Dr. Ostad is a leading New York Dermatologic surgeon that perfects scar revision procedures with a variety of techniques to decrease the visibility of all scars. There are many factors that can impact the severity of scarring including: skin tone, thickness of the scar, depth of the wound, blood supply to the area and direction of the scar. Although scars cannot be completely removed, Dr. Ostad can diminish the appearance of a scar, using a combination of procedures. Depending on the characteristics of the scar, Dr. Ostad may suggest a series of steroid injections, topical solutions, or a surgical procedure to improve the appearance of the scar.
Keloid scars are characterized by a thick cluster of scar tissue that will grow beyond the edges of a wound or incision. These types of scars usually occur when the body is constantly producing collagen, even after a wound has healed. Keloids can appear throughout your body, but they are most common around the breasts, earlobes and shoulders. People with darker skin are more prone to develop these types of scars. An effective treatment for reducing the appearance of keloids is injecting steroid medication directly into the scar tissue. This will reduce the redness, lower the itching and burning sensations and may shrink the scar. An alternative treatment is to cut out the scar tissue under local anesthesia.
Regardless of which treatment is performed, keloid scars have a tendency to recur. Several procedures may be required in order to effectively remove the scar for longer periods of time. Sometimes we may advise you to wear a pressure garment over the scar for as long as a year.
Hypertrophic scars are commonly confused with keloid scars. However, unlike keloids, these scars usually appear within the boundaries of the original incision or wound. This type of scarring heals without any medication, but the recovery process may take up to a year without the assistance of steroid injections or other applications.
For more immediate results, Dr. Ostad can surgically remove the scar. During this procedure, he removes excess scar tissue and then repositions the incision so that the scar will heal less visibly. This is a simple procedure that is done with local anesthesia.
There are many ways to make facial and body scars less visible. One technique can be to simply cut out the scar ad stitch the wound to leave a less noticeable scar. Other scars can be treated by a technique called dermabrasion, where a machine is used to scrape off the top layer of the skin to even the texture of the skin. Dermabrasion will leave a smoother surface but will not completely remove the scar. Certain depressed scars can be filled with facial fillers. In other cases, laser treatments can be used to improve and minimize the appearance of scars. Dr. Ostad will examine the scar and offer a customized combination of treatments to achieve your aesthetic goals.
Z-Plasty is a technique that Dr. Ostad uses in surgeries to reposition a scar so it is closer to the natural lines and creases of the skin. This surgical technique will make the scar look less noticeable, while relieving the tension caused by contracture.
Z-Plasty consists of removing the old scar and making new incisions on each side to create triangular flaps of skin. The flaps are then rearranged to cover the wound at different angles to give the scar a “Z” shape. The wound would be closed with sutures that are removed in five to ten days. The procedure is usually performed under local anesthesia. Results typically make the scar less visible but cannot make it completely disappear.
Dr. Ariel Ostad performs all surgical procedures at his New York City office, which is a fully certified operating facility approved by the American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF). If you think a surgical scar revision is right for you, call Dr. Ariel Ostad’s office to schedule a consultation.