Tag Archives: scar revision

Scar Revision from Breast Augmentation

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All surgeries are going to leave a scar. The leading cosmetic surgeons who specialize in breast augmentation are good at reducing the visibility of the scar. The very best surgeons make sure only very close scrutiny reveal the signature of their work. The techniques for revising scars very and are applied as the surgeon deems best for the patient and their particular case. Often women undergo more than one breast implant surgery. If a woman has suffered from a poor elective procedure the top cosmetic doctors can redo the surgery and also revise the scarring in the same procedure.

Do breast implants last a lifetime? Women considering breast augmentation ask this question frequently. Breast implants are not made with an expiration date, so you should be able to enjoy the results for many years. However, unexpected issues occur for a certain number of patients. If you think you’re experiencing a problem with your breast implants, call us to schedule a consultation and Dr. Hess will see you as soon as possible.

Reasons for Revision Breast Augmentation
Problems that occur after breast implant surgery. Most often they are corrected with a brief revision surgery. Of course, Some of the reasons women seek revision of breast augmentation are :

  • Breast implant rippling
  • Volume adjustment of saline implants
  • Scar revision procedure
  • Change in implant size preferences
  • Switch from saline to silicone implants
  • Areola size reduction
  • Noticeable breast asymmetry
  • Symmastia
  • Nipple ptosis or sagging
  • Breast implant displacement
  • Breast implant rupture
  • Nipple malposition
  • Scar tissue surrounding implant
  • High riding implants

    • Healing Veterans Wounds

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    Scars for Freedom

    We cannot even begin to repay the price veterans pay in service to our nation. Veterans are on of the most effected groups from scarring. Fortunately there are organizations and projects out there who demonstrate and honor our veterans with action. Take a moment to watch the video below and spread the word on helping our veterans who return home. Many of the scars of war remain invisible and are often the most difficult to heal. The least we can do is help heal some of the scares. Thank a veteran today and share this video.

    Caesarian Section Scar Revision

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    About C section Scar

    Some women may do to emergency or elect to have their birth surgically. This is called a Caesarian Section or most often referred to as a C-section. In this surgical procedure one or more incisions are made through a mother’s abdomen (laparotomy) and uterus (hysterotomy) to deliver one or more babies. This will leave a surgical scar that many woman wish to have revised after the decision not to have any more children. In emergencies often the scar is longitudinal running from just below the naval to the lower abdomen. In elective C section more often the scar is latitudinal just above the pubic bone on the lower abdomen.

    The Video Below is a medical procedure and contains graphic images that may be unsuitable for children and some adults.

    About C section Scars

    • This Cesarean section scar involves a midline longitudinal incision which allows a larger space to deliver the baby. It is not often performed today.
    • The lower uterine segment section is the procedure most commonly used today; it involves a transverse cut just above the edge of the bladder and results in less blood loss and is easier to repair.
    • An emergency Cesarean section is a Cesarean performed once labour has commenced.
    • A crash Cesarean section is a Cesarean performed in an obstetric emergency, where complications of pregnancy onset suddenly during the process of labour, and swift action is required to prevent the deaths of mother, the child or both.
    • A Cesarean hysterectomy consists of a Cesarean section followed by the removal of the uterus. This may be done in cases of intractable bleeding or when the placenta cannot be separated from the uterus.
    • A repeat Cesarean section is done when a patient had a previous Cesarean section. Typically it is performed through the old scar.

      • Regardless of the type of C section performed and the resulting scar they can be treated in a similar way. Tummy tucks are often used to revise or obscure a C-section scar.

    Risk of Scar Revision

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    Pre & Post Operative Risk of Scar Revision

    Cosmetic procedures involve the placement of scars in inconspicuous areas heal with minimal scarring. Any time an incision is made, a scar will result. Unfortunately, the thickness and the texture of the scar is only partially related to the skill of the surgeon and the procedure itself. In no case will scar revision surgery eliminate a scar completely. In nearly all cases, it will minimize the scar. In very rare cases, the scar could be made worse. This is a risk that a patient needs to accept. The doctor’s knowledge of your healing history is critical to making the most educated decision for the benefit of the patient.
    In developed countries risk in surgery has greatly been diminished. However, a person considering elective scar revision surgery as with any surgery should discuss risks with their surgeon. Here is a partial list a person can ask their doctor about.

    Scar Revision Surgery Risk

    • Allergies (tape, suture materials,blood products, topicals, injected agents etc…
    • Anesthesia Options & risks
    • Changes in skin sensation post-surgery
    • Excessive Bleeding (hematoma)
    • Delayed or Slower healing
    • Deeper Tissue damage e.g. nerves, blood vessels, muscles and lung
    • Pain tolerance or changes to pain sensitivity
    • Possibility of revisional surgery or staged procedures
    • Post-Surgery Infection
    • Skin contour irregularities
    • Skin discoloration and swelling
    • Temporary or permanent damage possibilities

    Take the time to ask questions!. It’s natural to feel some anxiety, whether it’s excitement for your anticipated new look or a bit of preoperative stress.

    Facial Scars

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    Facial Scar Duress

    The impact of scarring and the disfigurement from it has a tremendous emotional impact on a person. It can be even greater for children who may lack the cognitive and language skills to communicate there distress. Males of all ages are often ingrained socially not to communicate distress over scarring even if it is impacting them in a negative way. Many people undergo unnecessary deformity because either they or their families have failed to deal with their concern over the effects of facial scarring or have failed to seek advice on what can be done to improve the appearance of facial scars.

    Advancement in today’s cosmetic surgery provides more options. The treatment of facial scarring can be the most gratifying thing that a cosmetic surgeon does. Unlike other cosmetic procedures, incisions for revision cannot be hidden. The location of the scar determines the incision but it is the techniques in restructuring the scar that can greatly reduce its appearance and advance a patients self-image and emotional wellbeing.

    Importance of Timing Scar Revision

    Children and young adults are the disproportionately the victims of injury. Their skin tends to heal with more scarring because they heal more rapidly. Although these scars tend to fade with time, it still makes the treatment program more difficult. Furthermore, it makes it much more important to wait before initiating treatment since a scar that looks poor a month or so after injury may continue to greatly improve in appearance for many months. Ultimately, it may be so unnoticeable as to not require treatment.

    Although the repair carried out at the time of injury does influence the amount of scarring that exists after healing, even the most careful repair may not provide a totally acceptable result. When treating the initial injury, one is never sure how tissues will heal. Lost tissue may have to be replaced with grafts. Wounds may have to be closed under tension. These are only some of the factors that tend to promote increased scarring.

    Special Report: Addressing the Challenge of Scalp Scars

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    Scarring is an inevitable part of hair restoration and physicians performing hair transplants are always challenged to reduce scarring as much as they are able. The strip method which is the most popular form of hair restoration surgery requires a donor strip to be taken from the permanent zone which requires the doctor to pay close attention to wound closure and scar reduction. Some patients have suffered trauma that may have left unwanted scar. Hair, can naturally cover scars in most cases. However, when it happens to be close to the hairline or depending on the patients hair style it can be harder to cover up.

    Since the advent of hair transplant surgery, hair transplant surgeons have been challenged to address the scarring that is inevitable from the donor wound in strip hair transplants. Other types of scalp surgeries such as neurological surgeries can also leave linear type scars in the scalp. In addition trauma to the head can leave a person with unwanted scar. A patient’s natural hair coverage can obscure the visibility of a scar in most cases. However, proximity to a patient’s hairline and or wearing the hair too short can make a scar more obvious.

    Surgeons can repair or disguise most scars. The differences of shape as well as the placement and size of the scars will determine the technique that is used by the surgeon. The goal is to revise the scar so that it may be almost invisible. This scar revisioning is far more than a cosmetic need. Scars can affect the person’s self-esteem. Surgeons are in the forefront of minimal scarring.

    Addressing scalp scarring from trauma and scalp surgeries.

    A hair transplant surgeon can easily repair or camouflage most scalp scars. The variations in a scar shape, location and size are key factors affecting the techniques that a surgeon will use in the revisioning of the scar. The singular and most important purpose of the scar revisioning is to obscure or minimize its appearance to the naked eye. Scar revisioning is not merely cosmetic. Disfigurement from scarring often affects a person’s sense of well being and self worth. Do to the inherent nature of the work they do cosmetic surgeons are at the forefront of minimizing the appearance of scars. We have developed an algorithm utilized in hair restoration and other surgical cosmetic practices that effectively meets the challenge of scarring from these procedures. Many of the same techniques are also employed in addressing scalp scarring from trauma and scalp surgical procedures.

    A wider scar can come to be as the result of stretching. Stretched skin can have a variation in color, different from the skin surrounding the scar. Bringing hair into the scarred area can meld this difference. Blending the contrast is the key to success. Follicular unit grafts with FUE and trichophytic closure on one or both edges of the scar is the best technique. Many people need various transplants into the scalp to better disguise the scar.

    A scar that is wider than expected gives evidence that some level of stretching has occurred. Skin that is stretched typically has a contrasting color to neighboring skin. Minimizing this contrast is one of the key approaches to reducing this type of scar. Hair transplant surgeon can reduce the contrast by bringing hair inside the scar by a variety of techniques to minimize the contrast between the hair bearing scalp and non-hair bearing scar. That is done through placing follicular unit grafts with FUE procedure or by performing trichophytic closure on one or both edges of a scalp scar. Many people may need more than one hair transplant into their scalp to improve the reduction in visibility of the scar.

    If you are suffering from a scalp scar, you need to find a good hair transplant surgeon with plenty of experience with treatment of scalp scars. A simple consultation would make the overall plan clear. The plan may include a surgical procedure, using cosmetics for hair and scalp and hair style changes.

    Parsa Mohebi, MD
    US Hair Restoration, Los Angeles, CA, USA.

    Evolution of Scars – Part 2

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    Why Do We Have Scars?

    “Human wound healing appears to have been optimized for quick healing in dirty conditions,” Mark W. J. Ferguson, Ph.D., University of Manchester.

    Part II
    Before and After Facial Scar Revision of Young Woman
    Anthropologists and science have yet to explain why humans develop larger and thicker scars than other animals. Our response to scars reaches back through the eons of human evolution. A physically weaker structure than most mammals; humans live longer than any other mammal it perhaps is our species wound healing that allows us to thrive. When we’re injured; cut or burned, the immune system is immediately activated to close the wound and heal it.

    Surgeon N. Scott Adzick, M.D., researches and studies scarring at the Center for Fetal Diagnosis and Treatment at the Children’s Institute for Surgical Science in Philadelphia, he notes:

    “If you’re a caveman or cave-woman running around, and you get bitten by a saber-toothed tiger, it makes sense to patch that wound together as quickly as possible in order to survive, as opposed to devoting the body’s energy and resources to healing perfectly”

    The result is that our bodies’ rapid immune response to inflammation leads to the larger and thicker scabbing and scarring. Some social anthropologists theorize that scars served as sexual attractors. Heavily scarred early men would be more attractive because it indicated there bravery and strength in survival.

    No matter the theory or culture scars are part of human life; if you know someone who is experiencing anxiety from scars. Today’s cosmetic medicine may have the answers.

    Dermabrasion Scar Revision

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    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.

    Scar Revision Surgery

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    Scar Revision of orbital facial scar.Enhancing your appearance with scar revision surgery

    Several people are unhappy of having scars. Facial scarring is the most affected source of self-consciousness, even though scars may be disturbing anywhere in the body for a person. Facial scar revision is taken in consideration after any cosmetic procedure. Scar revision is a surgical procedure which may greatly improve the appearance of scars and increase one’s self-confidence.

    Scar revision techniques vary. Finding the best technique for the right person would depend on the type of your skin, the individuality of the scar and other factors. Scar revision does not completely remove a scar but minimizes the appearance of it as much as possible.

    Scars are visible markings, the formation or the discoloration on the skin is shown after the complete healing process of a wound. They are unavoidable consequences of minor traumatic injury or surgery. The development of a scar cannot be predictable. Poor healing may cause scars to be obvious, unsightly and have some sort of disfiguration. A wound that heals well can still result in a scar that adversely affects your appearance. Scars may be raised or recessed, may also differ in color or texture from the surrounding healthy tissue or particularly be noticeable due to the size, shape and location.

    Treatment Options

    Based on the degree of the scar and the scar classification the treatments can vary. Treatments may include:

    • Over the counter topical treatments
    • Prescribed topical treatments
    • Minimally invasive dermatological procedures
    • Cosmetic surgical revision with advanced techniques in wound closure

    The one purpose of scar revision surgery is to minimize the scar so that it is more consistent with your surrounding skin tone and texture; basically to reduce the scars visibility. Scar revision provides a more pleasing cosmetic result to improve scar that has healed poorly. However, they may not be erased completely.

    Surgery can Help Facial Scars

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    Surgery of Facial Scars

    Facial Scar Revision

    With very few exceptions most people are self-conscious about facial scars. Facial scar surgery is good choice for individuals who self worth and esteem is impacted by the scarring. Whether from acne or traumatic injury the advancements in scar revision make it worth considering.
    Scarring results when the skin is in the process of recovering from an injury, whether the result of an accident, surgery, a burn, or acne, scarring will occur wherever multiple layers of the skin have been affected.

    Scars are permanent; however the latest technology and advancements in cosmetic surgery yields great results. The scar can be made less visible or relocated surgically. At times scarring can have additional effect. People can experience diminished functioning of the eyes, mouth, or nose due to scarring.

    Facial scar revision can improve your appearance, your self-confidence, or perhaps even improve the level of facial functioning. You can learn how scar revision works and what you can expect from this procedure by consulting a cosmetic surgeon who specializes in scar revision.

    Successful facial plastic surgery is a result of good rapport between patient and surgeon. Trust, based on realistic expectations and exacting medical expertise, develops in the consulting stages before surgery is performed. Your surgeon can answer specific questions about your specific needs.