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
"This is the second procedure I had with Dr Guarino and although I live in a different state I keep coming back to him for the level of care, thoroughness and quality he puts in each and every one of his surgeries. His staff is very friendly and accommodating."- L.V. / Yelp / Jul 31, 2019
"Dr. Guarino is one of the best Surgeons/Doctors I’ve ever encountered! He is kind, patient and provides OUTSTANDING results! I was referred to him from friends and it is truly my pleasure to refer him to anyone looking for cosmetic work! I am grateful and blessed to have had him as my Surgeon!"- T.C. / Google / Jul 13, 2019
"Dr Guarino is an excellent surgeon and he make you feel so good about yourself from the moment he meets you, i recommend it to anyone.He is really professional and funny 😊I had lost a lot of weight and wanted to have all that skin removed and now I look great, but Most important i feel amazing and can wear anything I want ❤️Thanks Dr Guarino for changing my life!!!!"- D.K. / Google / Jul 09, 2019
"Not alot of plastic surgeons out there that make you not hate yourself at your consult. He listened to what I wanted and then he suggested what would be best. We met again after a few weeks without making a decision. because he wanted me to be comfortable with our surgical plan. He did not down me for being a heavier female, and his staff is completely professional. They are also welcoming and genuinely excited for your results as much as you are. He is always available and his staff responds quickly as well. Would recommend his office 1000% !!!"- C.T. / Google / Jun 05, 2019
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