Facial Scar Revision
In Toronto, scar revision is requested by people of all ages and walks of life. Noticeable marks may cause people to feel self-conscious or attempt to hide their faces each day. Whether large or very subtle, because of the highly visible location, facial scars often cause people anxiety about their appearance.
For many people, seeking help at their trusted cosmetic surgeon’s office is the next proactive step to improve their scars, after they’ve tried ineffective options. At Verso Surgery Centre, we understand the concern that perceived flaws on one’s face may cause. We know that many people are seeking safe, reliable ways to minimize or fade the appearance of scars. We’re here to help. Read on to learn about
the various treatment options available for reducing facial scarring.
Why does the skin develop visible scars?
Scarring on the skin is caused by some form of tissue trauma which has healed. The process of response and repair involves coordinated interactions by the body’s inflammatory cells and the damaged tissues.
Bleeding shortly after injury triggers a cascade of coagulation and release of inflammatory cytokines. Healing components flood to the area initiating sterilization, re-epithelialization (rebuilding skin) and eventually closing or filling in the wound. Platelets, proteins and fibrin are among a complex system of
repair materials that form a supportive scaffolding for new blood vessels and cells to grow on. After the initial protective scab is created, a smooth, pink, repaired skin area is revealed underneath. This new skin doesn’t quite look like the old skin, however. Scar tissue is different from normal tissue in many ways. It is typically smooth, lacking in proper blood perfusion, may be lacking in sensation or highly sensitive. Think of it as a living bandage material. It is less flexible, doesn’t have melanin and doesn’t otherwise behave the way that healthy skin does.
Some pigmented make up is beneficial to camouflage scars, and specially formulated topical treatments
or products will promise to diminish and fade them, but the effectiveness of such products will depend
greatly on the individual’s skin and scar qualities, the length of time that has passed since the injury, and
the severity. learn more.
Facial Scar Revision
Why do people seek Toronto scar revision treatments?
The size of the scar that forms will be determined by a number of factors, including the wound size and depth, the location on the body, a person’s unique skin characteristics, their age and pigmentation.
Under ideal conditions such as an intentional surgical scar, the tissue is carefully closed to minimize space and to offload tension on the skin’s surface. Clean wound edges can be sealed entirely together and protected immediately to prevent infection or irritation at the site. Under optimal conditions, even a significant incision can heal to be hair thin, flat and pale.
Unfortunately, a large segment of the population does not experience ideal healing. Enter individual factors and circumstances. Some people naturally develop Keloid scars due to a hereditary trait. These will appear raised and firm, spreading outside the original wound borders and creating excessively raised, large scars. Proliferation of the repair material triggers this phenomenon in injuries.
A highly mobile body location or tight skin will also contribute to widened, more severe scarring. Those who suffer injuries over a joint such as the knee or shoulder often find they are slow to heal and develop a visible scar. The continual movement and pressure from skeletal structures underneath can delay
healing and allow excess scarring in these areas.
Wound edge tension while healing will also lead to raised, visible scarring.
Infection and delayed closure typically lead to darker, more extensive scars.
An open area with the wound edges far apart must be filled by the body’s repair material. That will often leave an indented, wide, visible scar.
Scars are prone to forming excess pigmentation when exposed to UV light, especially early in recovery,
so tanning results in darker scars.
How are scar types classified?
Surgical scars: This type is caused by surgical incisions and will typically be linear (a long, straight line). They may have small dots running parallel to them because of stitches or staples that were used.
Atrophic scars: These appear indented or pitted because the underlying structures such as fat or muscle were lost. A wide wound that heals open may form a depression. Small acne scars can also fit into this category.
Stretch marks: Also called striae, these are linear marks, either red, purple or silvery if aged. They are common in young men and women who grow quickly during puberty, as well as on those who have gained significant weight or who are pregnant. These stripes are usually seen on abdomen, hips, buttocks or arms. Because they represent stretched, damaged skin, their colour and texture are different from the surrounding skin.
Burn: These may follow any pattern or shape as heat damage to the skin surface causes them. Second or third-degree burns can leave permanent scars which may appear shiny, dark or light, and may be severe enough to tighten and constrict movement.
Toronto scar revision- what can be done for your facial scar?
There’s welcome news for those troubled by unwanted marks on their skin. The various available techniques for scar revision that we offer are intended to lighten, flatten, smooth or completely remove a scar. Your solution may involve laser therapy, filling indented spaces, Steroid injections, abrading a layer of skin, or even excising the scar tissue to create a new, controlled and much less visible scar. Here we will describe each of our available treatment options in a little more detail. During your personal consultation, your plastic surgeon or medical aesthetician will listen to your goals and share all of the available possibilities to help you choose a treatment.
When they are raised, some scars respond well to a treatment known as dermabrasion. This is a non-surgical and non-invasive treatment which is nevertheless, a little abrasive on the skin. It is designed to safely resurface the scarred area, removing darkened or excess scar cells and encouraging healthy fresh skin to be revealed. Through the removal of some surface skin layers, the location will appear
smoother and more even-toned. This process doesn’t completely resolve a scar but may diminish it enough to satisfy your goals. The treatment is safe for most people, and there is no lengthy recovery
Collagen induction therapy
Collagen induction therapy, also known as micro-needling, has been used for years to help repair and restore skin’s firmness and texture. It is a minimally invasive process that utilizes tiny little needles to either roll over an area or stamp it, and creates micro-injuries in the surface. While it is a popular treatment for wrinkles and fine lines, CIT is also known to smooth away acne scarring and texture irregularities. The small needles stimulate the body’s natural healing cascade which in turn triggers collagen production in the area. More collagen means plumper, smoother skin. Suitable for most skin types, this treatment may cause mild, temporary skin discomfort but requires no downtime and is performed during a quick, in-office session.
Laser skin resurfacing
Lasers utilize advanced technology to safely remove extremely thin, precise layers of the skin’s surface. The targeted energy destroys only the intended cells and leaves surrounding skin untouched. This treatment can quickly and safely smooth a scar to reveal fresh underlying skin and may be useful to reduce hyperpigmentation as well.
Steroid injection: Keloid scars which are expanding and growing due to an over-productive immune response can be halted and minimized with steroid medications injected directly into the scar.
Dermal fillers: Injectable dermal fillers made with cohesive hyaluronic acid gel are very helpful for filling in depressions under scars which contribute to their textural irregularities. The results will last between 6-9 months depending on the area and product used.
Surgical revision: In Toronto, surgical scar revision is sometimes the best way to remove a large, unsightly or problematic scar which impairs function or will not respond to other treatment. Though any incision into the skin will leave a permanent mark, the careful, skilled removal of an existing scar by an experienced facial cosmetic surgeon results in clean incision closure and seamless edges which will heal with minimal visibility. Controlling the formation of the new scar allows a patient to protect, flatten and lighten it as much as possible. For those who have a contracture or underlying tissue damage from an injury, surgical release of tension, followed by the creation of discrete and fine scars will be an improvement.
Are you ready for your closeup?
Take the first step and get in touch with us. Find out what we can do to restore your youthful appearance & confidence.