What does scar revision or reconstruction surgery consist of?
• Topical treatments: silicone gel or gel sheeting can be used to promote healing. Serums and creams can be effective in camouflaging scars.
• Minimally invasive treatment: steroid injections can flatten hypertrophic or keloid scars. Dermabrasion, laser resurfacing, chemical peels can even out texture or depth irregularities. Bleaching creams can diminish color differences.
• Subcision: scars that adhere to the underlying layers of the skin can be released by cutting the connections between the scar and deeper layers. A technique of subcision and suction can be used to cut and lift the scar to prevent the connection between the scar and deeper layers from reforming. Dermal fillers or one’s own fat with fat transfer can be used to plump up and fill depressed tissues.
• Surgical reconstruction: extensive or deeper scars may require more complex reconstructive plastic procedure. Excision, undermining, skin grafts, pharmaceutical tissue substitutes, tissue expanders, or complex tissue closures may be required to conceal scars.
A combination of two or more of the above techniques may be necessary to maximize scar camouflage. Although scar revision can provide a more pleasing cosmetic result or improve a scar that has healed poorly, a scar cannot be completely erased.