Angela Champion, MD

Cosmetic and Reconstructive Surgery

2121 San Joaquin Hills Road | Newport Beach, CA 92660 | 949.640.4005

Scar Revision Surgery

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This thick, over-grown cluster of scar tissue on the earlobe is a keloid. Here it has been removed and the incision closed with stitches, leaving a thin scar.

 

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This hypertrophic scar has formed a contracture, restricting finger motion.

 

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Using Z-plasty, the scar is removed and several incisions are made on each side, creating small triangular flaps of skin. Then the flaps are rearranged and interlocked to cover the affected area.

 

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The incision is closed with a Z-shaped line of sutures. The new scar is thinner and less visable, and allows the finger to be extended.

 

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The scar crossing the natural line, or crease, between the nose and mouth is removed and repositioned using Z-plasty. The forehead scar, located in the natural lines, is excised with tapered ends. The skin is then loosened and brought together with stitches.

 

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The repaired scars now lie partly within the natural skin crease, where they are less visible.

 

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Scar Revision Surgery: Creating an Optimal Appearance

Interested in Scar revision in the Newport Beach area? Scar revision surgery is meant to improve the appearance of scars that may result from surgery or trauma to the skin. Women that are interested in scar revision surgery are requested to wait until one year after the injury or incision to the skin before proceeding with scar revision surgery. Scars develop over time and their final appearance can be affected by how your body heals from the injury. In addition, there are many variables that can affect scars, including: severity, wound size and depth, blood supply to the affected area, skin thickness and color as well as the direction of the scar. Contact us today to schedule your Newport Beach scar revision appointment.

Dr. Champion will evaluate the scar to identify the appropriate treatment for improvement during consultation, including:

Keloid Scars: Keloids occur when the body continues to produce tough, fibrous protein known as collagen after a wound has healed. Keloids appear as thick, puckered, itchy clusters of scar tissue that grow beyond the edges of the wound or incision. They are often red or darker in color and may appear anywhere on the body, but are most common over the breastbone, on the earlobes, and on the shoulders. Keloids occur more often in dark-skinned people than in those who are fair. The tendency to develop keloids lessens with age.

Keloid Treatment: Keloids are often treated by injecting a steroid medication directly into the scar tissue to reduce redness, itching, and burning. In some cases, this will also shrink the scar. More extensive keloids may require plastic surgery using local anesthesia to excise the scar tissue and close the wound with a layered suturing technique. This surgery may involve skin grafting, steroid therapy, or radiation therapy. Sometimes, additional treatment may be required over time because keloid scars may reoccur.

Hypertrophic Scars: Hypertrophic scars are often confused with keloids, since are similar in appearance. Hypertrophic scars, however, remain within the boundaries of the original incision or wound.

Hypertrophic Treatment: Hypertrophic scars often improve on their own however it may take a year or more and require the use of steroid applications or injections. The second choice for unimproved hypertrophic scars is plastic surgery with the use of local or general anesthesia. This surgery involves the removal of excess scar tissue and repositioning of the incision to achieve a less visible pattern. The plastic surgery procedure for hypertrophic scars may also involve steroid injections that may be used for up to two years following the procedure to prevent excessive scar thickness.

Contracture Scars: Burns or other injuries resulting in the loss of a large area of skin may form a scar that pulls the edges of the skin together, a process called contraction. The resulting contracture may affect the adjacent muscles and tendons, restricting normal movement.

Contracture Treatment: Contracture scar treatment may involve plastic surgery to excise the scar and replace it with a skin graft or a flap. Depending upon the impairment that is caused from the scar, physical therapy may be required following surgery to restore full function.

Facial Scars: Because of the location of facial scars, facial scars are frequently considered a cosmetic problem regardless of the type.

Facial Scar Treatment: There are several ways to make a facial scar less noticeable. Often, plastic surgery may be used to excise the scar and close it with tiny stitches, leaving a thinner, less noticeable scar. If the scar lies across the natural skin creases (or "lines of relaxation"), Dr. Champion may use techniques which involves repositioning the scar so it runs parallel to natural lines, where it will be less conspicuous.

Scar Revision Surgery Recovery

Scar revision surgery requires delicate care. Dr. Champion will provide you with a list of instruction to follow for an optimal recovery experience. These instructions will include: medications to take, dates to return to the office, hygiene, care for incisions, and the types of activities to perform or avoid in the weeks following scar revision surgery. Contact us today to schedule your Newport Beach scar revision appointment.

Scar revision surgery improvements may not be fully visible for up to a year following the procedure. In fact, the degree of improvement varies depending on a variety of factors, including: scar size and direction, nature and quality of your skin, and how well you care for the wound after the operation. In some cases, additional treatment may be required to help achieve an optimal result. In rare cases, complications may arise but can be managed when immediately reported to Dr. Champion.

Rare complications include: unfavorable scarring, bleeding (hematoma), infection, poor incision healing, scar contour irregularities, excessive firmness, blood clots, pain, sensation changes that may be temporary or permanent and tissue death (fat necrosis).

Over time, the results of the procedure will improve. Dr. Champion’s patients have generally found satisfaction with the improved scar appearance within a year following the procedure.

Schedule a Newport Beach Scar Revision Surgery Appointment

Dr. Champion offers her patients the most current technology in cosmetic surgery available on the market today. Schedule an appointment to learn more about Orange County cosmetic surgery procedures such as scar revision surgery from Dr. Angela Champion.

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Dr. Angela Champion strives to produce the most natural-appearing cosmetic surgery results. Combining her creative talent and attention to detail, Dr. Champion is committed to helping you achieve your personal appearance goals through breast augmentation, tummy tuck, liposuction, nose surgery and more. To learn more about the best plastic surgery procedures we offer, please call to arrange a breast surgeon consultation.

Copyright © 2008-2009, Angela Champion, M.D., Top Newport Beach & Orange County Plastic Surgeon.