FACIAL SCARS AND COSMETIC SURGERY WITH DR.CHAFFOO

 

 

Facial Scars Blog

 

Facial scars are the natural result of the healing process which occurs following an injury to the skin and occasionally deeper facial structures. Most scars will heal imperceptibly due to the complex process of healing which lasts up to 12 months or more. A scar may be quite noticeable soon after an injury and simple treatment will improve it over time. Avoiding excess sun exposure and using a sunscreen with an SPF of 30 will prevent the scar from exposure to the ultraviolet rays of the sun which may result in prolonged redness or brown discoloration of the scar.
The treatment of facial scars depends upon many factors. These factors include age of the scar, status of the underlying structures, location,skin type, scar dimensions, and the surrounding skin quality. All of these factors play an integral role in the appearance of the scar and the likelihood of a significant improvement in the scar.
There are multiple treatment options in a management of facial scars. Often multiple modalities maybe used to obtain the maximum improvement in the appearance of a scar. These may be done simultaneously or at separate sessions. Once a scar has matured or ,in other words,has not changed appreciably within the past 12 months then permanent options can be considered to improve the scar. However, premature treatment of facial scars with lasers or surgery may actually create a more noticeable scar and compromise the final aesthetic outcome.
Facial scars which are relatively shallow may sometimes be improved with use of laser resurfacing. This is a means of smoothing down the edges of the scar and the surrounding skin to allow the scar to blend in with the surrounding skin. Laziest can also be used to remove unwanted blemishes and tiny blood vessel’s that are located in or near a scar to make it blend more evenly with the surrounding skin. If this car is significantly depressed this may be due to a loss of the underlying soft tissue.
Temporary fillers which contain a hyaluronic acid (Juvederm,Restylane) may be useful to determine the success of using a permanent autologous filler such as dermis or fat. If the scar depth is markedly improved with a temporary filler then the underlying deformity can often be permanently corrected with the use of a patient’s own tissue such as fat or fascia. This is a technique often performed under local anesthesia with a high success rate.
Surgical treatment may be indicated for scars that are relatively wide,irregular or uneven and could not be corrected with lasers or fillers. Surgical options include a excision of the original score with a layered closure. On occasion scars that are close to natural landmarks of the face can be hidden or moved into these locations. Such anatomic locations would include the hairline, existing facial lines or wrinkles of the face, junction of the nose, lip or ear.
Some scars can also be camouflaged if they exist along the hairline by newer hair transplant procedures like Neograft. This allows the transplantation of single hair follicles into and in front of the scar to often completely hide the scar when the hair follicles grow.
In conclusion,each facial scar must be evaluated individually by your plastic surgeon. Make sure to find a highly experienced plastic surgeon who is certified by the American Board of Plastic Surgery and a member of the American Society of Plastic Surgeons and the American Society for Aesthetic Plastic Surgery. Seeing an experienced and board-certified plastic surgeon ensures you receive the best medical and surgical treatment options available to minimize the appearance of facial scars.

RICHARD A. K. CHAFFOO, MD, FACS, FICS

RESIDENCIES:

Department of Otolaryngology-Head and Neck Surgery
Naval Regional Medical Center
Portsmouth, VA.
Division of Plastic Reconstructive and Hand Surgery
Department of Surgery Oregon Health and Sciences University (OHSU)
Portland, OR.

FELLOWSHIPS:

Facial Plastic Surgery
Head and Neck Oncologic Surgery
Division of Otolaryngology-Head and Neck Surgery
Stanford University Medical Center
Stanford, CA.
Burn Surgery. Regional Burn Center
USCD Medical Center, San Diego, CA.

UNDERGRADUATE EDUCATION:

BA- Chemistry, Summa Cum Laude
Catawba College, Salisbury, NC.

MEDICAL EDUCATION:

Doctor of Medicine (MD)
Wake Forest University, Bowman-Gray School of Medicine Winston, Salem, NC.

POSTGRADUATE EDUCATION:

Surgical Internship
Dept of Surgery
Naval Regional Medical Center
Portsmouth, VA.

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