Scar revision surgery is a cosmetic procedure offered by Dr. Guarino to Allentown patients who wish to improve the appearance of an unsightly scar. Dr. Guarino will assess the size and shape of the scar and take into consideration where it exists on the body. During the procedure, the scar will be surgically treated so that it becomes less noticeable. Dr. Guarino will consult with each patient and help to set realistic expectations. While the scar will not disappear completely following revision treatment, the appearance will be dramatically improved.
"love going there I got my surgery done 4 months ago I feel good and more confidence on my self.. thank you Dr. Guarino and his professional staff"- Anonymous / Vitals / Sep 03, 2015
"I recently had a breast reduction and a lift The staff is very professional and polite the office is very clean and beautiful. my work I had done is perfect I would go back to Dr.Guarino a 1,000000 + if i ever wanted anything else done his bedside manners is the best and he checked on me a total of 3 times at my stay in the hospital thank you once again Dr.Guarino and staff"- S.B. / Google / Dec 20, 2018
"Dr. Guarino and his entire staff are super friendly and professional. I had my implants removed with a breast lift and I am extremely happy with the results! I was very nervous going into the procedure, but Dr. Guarino and his staff put my mind at ease. I highly recommend Dr. Guarino to anyone looking to have plastic surgery."- J.A. / Google / Nov 20, 2018
"Healed Very Well Due to Exceptional Care. - Dr Guarino has a wonderful bedside manner and is very precise in his work!!!!! Very pleased with my procedures. Beyond my expectations. Would definitely refer my friends and family to him. Will use him in the future for other services."- M. / RealSelf / Nov 17, 2018
"Dr. Guarino is the best of the best!! I have been going to him for 20 years now which speaks volumes. His bedside manner is top of the line. From the moment you meet him you know he's the one. He's so caring and compassionate and I'm so proud to have him and comfortable recommending him to everyone. His knowledge is impeccable. He just knows exactly what to do without overdoing it. Rest assured he'll be there for you throughout a procedure from pre to post and thereafter. I've never felt so comfortable with a doctor as I am with him. I've had many procedures done over 20 years and he's always exceeded my expectations. I've sent a lot of people to him over the years from family and friends to acquaintances and promised them they'd be happy and every single person was beyond happy. I'm 100% confident recommending Dr. Guarino. He's a true master at what he does and does everything with such precision. There's not many like him!! He's the entire package!! I can't even fit all the good things there are about him. He's the Beverly Hills of Plastic Surgery right here in the Lehigh Valley!!"- M.P. / Yelp / Sep 01, 2018
Types of Scars
There are various methods available to treat unsightly scars, but it helps to first understand the different kinds of scars.
- Superficial scars are the most subtle type of scars. They do not cause any issue other than an unsightly appearance.
- Keloid scars are larger, painful scars, which are often discolored and tend to extend beyond the edges of a wound.
- A hypertropic scar does not extend beyond the wound, but it continues to become larger, thicker, and more painful over time.
- A contracture scar develops over a larger section of skin creating a tight feel and impairing one’s ability to move. A severe burn is an example of this.
Scar revision treatment will be chosen based on the scar’s location, type, size and overall extent. There are various techniques to consider.
For scars that are raised, a shave excision may be performed to remove the top of the scar and even-out the surface with the rest of the skin. This creates a smoother, flatter appearance. During the procedure, a surgical shaver is used to slowly shave off the raised portion of the scar. Sutures are not needed in most shave excision cases.
This is also a technique used for raised scars. It can be accomplished a couple of different ways. First, is the elliptical removal pattern. This involves removing the scar as well as an edging (ellipse) of skin encompassing the scar so a clean enclosure can be made. The sutures may be placed on the inside or outside of the skin. Sometimes a scar exists because the incision was closed poorly. By reopening the scar and resuturing the skin in a different direction, the new scar can be minimized.
Skin Grafting/Tissue Expansion
Large scars may require a skin graft (skin taken from another area on the body) to close the wound once the scar has been removed. Carefully placed sutures will be used around the graft to close and blend the skin together for healing. If a skin graft will not be used, tissue expansion may be used instead. During this process, a tissue expander will be placed under the skin where the scar resides and filled with a sterile solution. Once the expansion process is complete, the surgeon will stretch and join the edges together and place sutures carefully into the tissue wall.
Scars that are depressed or concave may benefit from a filler material known as injectable derma filler. There are a wide variety of fillers on the cosmetic surgery market that may be considered. Collagen is a common filler used for scar revision. During the procedure, the injectable material will be injected into the skin through a syringe. The surgeon may manipulate the outside of the skin to help shape the surface accordingly.
Some scars can be treated with a series of skin rejuvenation treatments, which can soften the surface of the skin, smooth out uneven scarring, reduce uneven pigmentation and lighten the skin where needed. Some scars may even become non-existent because of the skin removal mechanism. Skin surface treatments include laser skin resurfacing, chemical peels, dermabrasion and skin bleaching.
All scar revision procedures are performed in an accredited surgical facility. Some procedures will require general anesthesia, but most will only need local anesthesia. Following this procedure, patients will need to adhere to a daily scar treatment regime so the wound site and new scar can heal. It is important to protect this area of skin from sun exposure to avoid any further skin discoloration. While this treatment does not fully eliminate a scar, the visible imperfections are certainly minimized. Most patients feel more confident exposing the section of skin where the unsightly scar once resided.
The cost for scar revision treatment varies depending on what type of procedure was performed. Unfortunately, this can range from several hundred dollars for a skin resurfacing treatment, to several thousand for a surgical procedure.
Plan Your Procedure
- Average Cost
- $500 - $6,000
- Recovery Time
- 1-6 Weeks
- Average Procedure Time
- 1-2 Hours
- Post-op Follow-up
- Procedure Recovery Location