As a board-certified plastic surgeon, Dr. Malamet not only performs cosmetic procedures such rhinoplasty and breast augmentation, he also performs various reconstruction procedures such as breast and nipple reconstruction. Another popular revision surgery is scar revision surgery.
The Southern California winter months are a great time to consider having surgery to revise an unsightly scar, as you’ll have time to heal before the warmer weather returns. For your information, here are different kinds of scars and how Dr. Malamet can surgically treat them.
Keloid scars are thick, puckered, itchy clusters of scar tissue that grow beyond the edges of the wound or incision. They are usually red or darker than the skin surrounding them. Keloids occur because the body continues to produce collagen, which is tough and fibrous after the wound has healed. They are the most common on the shoulders, over the breastbone, and on the earlobes.
Dr. Malamet first treats keloid scars with steroid injections made directly into the scar. If this doesn’t help, the scar tissue can be cut out and the wound re-sutured. A skin graft is normally used.
Hypertrophic scars are often confused with keloids because they both tend to be raised, thick, and red. But hypertrophic scars stay within the boundaries of the original incision or wound. Steroid applications or injections often improve the appearance of these scars.
If those conservative approaches aren’t working, Dr. Malamet will remove excess scar tissue surgically, and he may reposition the incision so that it heals in a less visible pattern. Steroid injections afterward can be effective in preventing a thick scar from reforming.
Burns or other injuries resulting in the loss of a large area of skin may form a scar that pulls the edges of the skin together. You may have seen this term applied to breast augmentation, as it occurs when scar tissue forms around the implant and keeps constricting and tightening around it. Scar contracture may affect the adjacent muscles and tendons, restricting normal movement.
Correction of a contracture usually involves cutting out the scar and replacing it with a skin graft or a flap. Physical therapy may be needed afterward to regain full function.
Facial scars, due to their location, are usually considered cosmetic. Dr. Malamet can improve their appearance usually by cutting out the scar and closing it back with tiny stitches, creating a thinner, less noticeable scar. Or, if the scar is near a natural crease, he may reposition it to align with the crease.
If you want to improve an ugly scar before we return to swimsuit season, call Dr. Malamet at 818-380-3130 and set up a consultation.