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Scar Revision in Jacksonville, FL

While no scar can be removed completely, our plastic surgeons can often improve the appearance of a scar, making it less obvious through the injection or application of certain steroid medications or through surgical procedures known as “scar revisions”. 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.  

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Scars are Unpredictable and Unique

Scars, whether they’re caused by accidents or by surgery, are unpredictable. The way a scar develops depends as much on how your body heals as it does on the original injury. Many variables can affect the severity of scarring, including the size and depth of the wound, the blood supply to the area, the thickness and color of your skin, and the direction of the scar. 

Why Choose Ponte Vedra Plastic Surgery?

What sets PVPS apart is our continuing education, our national trainers on staff, and our Care Teams. Since 1993, Ponte Vedra Plastic Surgery has been changing lives through exceptional cosmetic procedures. 

With multiple locations, five board-certified plastic surgeons, six Advanced Aesthetic Practitioners, and seven skin health specialists covering Northeast Florida, we offer convenience and plenty of options for customization.

Come discover why we have such an exceptional reputation. Book your consultation today.

Before & After

Types of Scars

There are various methods available to treat unsightly scars, but it helps to first understand the different kinds of scars. These can include:

Superficial Scars

As the most subtle type of scars, these do not cause any issue other than an unsightly appearance.

Hypertrophic Scars

These don’t extend beyond the wound, but do continue to become larger, thicker, and more painful over time.

Contracture Scars

These develop over a larger section of skin, creating a “tight” feel and impairing one’s ability to move. A severe burn is an example of a contracture scar.

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Surgical Techniques

Scar revision treatment will be chosen based on the scar’s location, type, size, and overall extent. There are various techniques to consider.

  • Shave Excision: For scars that are raised, a shave excision may be performed to remove the top of the scar. The surface can then be evened out 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.
  • Injectable Treatments: Scars that are depressed or concave may benefit from a dermal filler. There are a wide variety of fillers on the cosmetic surgery market that may be considered. Collagen is also a common filler used for scar revision. During the procedure, the material will be injected into the skin through a syringe. The surgeon may also manipulate the outside of the skin to help shape the surface accordingly.
  • Surface Treatments: Some scars can be treated with a series of skin rejuvenation treatments that 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.
  • 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.
  • Scar Removal or Modification: 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 re-opening the scar and re-suturing the skin in a different direction, the new scar can be minimized.

Care After Scar Revision

Following scar revision, you will need to adhere to a daily scar treatment regime so the wound site and the new scar can heal. It’s very important to protect this area of skin from sun exposure in order to avoid any further skin discoloration.

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FAQ

Where does a scar revision procedure take place?

Does a scar revision procedure require general or local anesthesia?

Where does a scar revision procedure take place?

All scar revision procedures are performed in an accredited surgical facility.

Does a scar revision procedure require general or local anesthesia?

Some scar revision procedures will require general anesthesia, but most will only need local anesthesia.

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