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
"He completely transformed my body such an amazing doctor!"- C.G. / Google / Jul 29, 2020
"After having 2 babies and approaching my 40s, I wanted to get my body back. After careful research, I booked an appointment with Dr. Guarino. Dr. Guarino had fantastic bedside manner and was so kind. We spoke about what I was looking for and we decided that I would need a breast lift and augmentation with a 360 body lift. I never felt like he was suggesting something unnecessary. My surgery was scheduled quickly. I cannot tell you how happy I am with my procedure. Dr Guarino’s work is absolutely amazing. It is everything that I dreamed it would be. The day of my procedure, Dr Guarino made sure I was informed and as comfortable as possible. The hospital staff was amazing. What sets Dr Guarino above other plastic surgeons? I feel he truly cares about how you are feeling and how you feel about how you look. He wants you to feel great about yourself and it really shows."- D.B. / Healthgrades / Jun 26, 2020
"After having 2 children and approaching my 40s, I wanted to get my body back. After careful research, I booked an appointment with Dr. Guarino. Dr. Guarino had fantastic bedside manner and was so kind. We spoke about what I was looking for and we decided that I would need a breast lift and augmentation with a 360 body lift. I never felt like he was suggesting something unnecessary or trying to up sell me. Once I made my decision, my surgery was scheduled quickly. I cannot tell you how happy I am with my procedure. Dr Guarino’s work is absolutely amazing. It is everything that I dreamed it would be. The day of my procedure, Dr Guarino made sure I was informed and as comfortable as possible. The hospital staff was also amazing. What sets Dr Guarino above other plastic surgeons? I feel he truly cares about your feelings and how you feel about how you look. He wants you to feel great about yourself and it really shows. My husband also thinks he’s extremely nice and is amazed at the work he did. His entire staff, Andrea, Karyn, Anne, and Sam were so knowledgeable, nice, and most importantly I felt comfortable any time I stepped into his office. You can tell that they all cared about their patients and I never felt like a number. I will definitely be returning for any future procedures."- D.B. / Google / Jun 18, 2020
"I went to Dr. Guarino for an outpatient procedure and could not be happier. One of the biggest reasons why I had chosen him over other specialists was because of the Yelp! reviews. Every doctor..."- M.S. / Yahoo / Dec 20, 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