Carrie Underwood Scar Scare

It is Stanley Cup playoff time in the NHL. This normally means quite a number of selfies from Carrie Underwood in support of her husband, NHL player Mike Fisher. Fans are curious, in general, about any new selfies from Underwood after she suffered a painful fall last November.

Carrie Underwood Facial ScarUnderwood is considered to be one of the most beautiful women in country music so her fans were alarmed when she announced the fall. Her injuries included a broken wrist and over 40 stitches in her face thanks to a gash around her upper lip. According to Underwood, she was taking her dogs out when she tripped after missing a step. She tried to catch herself but was unable to stop herself from taking a tumble.

While the resulting scar was not noticeable during her recent appearance on the ACM Awards, it was easily seen during a videotaped radio interview as part of the “The Bobby Bones Show”.

After suffering the fall, Underwood warned her fans that, when they saw her next, she would not quite look the same. Bones pointed out that, to the average eye, Underwood did not look any different than she had in the past.

Underwood has been very open about coming to terms with the changes to her appearance. She told Bones that one of her main worries was that her son would be scared of her after the fall. She also noted that, in her own words, she has been “very fortunate in the healing process”. At the time the accident happened, she didn’t know how she would end up looking after the scar healed. During the Bobby Bones interview, she remarked that she was “at a point where I didn’t know how things were going to end up. I didn’t know what was going to go on. I didn’t know what it was going to heal like.” She was also worried that she would run into fans at the supermarket who would ask her “what happened” to her face and that they would post a photo of her appearance on social media.

There are a number of scar treatments that are available to patients. Each one has advantages and disadvantages and patients should discuss their options with a board-certified doctor. Some of the treatment options include:

  • Injectable fillers – can fill-in the depressed area and improve the contour of the scar surface. This is normally a temporary solution and will need to be repeated on a regular basis.
  • Laser Resurfacing – A high-powered laser removes the scarred top layer of skin and also promotes smoother and tighter skin. Laser resurfacing options include CO2 lasers that penetrate deeply into the skin, YAG lasers that treat shallow scars and fractionated lasers that use tiny beams of light to penetrate the skin and stimulate collagen production. Non-ablative lasers heat the inner skin layer, while leaving the surface untouched, to promote collagen production and new skin cells.
  • Dermabrasion – A wire brush or diamond wheel (with rough edges) removes the scar tissue through scraping.
  • Chemical Peels – A chemical remove the top layer of skin and reveals skin that is smooth and healthy.
  • Scar Removal – Surgery to remove the scar uses a tissue substitute or skin graft to close the incision.

In a later interview with The Today Show, Underwood spoke with Hoda Kotb about how she is adjusting to being back in the public eye following her accident. According to Underwood, “Every day I feel a little more back to normal.” As mentioned above, Underwood did not know how her scar would end up looking following the accident. When asked to describe the appearance of the wound after the fall, she described it as “It just wasn’t pretty.”

During the interview, Hoda told Underwood that she doesn’t see much of a change in her appearance. Hoda described looking at Underwood as, “I’m looking at you and I feel like you look the same”. While thankful for the compliment, Underwood’s response implied that there is a lot of behind-the-scenes makeup that plays a big role in hiding her scars while she is out in the public eye. Underwood laughed as she said, “I have a dedicated team of professionals who can spackle and paint and paste.”


Dermabrasion Scar Revision

Before and After Dermabrasion Scar Revision
Dermabrasion Advances Scar Revision

The disfigurement of facial scarring is one of the most traumatic injuries that a person “literally” has to face the world. Long after the often excruciating pain and initial wound healing; a person endures social stigma and deep psychological wounds and depression. Modern advancement provides new hope and relief in the hands of today’s highly skilled cosmetic surgeons. The advances in Dermabrasion technique in adjunct with other dermatologic surgical procedures have put it at the forefront as a scar revision treatment.

Dermabrasion is non-surgical. It is a technique that is used to revise scars with abnormal skin texture or to reduce ones that are raised. It can also used in conjunction with other methods of scar revision to further blend the skin surface.

Dermabrasion Basics

Unlike micro-dermabrasion; dermabrasion creates a wound that can take a few days or a week to completely heal. The purpose is to give the skin a smoother and more refined appearance than prior to the procedure. The use in scar revision becomes obvious. Dermabrasion is analogous to a finishing carpenters sanding of fine woodworking. Micro-instruments with an abrasive rotary tip are used to refine the contour of the skin. This medical procedure also requires a delicate touch and a since of artistry. Scar revision is intended to improve the cosmetic appearance of skin irregularities and blemishes resulting from prior injury or unsatisfactory surgical repair. These include scars that are raised, discolored, depressed, poorly aligned and/or have mismatched texture. Often times scars that are quite obvious and unsightly can be revised to blend naturally into the surrounding skin, making them barely noticeable.

Dermabrasion has minimal complications when expertly performed. The simplicity of learning the procedure advanced its popularity in dermatology. Some applications formerly treated with Dermabrasion are now treated with lasers. Yet within specific medical indications it remains a bona fide modality with the best facial plastic surgeons.