While many patients seek “scar revision” hoping for complete removal of the scar, the reality is
more nuanced. Not every scar requires surgical intervention, and the appropriate procedure depends on the scar’s characteristics and location, as well as the patient’s specific concerns.
Scar Revision in Houston
As a board-certified plastic surgeon, Dr. Abigail Rodriguez takes a personalized approach to scar treatment. During your initial consultation, she’ll carefully examine your scar, discuss what
specifically bothers you about it, and explain realistic improvement options. Her thoughtful
assessment considers factors like your skin type, the scar’s age, and your medical history to
determine whether surgical scar revision or alternative treatments would be appropriate.
Setting Realistic Expectations
The most critical aspect of scar revision surgery is understanding what’s possible. While scars can be significantly improved, they cannot be erased entirely. A “good scar” is:
- Soft and pliable
- Flat
- Thin and narrow
- Similar in color to your normal skin
- Not itchy
- Not painful
Genetics play a significant role in how your scars heal. Some people naturally form less visible
scars, while others may develop thicker or more noticeable scarring despite appropriate surgical
technique and despite optimal treatment of the scar. Understanding these limitations helps patients make informed decisions about pursuing any type of scar revision.
Am I a Good Candidate For Scar Revision?
You may be a good candidate for scar revision with Dr. Rodriguez if your scar is:
- Thick, raised, or ropey
- Stuck down or tethered
- Widened
- Discolored (ex: red, pink, too dark, too light)
- Itchy
- Painful or sensitive
What Does Scar Revision Involve?
A scar revision is a procedure that is often done under local anesthesia. It involves removing an
old scar from the skin and then precisely stitching the area closed to encourage appropriate
healing. The incision may take several days to weeks to heal, depending on the location on your
body and the size of the scar.
It is important to know that you will not see the new scar immediately after scar revision. As with
any scar, the new scar will take up to a year to see the final result.
When Scar Revision Isn’t the Best Option
Scar revision isn’t always necessary or recommended. If you’re prone to keloid or thick scar
formation, a scar revision procedure might increase the risk of developing an even more prominent scar.
For newer scars, Dr. Rodriguez will typically recommend waiting one year before considering surgical scar revision. Attempting scar revision too early can interfere with the natural healing process and potentially result in a worse outcome. In the meantime, Dr. Rodriguez may recommend non-invasive solutions like silicone sheets or silicone gel to support
proper healing.
Non-Surgical Alternatives
Some scar concerns can be addressed without surgery. For hyperpigmented (darkened) scars, topical treatments or laser scar treatment may effectively reduce discoloration. Red, hypervascular scars often respond well to laser treatments that target blood vessels. Slightly raised or thick scars might improve with steroid injections that help flatten the tissue.
Sometimes, Dr. Rodriguez recommends combining surgical with non-surgical scar treatments to provide you with the best scar possible.
Finding Your Solution
Each scar requires an individualized assessment. Whether your scar causes physical discomfort, affects function, or simply bothers you aesthetically, schedule a consultation to
discuss your concerns and learn about your options. Dr. Abigail Rodriguez’s extensive expertise in both surgical scar revision and non-surgical approaches ensures you’ll receive the most appropriate recommendation for your unique situation.