Scar Revision: Expert Guidance from One of NYC's Top Skin Surgeons
Learn What's Involved in Surgically Treating Scars & How to Get the Best Cosmetic Outcomes
- Last Updated: November 10, 2023
- By Julia Tzu, MD FAAD
Scar Revision at Wall Street Dermatology
Scars represent the body’s inherent healing response to injury. In an attempt to repair itself and restore lost tissue, cells within the skin called fibroblasts, rapidly produce collagen and other connective tissue. Scars can come from environmental injury to the skin (i.e., traumatic scars), medical procedures (i.e., post-surgical scars), or medical conditions that cause chronic inflammation within the skin (i.e., acne scarring).
Although scarring is the mechanism by which our body heals, scars can also be an unwanted physical reminder of an event or a medical condition and may be aesthetically undesirable. Scar treatments such as microneedling, laser treatment, and surgery can help reduce the appearance of scars and improve your aesthetic appearance.
Wall Street Dermatology uses world-class cosmetic, surgical, and laser dermatology in our scar treatment procedures. Dr. Julia Tzu is a double board-certified dermatologist in NYC with extensive experience and expertise in surgical and non-invasive scar treatments.
Dermatologist Dr. Julia Tzu’s Perspective on Scar Treatments
“The majority of my work on a daily basis deals with minimizing scarring when performing a surgery or other invasive skin procedure. This has led to a profound experiential understanding and appreciation of scars and how to optimize scarring outcomes. One of my favorite procedures is scar revision/reduction because it invokes the knowledge, surgical skill, and experience that is the very nature of my daily work and passion. I am honored to be part of the journey that allows people to erase and forget their past scars.”- Dr. Julia Tzu, MD, FAAD
Types of Scar Treatments
There are a variety of scar treatments in NYC that result in visibly improved cosmetic outcomes. These cosmetic procedures vary based on their approach to treating scars and the types of scars they treat. Scars often require a combination approach that involves multiple treatment modalities. This is applicable for complex scars with unique characteristics that traditional unidimensional methods can’t address.
Anesthesia will be used, but depending on the treatment option that is recommended, anesthesia may be topical or injectable. For non-invasive or superficial treatments, topical anesthesia is most often used, but for surgical scar revision local or even general anesthesia may be administered.
During your consultation, Dr. Tzu will review your medical history, consider any unique characteristics of your scar type and location, and formulate a customized treatment plan that’s right for you. Below are the three most common types of scar treatments in NYC.
Surgical Scar Revision
Surgical scar revision is the most traditional and one of the most powerful methods of improving the appearance of scars. When performed with precision, skill, and experience, the outcome can be superior to results obtained from lasers, microneedling, or dermabrasion. Surgical scar revision may not be appropriate for all types of scars, and is more often used to correct an existing unsightly postoperative scar.
Choosing the right surgeon is key to obtaining optimum results. Dermatologic surgeons who have advanced fellowship training in Mohs and skin reconstruction are specialists in surgical scar treatments, as the nature of their work deals strictly with skin surgery on a daily basis.
Dr. Tzu received fellowship training at one of the largest and most prestigious dermatology skin surgery centers in the world, the Hospital of the University of Pennsylvania, and has over a decade of experience in skin surgery and reconstruction.
Laser Scar Treatment
Laser scar treatment is another procedure commonly used for scar revision. The exact type of laser utilized depends on the type of scar treated. Pulsed dye lasers are often used to minimize red discoloration of early-stage scars, while non ablative and ablative fractional lasers homogenize older, white scars.
Other factors that determine whether lasers should be utilized for scar treatment include skin color, treatment purpose, and the patient’s medical history. Laser scar treatment often takes multiple sessions to produce the desired results and is ideal for patients who prefer a non-invasive approach.
Microneedling
Microneedling is a highly effective, non-invasive cosmetic procedure that helps normalize discoloration and textural differences found in scar tissue. This type of scar treatment is often preferred by patients who desire a non-invasive approach or who have scars that aren’t severe enough to need surgical scar revision.
Similar to fractional nonablative laser treatment, microneedling is a highly precise and controlled cosmetic procedure. This type of scar revision can treat various skin segments with less concern about blending in with non-treated areas. Various microneedling settings are available for different levels of aggressivity. This scar treatment typically takes multiple sessions to produce the desired results.
Is Scar Revision Worth It?
There are many benefits to receiving scar treatment in NYC. If you have a scar that hasn’t faded with time and remains prominent, scar treatment is worth it. Depending on your scar, there are different treatment options to achieve the following results:
Reduces Discoloration of Scars
Scar treatment can reduce the discoloration of your scars, so they are less noticeable. Multiple types of treatment can help achieve this look. Microneedling prompts your skin to produce more collagen, which can help visibly blend scar tissue with normal tissue. Lasers can reduce the discoloration of scars by removing the structural source of the discoloration.
No matter what scar treatment you choose, these cosmetic procedures can make your scars less visible. Your skin will look more blended and aesthetically balanced.
Removes Excess Scar Tissue
Instead of reducing the appearance of scars, Dr. Tzu can remove the scar tissue entirely. Surgical scar treatment involves physically removing the scar tissue, and then reconstructing , or placing the skin back together. This leaves a thin, less noticeable post-surgical scar.
Improve Texture of Scars
Microneedling and lasers, in addition to normalizing discoloration, can also help normalize texture of existing scars. Both procedures can increase surface collagen production within scar tissue. Multiple treatments are required for these noninvasive procedures.
Types of Scars We Treat
No matter what kind of scar you have, scar treatment at Wall Street Dermatology in NYC can help. Below are the most common scars Dr. Tzu treats.
- Acne Scars
- Hypertrophic Scars
- Keloid Scars
- Atrophic Scars
- Chickenpox Scars
- Post-Surgery Scars
How to Prepare for Scar Revision
Preparing for scar revision is a crucial step in ensuring a successful treatment process. The preparation begins with a detailed consultation with Dr. Tzu, who will assess the scar, discuss the best treatment options, and provide specific instructions tailored to the selected treatment method.
To prepare you may need to stop smoking or taking certain medications that could interfere with healing or promote bleeding, avoid sun exposure to the scar area, and follow a skincare regimen as directed. Dr. Tzu will help you fully understand the treatment plan, including any type of anesthesia that might be used and any potential risks or complications.
Scar Revision Cost in NYC
The cost of scar revision depends on the size and location of the scar and the complexity of the cosmetic procedure. In general, average costs for scar treatment vary between $550 to $3,000 per treatment session. Surgical scar revision prices may be more. You may need multiple sessions.
Scar Revision Aftercare
Depending on the scar treatment you choose, the aftercare will be different. Following a surgical scar revision, you’ll be able to return home the same day. During the first and second weeks, you may experience swelling, bruising, and mild discomfort in the area of the scar.
Dr. Tzu will remove the sutures within 7 to 14 days. After the first two weeks, the swelling and bruising will begin to subside. In the next several months after suture removal, the scar will return to a normal color and fade.
Following a microneedling procedure, your skin will look sunburned for several days. Laser scar treatment involves a 2 week recovery time during which you should avoid sun exposure and friction/trauma to the skin.
Scar Revision Aftercare
A successful treatment may result in a scar that is smoother, less visible, or more aesthetically pleasing. Additionally, in cases where the scar has caused restricted movement, scar revision may restore functionality.
Schedule a Consultation at Wall Street Dermatology
To discuss what type of scar treatment in NYC is best to treat your scar, schedule a consultation with Dr. Tzu. We look forward to exploring how we can restore the natural beauty of your skin.
Scar Revision FAQ
Can Scar Revision Be Combined With Other Procedures?
Yes, scar revision can often be combined with other procedures to enhance overall aesthetic outcomes or address related concerns. Depending on the type, location, and severity of the scar, a specialist might recommend pairing scar revision with procedures such as laser treatments or cosmetic injectables.
Who Is A Good Candidate For Scar Revision Surgery?
Individuals of any age who are in good health are good candidates for scar revision. These procedures are minimally invasive and require little recovery or downtime.
However, individuals with certain conditions or taking certain medications should consult their doctor before undergoing scar revision. Some of these conditions and medications include:
- Diabetes
- Immunosuppressant medications
- Isotretinoin or Accutane for severe acne
- History of keloids or poor wound healing
- History of irradiation on the area to be treated
How many scar revision treatments do I need?
The number of scar revision treatments required depends on the type of cosmetic procedure utilized and the nature of the scar to be treated. Surgical scar revision can be performed in one procedure for simple cases, but may require multiple treatments for more complex cases. Noninvasive procedures such as microneedling and laser will almost always require multiple sessions, often average of 6 sessions.
When can I start scar treatment after surgery?
You can begin scar treatment in NYC after the scar has completely healed. Scar treatments are not appropriate for open or actively healing wounds. While it depends on the type of scar to be treated and treatment type, scar treatment can begin anywhere between 1-3 months after scar tissue is generated. The optimum timing for scar revision will be determined at the time of your consultation with Dr. Tzu.
Can scar revision treat old scars?
Yes, scar revision can treat old scars. Scar treatment in NYC can help reduce the appearance of old scars and smooth the texture of the skin.
Does insurance cover scar treatment?
No, health insurance typically does not cover scar treatments in NYC, as it is considered a cosmetic procedure intended to enhance the appearance of the skin.
At what age can you get scar revision?
You can receive scar treatment at any age. If you are physically healthy and have a scar that you want removed or improved, scar treatment in NYC can be an excellent option for you.
What Scar Treatment is Best for Each Type of Scar?
When it comes to scar revision, it’s important to understand that different types of scars require tailored treatment approaches. At Wall Street Dermatology in New York City, we specialize in a wide range of scar treatments designed to address specific scar types. Our dermatologist will carefully assess your scar and recommend the most effective treatment option for you.
Here’s a look at some common scar types and the recommended treatments:
Acne Scars
Acne scars don’t need to be permanent. With the right treatment, they can be significantly improved. Our dermatologist offers advanced treatments such as laser acne scar treatment, acne scar subcision, punch or surgical excision, and microneedling to diminish the appearance of acne scars and restore smoother, more even skin texture.
Hypertrophic Scars
Hypertrophic scars are characterized by raised, thickened tissue that develops at the site of an injury. To address these scars, we may recommend a combination of treatments, including corticosteroid injections and laser therapy. These interventions can help flatten and soften hypertrophic scars for a more aesthetically pleasing result.
Post-Surgery Scars
Surgery scars vary depending on the type of procedure performed and individual healing patterns. A variety of treatments may be recommended, including laser treatment, microneedling, subcision, or surgical scar revision. In addition to specializing in noninvasive scar revision, our dermatologist has expert training in surgical scar revision techniques, including meticulous closure techniques during surgery. Our goal is to minimize the visibility of surgical scars and promote optimal healing.
Keloid Scars
Keloid scars are characterized by raised, thickened tissue that extends beyond the boundaries of the original wound. Our dermatologist has extensive experience in managing keloid scars. Options may include laser scar treatment, surgical scar revision, and, or corticosteroid injections, depending on the size and location of the keloid.
Atrophic Scars
Atrophic scars, such as those caused by severe acne or injury, result in a sunken or depressed appearance. Our dermatologist employs various techniques to address atrophic scars, including microneedling, acne scar subcision treatment, punch and surgical excision, and even dermal fillers. These treatments stimulate collagen production and promote skin regeneration, helping to elevate and smooth out atrophic scars.
Chickenpox Scars
Chickenpox scars can leave behind pitted or indented marks on the skin. We offer effective treatments to minimize the appearance of these scars, including laser scar treatment, microneedling, scar subcision, punch and surgical scar excisions, and dermal fillers. Our dermatologist tailors treatment plans based on the depth and severity of the chickenpox scars, aiming to restore a more even skin texture.
