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.

Scar Revision

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.

What you need to know

Men and women seek scar removal in Toronto for diverse reasons. Often, acne scars remaining well into adulthood make people feel self-conscious about their skin texture and tone. Injuries like cuts, surgical incisions and burns also leave scars. You may have noticed that scarred skin looks and feels different than surrounding tissue. Formed from collagen fibres, this tissue acts as a bandage to seal and repair wounds. It’s not like regular skin, and sometimes, scars can overgrow or darken, causing uncomfortable or embarrassing marks. Here’s what you need to know about the nature of scars and why they form.

Toronto scar removal- the most common types

When your deepest skin layers are injured, your body begins the healing process. Collagen and elastin fibres create a thick matrix of support for new cells, including blood vessels. These fibres are arranged in a disorganized way within the wound, which creates smooth texture that differs from skin. Scar tissue isn’t as strong as skin and is lacking some properties. Structures such as sweat glands or hair follicles won’t be present, and scar tissue lacks pigment or natural oils. Scars can’t protect themselves from the sun the way normal skin does, but they may darken when exposed to UV rays, especially while still maturing. Hypertrophic or keloid scarring is overgrown and may require treatment with steroids to halt the collagen formation process. Scars can occur for various reasons:

  • Minor abrasions, cuts and scrapes
  • Thermal injury (burns)
  • Ulcers and lesions
  • Infections
  • Insect bites
  • Dermatological conditions (psoriasis, eczema, etc.)
  • Acne blemishes

Acne scar removal Toronto

From ice pick to boxcar, acne scars have interesting names, but they represent a severe cosmetic concern for many people. The marks left on the skin after breakouts may be pink, purple, white or brown. People who tan easily or who naturally have darker pigment may be more prone to developing darkened scars. Ice pick scars are small, deep marks that appear to be little holes. These are commonly found on the cheeks.

Depressed, boxcar scars have squared, sharply defined edges. Chronic, cystic acne and picking at scabs can create these noticeable indented scars. Rolling scars are usually larger than 4mm in diameter and have sloped edges that blend with the surrounding skin.

Atrophic scars are flat but may appear as wrinkled and shiny. They may be pigmented or pale. Hypertrophic scars form raised ridges and bumps on the skin. They tend to occur over deep wounds and where there is tension on the skin, such as with incisions or injuries located over joints. Hypertrophic scars may be reddish and itchy initially. They may also shrink over time and do usually respond to treatment.

Keloid scars are characterized by large, raised and smooth scar overgrowth that surpasses the boundaries of wounds. Keloid scars occur more commonly in darker skin and may be triggered even by small injuries like insect bites. Keloids don’t tend to get smaller over time without intervention. Even when excised, they may return.

Stretch marks are also a form of scarred skin. When skin stretches rapidly during puberty or pregnancy, linear tears in underlying dermal layers cause parallel stripes known as stretch marks. These may appear dark or light and change the texture of skin.

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.

Are you a candidate?

Candidates for scar removal in Toronto come in all shapes and sizes, just as scars do. Sometimes scars fade over time and virtually disappear, but when they are large or in a noticeable location, they can make people feel self-conscious. Scar tissue behaves differently than normal skin. It may darken over time or create a raised texture that draws attention.

If you’re seeking scar revision, book a consultation with an experienced cosmetic surgeon who can offer appropriate options tailored to your specific needs. Depending on your scar tissue and your goals, you may be a candidate for some of the leading scar removal options.

Toronto scar removal techniques

Non-surgical scar removal treatments include medications such as steroids that are applied topically or injected. Gel made from silicone, and silicone sheets are also used to help flatten and lighten raised scars. After surgical procedures, some plastic surgeons recommend silicone sheeting to be worn over incisions for several months. If you have an overgrown scar, you may be a good candidate for medication to decrease collagen formation.

Ablative treatments such as CO2 laser or dermabrasion remove a few thin surface layers of skin to encourage healthy new cell growth, reduce uneven texture or discolouration. Deep chemical peels can also effectively resurface scarred areas and are beneficial where facial acne scars are present. Candidates for these procedures will be in good general health and not prone to hyperpigmentation or keloid formation.

Injectable scar treatments with dermal fillers can also help smooth indented, depressed scars. A small amount of hyaluronic acid filler placed underneath a scar will raise its surface, decreasing shadows. Over time, HA injections can stimulate natural collagen formation, which leads to long term improvement.

Non-ablative laser scar reduction in Toronto is also popular and doesn’t require downtime. Using heat energy, collagen remodelling is gently stimulated deep under the surface. If you have naturally dark skin pigment, non-ablative options may be recommended for you to avoid additional post-inflammation pigmentation.

In some cases, a poorly formed, constricted or large scar will be surgically excised in order to plan a more optimal, thin line in its place. Skin flaps are also used for reconstructive work to fill in areas of significant skin loss or stretched scars. Your surgeon will examine you in person to determine the nature of your scar and let you know if you’re a candidate for surgical revision. Good candidates for any of these scar reduction methods will have scars that are completely healed.

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.

Dermabrasion

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
period.

 

Costs of scar reduction

Learning how much your scar reduction in Toronto will cost requires an in-person consultation. That’s because all the various treatments available differ significantly, and cosmetic surgeons price treatments based on their time and experience. After you’ve been assessed in person and had the opportunity to describe your goals, you’ll receive a recommended treatment plan. Your scar revision quote may include:

  • A surgeon’s fee
  • Support staff fees
  • Equipment and medical supplies
  • Surgical facility or hospital costs if applicable
  • Anesthesia fees
  • Prescriptions for medication
  • Any necessary medical tests
  • Any pre or post-treatment follow up appointments

Your quote for scar reduction may not include additional, follow up treatments as necessary. It’s important to know that many procedures require more than one session to gradually remodel tissue and improve the appearance of scars.

The following are examples of potential treatments and their associated costs

Ablative and non-ablative laser treatments could range from a few hundred dollars to a few thousand, depending on your needs. Dermal filler is priced per syringe and will typically be less than $1,000 for scar treatment. Chemical peels are effective but less costly at $100-300 on average. Microneedling sessions are also priced similarly to peels. Surgical costs depend on the surgeon, the location and any relevant medications.

Financing for cosmetic scar treatments

Most cosmetic surgery clinics offer the option of medical financing. Financing companies help to offset the expense of elective procedures by allowing patients to make small, monthly payments. If you’re concerned about the price of a potential scar reduction in Toronto, ask about financing options to make it more affordable.

Schedule a Toronto scar reduction consultation

At Verso Surgery Centre, you’ll receive a personalized plan and quote after your complimentary consultation. You can feel free to ask questions and ensure you’re entirely comfortable with the process and your practitioner before proceeding. At Verso, we want to decrease the anxiety and mystery that sometimes surround medical procedures. When people struggle with the way scars make them feel each day, it can be a sensitive subject. Our compassionate and experienced staff will walk you through the process of improving how you look and feel with whatever scar treatment suits you best.

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.

Recovery Timeline

After surgery for scar reduction in Toronto, you’ll be provided with some recovery instructions to follow. Your activity restrictions may vary depending on the specifics of your treatment and your lifestyle. It’s essential for patients to know that even with advanced treatments, scars can’t be erased completely.

Minimizing their appearance, their texture, size and colour is the aim of most procedures, and surgical scar excision is designed to replace an unsightly scar with a more ideal one. The patient’s aftercare and ability to follow instructions will also help ensure they heal well and achieve the best results possible.

What should you expect during scar revision recovery?

After scar reduction, Toronto patients can expect localized swelling, minor redness and discomfort. There may be sutures in place to hold edges together or medical tape covering the incision. Most swelling resolves within 1 week, and the incision will close by roughly 2 weeks. You might have a scab, and you’ll be advised not to disturb it. After any incision is made, patients must avoid swimming pools, hot tubs and baths due to the risk for infection they pose.

After dermabrasion, deep chemical peels or laser scar resurfacing, redness and skin sensitivity is expected for roughly two weeks. Your aesthetician or cosmetic surgeon will instruct you about safe, soothing skincare you can use during this time. It may take several months to observe the scar fade and flatten. If you’ve undergone collagen remodelling treatments, count on at least a few months to appreciate the changes as your skin slowly rebuilds itself.

Attend your follow up appointments

Depending on what type of procedure you have, there will be a return visit scheduled days or weeks after. Your practitioner will have a chance to observe how well you’re healing and ensure your scar is progressing as intended. If you note any signs of hypertrophy, delayed healing or keloid formation, early intervention can help treat the problem fast and reduce the adverse effects.

Protect scars from the sun

One of the most important things a patient can do to protect their scar during recovery and see optimal outcomes is to protect it from the sun. Sun exposure and damage is one of the leading causes of dark, visible scars. Damaged and inflamed skin is prone to sunburn and healing may be delayed under additional inflammation. Sunscreen with a UPF50+ and clothing that covers you will be essential throughout the first year after scar reduction. Toronto patients who have a treatment during the summer months are advised to wear hats, sunblock and stay in the shade.

Just about any facial aesthetic concern can be improved through the use of medical technology, advanced products and talented surgical skill, however, keep in mind that perfection is not a realistic goal when it comes to cosmetic treatments. Many issues can be significantly improved, and confidence restored, but the happiest clients are those who understand the limitations of procedures, along with the practical possibilities. Remember that it takes at least one full year for most scars to mature.

We endeavour to encourage as well as educate each of our patients, so they know what to expect and can make an informed decision about their health. Our highly trained medical staff also care deeply about our client’s well-being and the experience they have with us. We want you to feel at home and to love your results. If you have a facial scarring concern, please contact us to arrange a private consultation with one of our practitioners.

We look forward to meeting you and talking about steps to a new, improved you!

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