The UNC Aesthetic & Laser Center

Scar Revision in North Carolina

Scar revision is ideal for individuals who have scars that inhibit function or negatively affect appearance. Our plastic surgeons at the UNC Burn Reconstruction & Aesthetic Center in Chapel Hill perform scar revision surgeries to reduce the appearance of the scar as well as to improve function of the scar tissue.

What is Scar Revision?

While scar revision surgery does not remove a scar, it does replace it with a scar that is much less noticeable and does not impede function as the previous scar may have. Several scar revision techniques are performed, including fusiform scar excision, shave excision, partial or serial excisions, local flap coverage, skin grafting and pedicled or free flaps.

This surgery can improve the appearance and function of the scar and can also have a notable emotional impact on you, which your plastic surgeon will work to address.

Who Can Benefit?

Most individuals who have scars feel they are aesthetically unpleasing or find that they inhibit their movement or function in some way. Candidates for scar revision should be healthy non-smokers who are able to understand the expected outcome and emotional implications of such a procedure.

The Scar Revision Procedure

As not all scars are similar not one procedure can be used to correct them all. Each type of scar revision surgery varies.

  • A fusiform excision is performed when an elliptical incision is made around the scar and the skin is removed. The incision is then closed with sutures.
  • For large scars, partial or serial excisions are made, meaning an ellipse of skin is removed around the scar, removing as much of the scar tissue as possible. More than one surgery is necessary in this case.
  • In a local flap scar revision, a Z or W-shaped incision is made to remove the scar and close the gap. For this procedure, an adequate amount of tissue must be present.
  • For scars that are elevated, a shave excision may be performed in which the scar is shaved down to match the surrounding tissue.
  • Small round, depressed scars can be corrected with skin grafts.
  • If the tissue surrounding a scar is inadequate for revision, tissue expansion techniques may be used to stretch the surrounding tissue in order to move forward.

Scar Revision Aftercare

After your scar revision surgery, it is not uncommon for the skin to feel tight and to experience some discomfort, though pain may be managed with medication.

Possible complications from scar revision may include infection and recurrence of the original scar.

Learn More About Scar Revision Procedures in Raleigh-Durham

To learn more about the reconstructive scar revision techniques performed in Chapel Hill by UNC plastic surgeons, please call or email our office in Chapel Hill.

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