Scar Revision

Scar Revision

Surface Treatment Injectable Treatment Surgical Treatment

Typically, the result of an injury or surgery, scars can often be unpredictable. It is difficult to determine how a scar will look once it is fully formed. Some scars may fade greatly over time so that they closely match the color of a person’s skin, becoming nearly invisible. Other scars may become pink, red, recessed, or raised above the surface of the skin. Poor healing may result in highly visible, or disfiguring scars.

The severity of the scarring – including the size, location, skin type, and origin of the scar – largely determines what degree of improvement can be achieved with scar revision treatment. If you are bothered by noticeable scarring, Dr. Arledge offers several options for scar revision treatment. Each option is designed to minimize the appearance of your scar by making it more consistent with its neighboring skin tone and texture. Although no one can completely erase a scar once it has formed, our procedures can help minimize the scar’s appearance. Treatment options for scar revision range from topical solutions to surgical scar revision. Dr. Arledge will evaluate your scar and skin health to recommend a scar revision treatment plan that is best suited to your personal needs. 


Surface Treatment


Topical treatment typically includes creams, gels, tapes, or external compression. As your scar matures these treatments can help create a softer, more narrow scar and decrease your skin’s ability to generate abnormal pigment. Topical treatment is generally used to improve the look of developing or existing scars.  

Surface treatments can be used to treat the appearance of scars and can include chemical peels and micro-needling. 

Surface treatment options are often used in order to improve the aesthetic appearance of scars. With a surface treatment, such as a chemical peel, Dr. Arledge can soften surface abnormalities and improve the appearance of blotchy pigmentation. Surface treatment is intended either to slough off the superficial skin layers or alter the nature of the tissue. The following techniques are common surface treatments used for scar revision:

Chemical peels remove the top layers of skin, exposing the fresh skin underneath. 

Microneedling, also known as invasive collagen induction therapy, is a minimally invasive procedure that can reduce the size and improve the appearance of scars. Microneedling uses microscopic needles to create a controlled skin injury and encourage the production of new collagen and elastin. Depending on its size and severity, the appearance of your scar may be improved with just one simple micro-needling or with a series of micro-needling appointments. 

Dr. Arledge will guide you through all your scar revision or removal options and help assess which method of treatment can best help to improve the appearance of your scars. 

Injectable Treatment

An atrophic scar is characterized by a weak, fragile, and perhaps sunken appearance. This type of scar occurs when the strength of the collagen and elastin that form the scar is inadequate. An injectable treatment may be able to help improve the look of a scar by stimulating new collagen production. This type of product would be considered a biomodulator such as Sculptra or Radiesse. A different type of injectable can help to raise the scar to the level of the surrounding skin. This product is usually a hyaluronic acid (HA) dermal filler such as Restylane® or Juvéderm®. 

hypertrophic scar is characterized by a raised, thick, and widened appearance. This type of scar forms when there is an overproduction of collagen and elastin. This overproduction can be caused by a number of different factors which will be considered when recommending therapies. Injectable treatments for this type of scar are focused on the balance between collagen production and collagen breakdown. An example of this treatment would be a steroid injection, like Triamcinolone. 

Surgical Treatment

When a scar does not respond favorably to less invasive options, surgical intervention may be considered by Dr. Arledge. Surgery is usually the last option in scar treatment. Surgical treatment will always generate scarring but the new scar is expected to be more favorable than the original. There are a variety of surgical options available from simple excision and closure to more complex options including flaps or grafts. If less invasive options have left you wanting a better result, it may be time to consider surgical treatment.

Dr. Arledge will guide you through all your scar revision or removal options and help assess which method of treatment can best help to improve the appearance of your scars. 

To schedule a personal consultation with Dr. Arledge and learn more about scar revision treatment, please contact Arledge Aesthetics & Plastic Surgery by calling 806-788-5598 or using our convenient online form below. 

Call Us Online Form

Contact Us

We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below. Additionally, feel free to let us know if you prefer being reached by phone call or text message. Thanks!