Scar Revision in NYC

It is well-known that healing from injury, or even planned surgeries, can result in unexpected or abnormal scar formation. There is no way to predict how the body will recover or a scar will develop because it depends on the size and depth of the wound, blood supply to the site, and other factors. Dr. Sabry can often improve the appearance of a scar through injections, by prescribing the topical application of steroid medications, or through surgical procedures known as Z-plasty.

Table of Contents

Scar Types We Can Revise

Scar Revision Consultations

Treatment Options for Scar Revision

Recovery and Results

Candidates for Scar Revision

Benefits of Scar Revision

Scar Revision Cost in NYC

What Makes Our Scar Revisions Different From Others?

FAQs About Scar Revision

Table of Contents

Scar Types We Can Revise

Keloid Scars

A keloid is a tumor of scar tissue. They are thick, fibrous, raised, and often itchy clusters of scar tissue that grow and spread beyond the incision or wound site. Keloid scars can be red, lighter than, or darker in color than the surrounding skin. They may appear anywhere on the body, and are more common in people with darker skin tones. Treating keloids is often a multi-step, iterative process because they frequently recur, sometimes even larger than before.

Ongoing treatment may be a combination of scar removal with steroid injections, topical application of steroids, laser, or radiation therapy. Dr. Sabry may ask you to wear a compression garment over the area for up to a year. Even so, the keloid may return, requiring repeated procedures every few years.

Hypertrophic Scars

These scars are thick, red, and raised. They differ from keloid scars in that they do not spread. A conservative first approach would be steroid topical applications or injections. If that approach does not yield the desired outcome, laser treatments or surgery may be the next option. Dr. Sabry will outline a procedure plan with you that may involve laser treatment or surgical removal of excess scar tissue and reorienting the incision. The size and location of the scar will determine if the surgery is done under local or general anesthesia.

Acne Scars

There are many types of acne scars, ranging from discolorations to deep pits and scars that are angular or wavelike. Topical application of lightening agents, such as hydroquinone 4% or kojic acid, can help fade discolorations. Fillers and laser resurfacing may address pitted scars and indentations. Dr. Sabry also recommends regular chemical peels and hydradermabrasion to help with skin texture and prevent future scarring.

Contractures

Injuries that result in the loss of a large area of skin, such as burns, may form scars that pull the edges of the skin together and restrict normal movement of the muscles and tendons adjacent to the scar. Correcting a contracture usually involves removing the scar and replacing it with a skin graft or a flap. Sometimes, a Z-plasty technique is used after tissue expanders have created enough space for the old scar to be excised. If the contracture is a longstanding condition that has restricted movement, return to full function may require physical therapy.

Facial Scars

Dr. Sabry may be able to reposition a facial scar to run parallel to the natural creases and lines in the skin, making it less conspicuous. Medical-grade skincare and Rx topicals may lessen the apparent look of facial scars by evening out, lightening, and correcting pigmentation irregularities. Some facial scars can be softened using dermabrasion or other ablative and semi-ablative modalities.

Note: While there are many standard approaches to scar revision, your circumstances will largely determine the suitable strategy and potential for improvement. It is essential to keep in mind that many scars fade and flatten over time. Thus, you should wait at least a year before considering revision.

Scar Revision Consultations

During your scar revision consultation, Dr. Sabry will answer your questions about the procedure and discuss any safety concerns related to the surgery. He will examine your scar and give you his recommendations for treating it, whether surgical or non-surgical. It is very important to remember that the outcome can be unpredictable, whatever approach you choose. Therefore, patients must have realistic expectations before proceeding.

Treatment Options for Scar Revision

Steroid Injections

Injections are a commonly used scar revision treatment that can help improve the appearance of scars. These injections often involve corticosteroids, which reduce inflammation and prevent excessive collagen buildup, a common cause of raised scars, such as keloids and hypertrophic scars. The process involves injecting medication directly into the scar tissue to flatten and soften the scar, making it less noticeable. Depending on the size and type of scar, multiple sessions may be required, and this method is particularly effective for scars that have become thick and raised.

Topical Steroid Medications

Topical steroid medications are often prescribed as part of scar revision treatment to minimize the appearance of scars. These medications work by reducing inflammation, slowing down collagen production, and helping the scar soften and flatten over time. Patients typically apply a thin layer of the medication directly to the scar, and while results may vary, consistent use can lead to noticeable improvements. This treatment is often recommended for scars still in the early stages of healing, as it helps manage the scar formation process from the outset.

Z-Plasty

Z-plasty is a surgical technique used to improve the cosmetic appearance of scars and to reduce tension and contractures at the site. It requires an experienced plastic surgeon. Using this technique, Dr. Sabry will reposition the scar to conform to natural lines and creases in the treatment site. He will remove the old scar and make new incisions on each side, creating small triangular skin flaps. These flaps will be rearranged to cover the wound at different angles, giving the scar a “Z” pattern. The incision will be closed with delicate stitches, which either reabsorb or are removed a few days later. Z-plasty is usually performed as an outpatient procedure under local anesthesia. It won’t make scars disappear entirely – a portion of the scar will remain outside the lines of relaxation.

Skin Grafting

Skin grafting is a more advanced technique used in scar revision surgery, particularly for severe scars caused by burns, accidents, or surgical procedures. The process involves removing excess scar tissue and transplanting healthy skin from another area of the body to cover the affected region. The initial wound is carefully prepared to ensure proper healing, and the skin graft is carefully matched to the surrounding healthy skin for optimal aesthetic results. In addition to improving the appearance, skin grafting can restore the underlying fatty tissue and texture, helping to reduce the visibility and discomfort of the scar. This technique is effective for extensive scars where other less invasive treatments may not achieve desired results.

Facial Scars

The recovery following scar revision can vary depending on the type of procedure performed. In cases of surgical scar revision, the healing process typically involves a period of wound healing that can last several weeks. During this time, the initial incision sites are closely monitored to ensure they heal properly and without complications.

The scar revision recovery period may involve some discomfort, swelling, and redness, but these symptoms usually subside as the wound heals. Patients are often advised to keep the area clean, follow post-operative care instructions, and avoid activities that could stress the healing skin. Over time, the appearance of the scar improves as the skin matures, with final results becoming visible several months after the procedure. It is crucial to follow all medical recommendations throughout the healing process to achieve the best cosmetic and functional outcome.

Candidates for Scar Revision

Scar revision is considered for many individuals with different types of scars. Suitability depends on the nature of the scar, the person’s overall health, and the stability of the scar tissue. The following are common groups of candidates for treating scars:

Individuals with depressed scars
Those with severe scars from injury or surgery
People with contracture scars caused by burns or trauma
Individuals with noticeable scars on visible areas of the body
Patients with stable, mature scars
People in overall good physical health
Those with realistic expectations regarding outcomes

Benefits of Scar Revision

Scar revision offers potential improvements in the appearance and feel of scarred skin, depending on the type, location, and severity of the scar. The benefits of a scar revision procedure may vary, but commonly include:

Smoother and more even skin surface
Reduction in visible scars
Enhanced collagen production
Improved movement in previously restricted areas

Balanced skin tone and pigmentation
Long-term scar revision results
Ability to improve skin texture over the treated area

Scar Revision Cost in NYC

The cost of scar revision in NYC ranges from $500 to $5,000, depending on the type and complexity of the procedure. Factors such as the size and location of the scar, the method of scar treatment used, and whether local anesthesia or sedation is required can all influence the final price. Additional expenses may include consultation fees, follow-up visits, and any prescribed medications to support healing.

You will receive personalized price quotes during the initial appointment with Dr. Sabry.

What Makes Our Scar Revisions Different From Others?

At Murray Hill Plastic Surgery, scar revision is approached with surgical and non-surgical procedures, with insight from decades of advanced training. Dr. M. Zakir Sabry, a board-certified plastic surgeon with specialized expertise in craniofacial and reconstructive procedures, brings detail and care to each case, reflecting technical mastery and artistic judgment. Most patients benefit from tailored treatment plans designed not only to minimize scarring but also to support long-term skin integrity and function. Whether treating complex injuries or refining older scar tissue, we emphasize thoughtful technique over routine solutions. Every scar tells a story, and we aim to rewrite it carefully.

FAQs About Scar Revision

How does surgical excision work for scar revision?

Surgical excision involves removing the scar tissue entirely and carefully reclosing the wound. This treatment method is particularly effective for certain types of scars and allows Dr. Sabry to reposition the scar to follow natural skin lines, improving the outcome.

What is the wound healing process like after scar revision?

After scar revision, wound healing typically progresses through several stages, including inflammation, tissue formation, and remodeling. Complete healing takes time, with initial recovery lasting one to two weeks, while the scar matures over several months.

How many appointments will I need?

Many scar treatments require multiple treatments for optimal results. The exact number depends on your scar’s appearance, type, and how it responds to initial treatment. Dr. Sabry will create a customized treatment plan during your consultation.

Is laser therapy effective for scar revision?

Yes, laser therapy can be highly effective as it promotes collagen production and improves both the scar’s texture and appearance. This non-surgical option works well for many types of scars, particularly those with pigmentation issues or rough texture.

How soon can I return to normal activities after treatment?

Most patients can resume normal activities within one to two weeks following treatment, depending on the procedure performed. More extensive surgical revisions may require additional recovery time.

Are there precautions I should take after scar revision?

Protecting the treated area from sun exposure is crucial, as UV rays can darken scars and impede healing. We also recommend following all post-treatment care instructions precisely to ensure optimal results.