Scar Improvement
 
   

Facial scars resulting from trauma, burns, acne or prior surgery can be devastating. Even the slightest scar on the face can be visible because of its apparent location and most individuals are very self conscious of facial scars.

The objective in treatment of scars is to make them less visible. This can be achieved using a number of techniques of repositioning and/or camouflage. Raised scars can be made more flush with the skin using injections of steroids, dermabrasion of the scar or laser techniques. Depressed scars can be filled from below using a variety of biocompatible materials or can be removed and replaced with healthy local skin. Occasionally, camouflaging techniques are used to change the orientation of the scar to make it less noticeable. Techniques of Z-plasty, W-plasty, and geometric broken line closure can be discussed during your consultation.

After your scar treatment, you may have some discomfort which is well controlled with prescribed medication. You may be asked to take antibiotics, apply antibiotic creams and often will need to massage the area as it is healing. Recently available ointments that help heal the wounds with less redness and swelling may also be recommended.

Using this variety of techniques, singly or as a series of different treatments, will help to soften scars and make them less visible. It is important to remember that scars take several months to "mature" and for maximal improvement in appearance to be achieved.

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Raffi Der Sarkissian, MD, FACS
Boston Facial Plastic Surgery
(617) 472-3137