Scar Revisions

Hooman Khorasani, M.D. -  - Cosmetic Surgeon

Hooman Khorasani, M.D.

Cosmetic Surgeon & Mohs Skin Cancer Surgeon located in Upper East Side, New York, NY

Scar Revisions Specialist
If you have had any major surgeries or incidents that have left behind noticeable scarring, Dr. Hooman Khorasani, located in Manhattan, New York, understands the impact these scars can have. He offers scar revision procedures to reduce or eliminate these blemishes to help you look and feel your best.

Scar revisions Q & A

by Hooman Khorasani, M.D.

Scar removal is one of Dr. Khorasani’s specialties and his favorite procedure to perform.

Below is a summary of Dr. Khorasani’s scar treatment recommendations:

  • Resurfacing Lasers (Deep FX, SCARFX): best for improving scar texture and overall appearance
  • Dermabrasion: best for scar irregularities and unevenly raised scars  
  • Semi-Permanent Filler Injections (Bellafill®): best for depressed scars
  • Micro-needling and Platelet Rich Plasma (PRP): best for scar remodeling in darker skin individuals
  • Pulse Dye Vascular Laser (V-beam): best for reducing scar redness
  • Triamcinolone & 5-Flurouracil Injections: best for reducing thickness in keloid and hypertrophic scars
  • Scar Excision: best for selected severe cases that do not respond well to other treatments

Scar Management

Each scar is very unique. Generally, there are four components of scar tissue which are different from normal skin:

  • Scar elevation and step-off (uneven) irregularities
  • Redness
  • Change in the quality and texture of the skin
  • Depression (also called atrophy)

View our Scar Treatments Before and After Gallery

What to expect for each treatment:

Elevated Scars and Step-Off Irregularities

Patients usually need 3 steroid injections 4 weeks apart. In more complex cases such as scar from a flap on the nose, patients may need dermabrasion (polishing of the scar).

Treating Redness in Scars

Most redness tends to improve over a period of time (about 18 months). Occasionally scars will remain red for years. In order to get rid of the vascular (redness) component of the scar, patients greatly benefit from Pulse Dyed laser treatments (V-beam). Depending on the settings used, the treatment may have to be repeated 2-4 times, 4-6 weeks apart.

Textured and Pigmented Scars

In order to treat the texture and the pigmentation of a scar patients often need a superficial resurfacing laser. An ablative fractional Co2 laser called Ultrapulse Active FX is a great laser for treating scar texture.

Depending on the settings used, the treatment needs to be repeated 2-4 times 6 weeks apart.

Depressed Scars

Depressed scars are the most difficult component to treat. The best treatment for depressed scars is usually a deep resurfacing laser. An effective laser for treating this is an ablative fractional Co2 laser such as Ultrapulse Deep FX or Scar FX.

Depending on the settings used, often 1 treatment is enough, but for deep scars, the treatment may need to be repeated a few times, 6 weeks apart. Depressed scars can also be injected with a semi-permanent filler called Bellafill®. Before using Bellafill®, it's important to perform an allergy test 4 weeks prior to your procedure in order to prevent hypersensitivity reactions.

Occasionally, the best treatment option for a depressed scar is a scar revision. The depressed portion of the scar is surgically removed and the wound is sutured with a special technique.

*Individual results may vary 


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