see him, so that I could have time to make sure what was right for me. By the time I went back to my 2 wk follow-up, I knew for a fact the surgery was right for me. So, I scheduled my surgery and on 3/19/18 I had my tummy tuck with lipo; breast lift and vaginal tightening and omg, am I glad that I did it!! I look absolutely amazing!!! I am 2 days post op and I stop looking at myself. I’m nit in a lot of pain, the pain meds are working great and everyone is marveling about how amazing I look!! I cant stop sending pictures to all my friends showing off my amazing new body. Oh and btw, I breast looks like I have implants in them, that’s how amazing it looks!! It’s evident that Dr Wallace loves what he does, he is very knowledgeable and takes pride in his craft!!"- T.T. / Facebook / Mar 20, 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.
Plan Your Procedure
- Average Cost
- $500 - $3,000
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.