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
"Una experiencia extraordinaria - Quiero agradecer al Dr. Guarino por su trabajo perfecto. He sido bendecido con las manos más maravillosas de Dr.Guarino y su maravilloso personal. Las chicas y él mismo han sido una verdadera bendición para mi vida al cambiar mi apariencia. Su experiencia y conocimiento de su ética de trabajo es absolutamente increíble. Después de perder muchisimo peso y muchos años visitando al oficin..."- L. / RealSelf / Jun 02, 2017
"I have only been a patient here for about a week. However I had to leave a review for those of you suffering from acne this is your go to place. I tried so many products and they helped me find out what works for me before even starting any treatment. The service here deserves five stars for sure! Thanks guys!"- J.K. / Google / Mar 28, 2017
"Wonderful Doctor and office staff. Doctor is warm and caring"- L.S. / Google / Feb 01, 2017
"36 Year Old Mom of 2 with Severely Deflated Boobs. Cannot Believe This is Actually Happening! - Allentown, PA - Dr. Guarino is awesome! He is so easy to work with and made me feel so comfortable before, during, and after. I also love his honesty in that he heard meOut, but also advised on size appropriate for my frame. His staff and hospital staff were also wonderful! - - Hi Everyone! I'm a 36 year old mom to a 3 and 6 year old. I've always been petite and with fairl small boobs-but even ore babies they were a tight perky (very small) B and after breastfeeding and stretching to an F cup they are now a shriveled A cup. I'm thrilled with the surgeon I have chosen and his office staff are absolutely amazing as well. I was worried I wouldn't be able to go as big as I wanted because my BWD is only 11 ish but because I have some breast tissue and stretched skin I'll be able to get 320-340 cc high profile saline. We were going for 340 but my breasts are slightly asymmetrical and the left has a higher chest wall (sticks out more) and is slightly wider so he'll likely do 320/325cc on left and 340cc on right. I just finalized things yesterday and am set for 12/28!!! I go for my pre-op on 12/7 and am so excited and terrified at the same time! I know this is what I want but I hate being put under and despite having 2 children naturally I'm worried about the pain as I don't do well with Rx pain meds, but seems like I'll definitely need them the first few days. As for pictures-I'm not sure I'm ready to post any yet but may at least post some in my sports bra. Thanks for all of the posts, advice and info you all post on here-it has helped me through this process SO much and I have learned a lot! I'll be sure to post after my BA sometime after 12/28."- B. / RealSelf / Dec 02, 2016
Types of Scars@headingTag>
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@headingTag>
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