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 and his staff made me feel comfortable as soon as I walked into his office. The girl behind the counter was very friendly and professional. My wait time was less than 15 minutes before I saw the doctor. When he came in, he listened to my concerns about my body and was very informative with his feedback. He even came up with ideas about what would work best for me. He spent plenty of time with me answering my questions and made me feel very comfortable in addressing my concerns. He gave me his ideas and did not pressure me about getting my procedure done with them. They even told me to take my time with making a decision. That is very rare! Normally a surgeon sends his scheduler in to make a hard sell and tries to get you to schedule your surgery right away. Not here. They said when I was ready to make my decision to call them back and they will help me with anything I need I highly recommend Dr Wallace and his staff for all your cosmetic surgery needs."- L.N. / Yelp / Aug 07, 2017
"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
"Dr. Wallace and his staff made me feel comfortable as soon as I walked into his office. The girl behind the counter was very friendly and professional. My wait time was less than 15 minutes before I saw the doctor. When he came in, he listened to my concerns about my body and was very informative with his feedback. He even came up with ideas about what would work best for me. He spent plenty of time with me answering my questions and made me feel very comfortable in addressing my concerns."- L. / Healthgrades / Aug 07, 2017
"Love Dr Wallace and his staff. He does great work and it is always an enjoyable visit. I would not go anywhere !!"- D.R. / Facebook / Jul 18, 2017
"Caring - As a paraplegic I have worked with many doctors and Dr. Wallace is one of the finest most caring doctors I have had the privilege of working with."- Anonymous / Vitals / Jul 10, 2017
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.