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Scar Revision

In a fraction of a second, an injury to the delicate and complex structures of the face can change a life forever. Facial injuries can cause life-long scarring – both physical and emotional. While early cleaning (irrigation and debridement) and meticulous closure (primary repair) in the emergency room is important, permanent scarring may still result. This may be disfiguring or cause distortion of facial features or functions. At the time of your initial consultation for scar revision, an assessment is made of the thickness, texture, and color of the injured area. Scars may be hypertrophic, depressed, spread (wide), or discolored (hyperpigmented). Some patients may form large, unsightly balls of scar tissue called keloids (please see Keloid page).

A complete head and neck inspection by Dr. Ransom, including neurological examination, focuses on functional abnormalities (e.g., facial weakness, chewing or smiling deficits, corneal exposure, sensory changes, etc.) that may be related to the previous injury. After Dr. Ransom assesses the scarred area, he will carefully examine the surrounding tissue to assess its overall health and determine the amount of available laxity. We will then decide together on the best option for your scar treatment; this often involves scar removal and secondary repair (scar revision).

Aesthetic facial restoration entails removal of unsightly contractions or scars with subsequent recreation of facial features, using innovative methods of tissue repair. Facial distortions may be evaluated by photographs and computer imaging (“morphing” software) at the initial consultation, and a surgical program is designed to restore your delicate facial balance and symmetry. Using sophisticated techniques of meticulous tissue rearrangement (local and regional flap reconstruction), scar revision, and, in a small number of cases, skin grafting, Dr. Ransom is able to restore facial features to a more natural (“not-operated”) anatomic appearance. While persistent scars cannot always be avoided, medical, surgical, and non-invasive options are available, including sophisticated laser technology, local and topical steroids, chemical peels, and dermabrasion. Alone or in combination, each of these modalities can flatten and camouflage the unsightly appearance of an injured area and can improve both the health and appearance of the facial tissues. Dr. Ransom will work closely with you, for as long as it takes, to give you the best aesthetic result possible.

Please note that all patients are different and individual healing times and results may vary. The statements regarding procedures and recovery made here are general rules.