• Facial Surgery

    “Our goal is to provide our patients with an honest, professional and respectful experience when discussing their cosmetic or reconstructive concerns. We believe that all patients have individual needs that differ greatly from one another. We strive to identify these differences and fully understand our patients’ expectations.”

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Scar Revision Toronto

Contact Toronto Plastic Surgery Clinic for Scar Removal

When the skin is in the process of recovering from an injury as the result of an accident, surgery, burns or acne, scarring will occur wherever multiple layers of the skin have been affected. Once a scar forms, it is permanent. Facial scars are a source of great dissatisfaction and concern for a lot of people. The aim of a scar revision is to camouflage and make that scar less obvious, not to make it invisible.

Different scars require different treatments. A few common scars include:

  • Keloid scars are a result of the skin’s overproduction of collagen after a wound has healed. These scars generally appear as growths on the scar site.
  • Hypertrophic scars, unlike keloids, do not grow out of the boundaries of the scar area, but because of their thick, raised texture, can be unsightly and may also restrict the natural movement of muscles and tendons.
  • Facial scars can be unattractive simply because of where they appear on the face while others can affect facial expressions. Facial scars are often a source of great dissatisfaction and concern. The aim of a scar revision is to camouflage and make that scar less obvious, not to make it invisible. Different types of scars respond to different plastic surgery techniques. A person considering facial scar revision must understand that there is no way to remove scars completely.

Timing of surgery is another important choice. Some surgeons advise against any scar revision in cases of injury for a period that might extend up to a year after the injury. This interval allows the body enough time to heal fully.

There are several different ways of dealing with scars:

Steroid Injection

The use of an injectable steroid helps break down the scar tissue to make “ropey” and ‘fat” scars flatter and smaller. This technique is often used in combination with a surgical excision.

For more information on steroid Injection, click here.

Percutaneous Collagen Induction or Surgical Needling

This innovative procedure uses 3 mm. needles in a roller that is passed over multiple times over the scarred tissue making hundreds of tiny perforations without destroying the skin. This induces collagen production and creates a smoother contour to the skin.

For more information on punch grafts, click here.

Dermabrasion

The scar and surrounding skin are sanded down to the level of the dermis and the scar is smoothed and contoured to the level of the surrounding skin. This is often used for acne scars. Dermabrasion is also often used in conjunction with a surgical scar excision.

For more information on Dermabrasion, click here.

Surgical Excision

This is the mainstay of scar revision. The scar is excised and the wound is closed carefully to achieve a nicer and finer scar. Many different techniques are used to achieve this and the movement of the surrounding tissue is sometimes needed. The goal is to place the scar in a favourable position in order to make less conspicuous.

For more information on Surgical Excision, click here.

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