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 wonderful. He explains everything and then makes it happen. No surgery is a fun process, but having a doctor who pays attention to your needs makes it a lot easier. When was the last time you had your doctor’s private cell phone number? I am soooo happy with my smaller chest . I should have done it years ago! Thanks Doc!"- E.S. / Facebook / Jan 24, 2018
"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
"Fantastic Experience - Excellent Care! Dr Wallace was very skilled and exceeded my expectations. The staff was also a pleasure and treated me with care and kindness. Dr Wallace performed my explant surgery (implant removal) and total capsulectomy."- D. / RealSelf / Jan 13, 2018
"I love Dr. Wallace - Dr. Wallace is the best. He takes time with his patients and treats them as if they were his family. He explains everything about your procedure and what to expect. He answers all your questions. I highly recommend Dr. Wallace to anyone who is looking to be a better you."- J.4. / RealSelf / Jan 04, 2018
"Excellent Doctor! - Excellent! Dr Wallace is a very kind, gentle doctor. I wait until I visit my daughter in Florida to get anything done, I don’t trust anyone else to do my injectables. I had Kybella and Voluma done and it still looks good and I’m very pleased with the results. He has taken years off my appearance without looking like I have had anything done! I would highly recommend him to anyone!"- D. / RealSelf / Oct 24, 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.