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Scar Revision

Whether caused by trauma, acne, or even a surgical procedure, noticeable scarring on prominently-exposed areas of skin can have a substantial impact on one’s confidence and self-esteem. As a board-certified plastic surgeon, Dr. James F. Boynton is highly experienced in all aspects of cosmetic surgery, including the revision of conspicuous scarring on all skin types. By employing an individualized approach to your scar revision treatment, Dr. Boynton can dramatically reduce the appearance of scarring and help you restore a sense of confidence in the way you look.

Scar Types

Scars form in a variety of shapes, sizes, colors, and textures, each dependent upon the amount of scar tissue produced by your body’s natural healing process. Some common scar types include:

  • Red and Brown Scars – These two conventional scar types are aptly named for their color. Red scars typically form after minor scrapes, cuts, and incisions, and brown scars generally result from the overproduction of melanin during the healing process.
  • Surgical Scars – This type of scar forms after a surgical procedure and can vary in size, shape, and color depending on the extent of the surgical incision, as well as natural healing processes. (Visit our scar management page to learn about Dr. Boynton’s technique for minimizing post-surgical scarring.)
  • Acne Scars – This type of scar typically forms after moderate to severe cases of acne. Due to a lack of collagen production as the skin attempts to heal damaged tissue layers, acne scars often appear as inelastic depressions in the skin.
  • Keloid Scars – This type of scar is characterized by elevation and extenuation beyond the original injury or incision. Keloids typically result from an overstimulated healing process and most commonly occur on darker skin types.
  • Hypertrophic Scars –  While generally raised above the surface of the skin, this type of scar does not extend beyond the original injury or incision like a keloid scar. Hypertrophic scars are often characterized by their thick feel and red appearance.
  • Contracture (Burn) Scars – Often resulting from burns, this type of scar forms from over-tightening of the skin during the healing process. Depending on the degree of the burn, contracture scars can potentially limit mobility in the affected area.

Scar Revision Treatment

Dr. Boynton will select the most effective scar revision treatment based on your specific type of scarring. Some potential treatments include:

  • 5FU/kenalog intradermal injections with silicone sheeting and silicone gel scar cream (BioCorneum)
  • Laser treatments to scars with Clear & Brilliant (Fraxel technology) laser, Pulsed Dye laser, and possible IPL lasers.
  • SkinPen microneedling to scars to build collagen and remodel scars.
  • Fat grafting to atrophic scars with microfat and nanofat transfer.  This can help fill in a depressed scar as well as add some “stem cell” affect to the overall character and appearance of the scars.
  • Filler injections to elevated depressed scars with Restylane or Radiesse with possible scar subcision
  • Scar subcisioon with fat transfer
  • Surgical scar excision with geometric broken line technique, W-plasty, Z-plasty, 5FU injections and adjuvant Botox treatment to reduce tension on the scar.

Ultimately, the length of the procedure and the number of treatments necessary to reduce or eradicate the appearance of your scarring will vary depending on your unique needs. Dr. Boynton will discuss the specifics of your treatment with you in greater detail at the time of your consultation.

Contact Boynton Plastic Surgery

For more information about scarring and scar revision, please contact Boynton Plastic Surgery today. Our friendly staff will be more than happy to help you schedule a consultation with Dr. Boynton.

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