Scars left behind from surgery, accidents, or medical conditions can serve as a constant physical reminder of personal trauma. As such, these scars can wreak a heavy emotional toll that impacts every aspect of daily life. Fortunately, there exists a wide array of surgical and non-surgical treatment options that can improve the appearance of these troublesome scars and relieve the associated distress.
Scar revision has been a particular area of focus for the entirety of Dr. Hooman Khorasani’s medical career. Besides having unique fellowship training in wound healing and scar repair, Dr. Khorasani has conducted clinical trials, published medical journals and written book chapters on these topics. From studying scars’ molecular structure to inventing new, innovative techniques, Dr. Khorasani has dedicated himself to helping patients overcome the heavy physical and emotional burden induced by their scars. Consequently, Dr. Khorasani has infused his practice with a broad range of cutting-edge scar revision therapies. The recommended treatment option is hand-picked for each patient based on the scar’s appearance, your unique health profile, lifestyle constraints, and your overall aesthetic goals.
After completing a year long research fellowship in scar management, Dr. Hooman Khorasani has spent the majority of his career cultivating expertise in improving the appearance of all scar types. Scar revision therapy is a staple of his practice and he is proud to have helped thousands of patients overcome their scars and, consequently, reinfuse their lives with self-confidence. His knowledge of scars extends beyond the revision stage, as his position as a dermatologic and cosmetic surgeon requires advanced technical proficiency to minimize scar formation following a procedure. Eager to mentor other health professionals so that they too can help patients, Dr. Khorasani has also published multiple studies evaluating scar composition, prevention, and management. This comprehensive and detailed understanding of the scar lifecycle allows Dr. Khorasani to provide you with cutting-edge, personalized therapy that maximizes scar correction.
You are unique and so is your scar. As such, we will work with your particular scar, skin type, health profile, and lifestyle constraints to find a treatment plan that is optimized to help you achieve your personal aesthetic goals. From the moment you contact our office, you are a priority. Dr. Khorasani and his staff are there for you at all times to ensure all your questions are answered and needs are met. We look forward to working with you as a team to transform your goals into reality.
Despite their bothersome appearance, scars are actually part of the body’s natural healing process. When the deep layer of your skin (the dermis) is damaged, your body produces new collagen to repair the wound. During this healing process, the body’s primary objective is to act as fast as possible to protect the surrounding structures and reduce the risk of infection. Additionally, the scaffolding required for normal collagen formation is damaged when the deep layer of the skin is injured. As such, the structure of scar collagen varies significantly from what is found in normal skin. These aberrations in collagen architecture lead to a markedly different appearance between the scar tissue and surrounding healthy skin.
Just as each person is unique, scars are also one-of-a-kind. There are, however, distinct categories of scars. Hypertrophic scars are those in which the body produced excess amounts of collagen in response to the injury. If the over-production of collagen extends beyond the boundaries of the original wound, the scar is then called a keloid. Scars that have caused the surrounding skin to tighten are called contracture scars. These are most often associated with burn injuries and can cause significant mobility problems in the area of trauma. Acne scars are the result of blemishes that have infiltrated the deep layer of skin, inciting the production of collagen. Unfortunately, patients often suffer from more than one category of scar; however, armed with over a decade of experience treating all scar types, Dr. Khorasani will be able to recommend the best treatment option for your individual scars.
All scars will exhibit some degree of redness during the initial healing phase. Most patients, however, will lose this red color over the course of six months to a year. Risk factors for persistent redness include having a fair complexion and/or sun exposure to the affected area in the early stages of your wound’s healing.
Over-production of collagen can lead to elevated scars that are thick and raised. This typically occurs in wounds that occured on the chest, shoulders, and upper back. Family history can also contribute to the formation of elevated scars.
Inadequate collagen formation can lead to scars that are sunken or atrophic in appearance. These depressed scars are typically associated with chickenpox and severe acne.
The rapid production of collagen during the wound healing process can result in ridges, pits, and bumps within the scar. Unfortunately, these texture abnormalities may sometimes be both palpable and visible.
The results of scar revision can vary, but most improve over time as the skin regenerates and as the result of multiple treatments. Good skin care regiments have also shown to improve results.
During your initial consultation, Dr. Khorasani will carefully evaluate your particular scar to discern its type and characteristics. Incorporating your personal aesthetic goals, health profile, and lifestyle constraints, Dr. Khorasani will recommend an individualized therapy plan that best addresses your specific needs.
Severe scars that have not or will likely not respond well to other treatments, may benefit from a surgical revision of the area. This in-office procedure is performed with local numbing medication and requires less than an hour to complete. Utilizing the experience from Dr. Khorasani’s decade-plus surgical career, he will develop an operative plan that best addresses your needs and optimizes the best aesthetic outcome.
Sculptra contains a biocompatible synthetic substance that’s used for stimulating collagen production. This same substance has been used in absorbable sutures for the last 50 years and has an excellent safety record. Unlike other fillers, Sculptra does not initially offer significant volumization. It works by stimulating your collagen and therefore, the results are gradual, but significant. Patients are typically treated over three separate visits, six weeks apart. The final results are evident approximately six months after the last treatment. Results can last up to two years; however, most patients do not go back to their original baseline and some residual volume tends to last for years. Sculptra is Dr. Khorasani’s filler of choice for global volumization of the face and buttocks.
Dr. Khorasani and his highly-specialized team look forward to working with you to transform your medical or aesthetic goals into reality. To expedite a request for a consultation, message us securely, or contact Dr. Khorasani’s Manhattan office by phone at 347-574-8500. For more information about how to get in touch:CONTACT US