Posts Tagged scar revision
Nice Scar Revision – Orange County California
Posted by admin in "Good Plastic Surgery in the OC" on December 11, 2012
Scar revision is a type of surgery to improve scars. Advertising makes the treatment of scars very confusing. There are thousands of products with packaging promising anything and everything. Most people with disfiguring scars know most of these products offer little help.
Some scars can be improved with surgery however: scar revision surgery. Here’s an example of a scar revision case from my Orange County Practice:
Scar revision does not help all scars but rather scars that are wide or pigmented. In small cases, the surgery can be done in the office under local anesthesia only (numbing shots.) This brings the cost down. This doesn’t make it cheap, but makes it less expensive. Lasers are usually not used in scar revision surgery as they are not of proven benefit. Lasers do increase the cost however. 
Best Regards,
John Di Saia MD
Related:
Dr D’s Scar Revision Practice Site Page
Originally posted 2011-11-18 07:30:42.
Reader Question: Ugly Breast Lift and a Mass – How to Avoid / Fix?
Posted by admin in Dr D's Truth on October 31, 2012
I have been considering fixing my saggy sad boobies (two children, breastfeeding – blah. blah. blah.) Then I find this image online of a woman who had a lift with ugly scars and a new lump in her breast. This scares me. How do I get pretty boobies without the scars and lumps this lady got?
Plastic surgery comes with risk. Although the scarring you see here is not typical, it can happen and require surgery to fix. Of course poor scarring occurs more in certain practices than others and in patients who are less healthy and/or smoke more than in others. Compared to what we see in this case, the Katie Price breast lift scar drama kinda pales in comparison. All things are relative when we look closely enough anyway.
This lady you mention has two issues… scars and lumps. They may or may not be related.
(1) Scars – She shows her right breast in your image with a thick irregular scar in the healed incision at the inflamammary (under breast) fold. This looks amenable to scar revision. Her vertical scar between her areola and her lower breast scar is a bit wide as well. I would probably recommend scar revision surgery once these scars had matured and softened. Widened scars are particularly amenable to well performed scar revision more than some of the other treatment options.
(2) Lumps – Breast lift and reduction can result in scarring under the skin and in the breast that feels lumpy. These need to be carefully evaluated to make sure they are really just scar and not cancerous lumps. Fat necrosis after a breast reduction in particular can manifest in lumpy scars that become smaller over the first year from surgery. They can be removed if need be to prove that they only represent scarring and not something more worrisome.
How do you avoid these?
You can limit the problem by picking the right doctor, not smoking and having the right genetics.
Best Regards,
John Di Saia MD
Originally posted 2011-06-27 07:30:15.
Good Plastic Surgery in the OC – Positive Scar Revision Review
Posted by admin in "Good Plastic Surgery in the OC", A little respect, Dr D's Patients on April 13, 2012
“Got an excellent result from Dr. Di Saia after another surgeon made these same scars look terrible.”
“Dr. Di Saia is a nice guy and excellent surgeon. He really takes the time to explain what he is doing and is not arrogant like some doctors. He will also be honest about results/expectations and not try to sell surgeries that won’t help you. Dr. Di Saia’s assistant Lisa is also very helpful in making sure things work with your schedule and very prompt about returning calls. ”
Source: realself.com/review/orange-county-scar-removal-great-result-scar-revision
This gentleman is a client for whom I have repaired several scars. The one to which he refers in this review was one side of a skin graft donor site operated by a prior surgeon. He had pretty wide ugly pigmented scars on both sides of his groin that were very opportune for scar revision. We have repaired several scars for him in the office under local anesthesia following the one upon which he wrote this review.
The images he used for his review actually improved more with time as his “After” picture was only two weeks out from the repair of this scar. The image he shares shows the scar I removed from his right groin compared to the one we had not yet operated on his left (still wide and dark.) He did have a little bruising on his right from the surgery that had not yet faded when this image was taken.
As always I am honored when patients do me the compliment of an online review. Thank you. The review originally appeared on the Realself.com site.
Best Regards,
John Di Saia MD
Related:
Dr D’s Scar Revision YouTube Video
Posted by admin in video clips on February 16, 2012
The scar revision business has been increasing, so I made a little video for those looking into potentially improving their scars. Scar revision is best for wide or pigmented scars. When chosen and performed properly the improvement rate is pretty high.
Best Regards,
John Di Saia MD
Reader Question – Scar Improvement When to Seek Surgery?
Posted by admin in scar surgery on August 5, 2011
I have a wide scar on my leg that I got years ago. I have tried creams and stuff. When is surgery a good idea to improve a scar? Can a cream or a laser make it thinner?
Scar improvement has several phases and the condition of your body and how the wound occurred have parts to play. Early on after wounding there is the question of whether or not to have surgery to repair the wound. If the edges are clean and close together, then surgery is not always beneficial. If they are apart or the wound is dirty a proper medical evaluation and/or surgery can make things better down the line. When in doubt, get that evaluation.
Once the wound has started healing, if the edges are were not put together or were traumatized then scar tissue will form along those areas. Scar tissue doesn’t look like regular tissue. It doesn’t tan like regular tissue and it can be lumpy or obvious.
Surgery can improve a scar at this stage, but that scar should be allowed to mature before surgery is performed in most cases. The tissue softens and this makes the results of scar revision surgery potentially better.
In your case if a year has elapsed I would say have a good plastic surgeon look at your scar to give you an opinion on the potential for improvement. Many small scar revision procedures can be done under local (numbing only) shots in the office to keep the cost down.
Best Regards,
John Di Saia MD
Related:
Originally posted 2010-06-16 07:30:09.
Reader Laura on Folliculitis in a Politician
Posted by admin in plastic surgery news on June 23, 2011
Reader Laura’s Comment:
“A TERRITORY politician has been treated by a plastic surgeon after two huge holes suddenly appeared in his face. Newly elected Ross Bohlin will be scarred for life after contracting folliculitis, an infection of his hair follicles – but the former police officer is still surprisingly cheerful.” Is folliculitis common? Have you seen cases as bad as this one? Can women get this?
Source: ntnews.com.au/article/2009/12/31/112541_ntnews.html
Folliculitis is simply an infection or inflammation of hair follicles. It is not some rampant menace that is destined to eat New York or anything. That is news hype. Sometimes these infections can get out of control, but this is uncommon. Folliculitis can occur in men or women. Usually it just results in an ingrown hair or something minor. This man likely developed an infection that became worse until it required drainage and that drainage produced the hole.
The wound should heal and in a few months or when the scar is mature a scar revision will be in order. The key to avoiding these things is to get to your doctor before the infection gets really advanced.
Best Regards,
John Di Saia MD
Related:
Originally posted 2010-01-14 07:30:11.
JWOWW’s Boyfriend Sues for Breach Of Contract
Posted by admin in plastic surgery news on December 6, 2010
The former boyfriend of “Jersey Shore” cast member Jwoww filed a $700,000 lawsuit against her yesterday, claiming she owes him for helping to make her a star and getting her free plastic surgery — including cellulite removal. Tom Lippolis, 24, of Oyster Bay, LI, said he “dumped” the raven-haired reality star, whose real name is Jenni Farley, “because she cheated on me.” After that, he claims, Farley, of Franklin Square, ignored their written contract and refused to pay him his money. Lippolis said he arranged for “a boob job, cellulite reduction, fat reduction” and plastic-surgery scar removal, worth as much as $40,000, without charge from a surgeon, who did the work in order to say he was Jwoww’s doctor.
Source: nypost.com/p/news/local/jwoww_ow_jilted_beau_suing_her_for_Db3Iyvq5TLMKexhy5TdIJK
I wonder what the contract said. I doubt her plastic surgeon cared much about this “agent,” but rather wanted bragging rights to his celebrity client. I don’t see how Tom here could have the right to $700,000 of Jwoww’s money for setting up some promotional surgery. Did he score her the Jersey Shore gig? It sounds like she had some liposuction and scar revision surgery as well as the implants though. Thanks for the info Tom.
Best Regards,
John Di Saia MD
Reader Question: Pitted Acne Scars – Punch Excision?
Posted by admin in scar surgery on September 30, 2010
Reader Question:
I live in the UK and I am considering punch excision on several pitted acne scars. However, I have read of many people having bad results, such as ending-up with larger scars/holes than before. My main scar is approximately 5mm by 4mm and approx 1.5mm deep. Is is practical to try and improve this size scar with punch excision?
Acne scarring can be improved by various peeling procedures except in areas in which deep pits have developed. For these pitted areas excision and closure is the best treatment. For some reason the term punch excision has become preeminent. A “punch” is a biopsy forceps that removes a core of tissue in the shape of a cylinder. For a small narrow scar this could be used as a removal device, but doesn’t address the bigger issue of closing the wound. It also provides little help for larger pits. Use of a punch for this depressed scar would not be helpful.
By the looks of your image, I would think a small scar revision with a small buried suture would likely work best.
Best Regards,
John Di Saia MD
Related:
Reader Question: Scar Improvement
Posted by admin in scar surgery on December 22, 2009
Reader Question:
Is there anything to do for white pigmented scars post surgery, do they usually resolve themselves? Is cortisone cream helpful? Also a small strip of skin going down from incision has turned whiter, perhaps from tension?
You have several issues here:
(1) Pigment – The color of scar tissue and normal skin is different. Trauma and bleeding in the tissues can also introduce color changes. The lack of pigment is a white color which is probably scar (if you are Caucasian.) If this area is wide you might be a candidate for a scar revision.
(2) Timing / Non Operative Care- Scars do improve over the first year or so after the wounding that caused them to form. They do so better if kept out of the sun or if sun screens are applied. Silicone sheeting and/or massage can be helpful as well as the scar matures or remodels.
(3) Tension – Tension usually does not cause long term color changes in a scar unless there is quite a bit of it.
(4) Steroids – Steroid creams are not always helpful. I would avoid them unless professional advice recommends their use.
It sounds like you need an evaluation to figure your next best move.
Best Regards,
John Di Saia MD
Related:
Reader Question: Do You Ever Do Local Numbing Only Plastic Surgery?
Reader Question:
I would like some lipomas and moles removed by a plastic surgeon. Do you do numbing only surgery in your Orange County office?
Yes I do. Small cases including small wounds, scar revisions, small lumps and bumps and the like can be operated in the office under straight local anesthesia (only numbing shots). We do this mostly for cash business as health insurance will not reimburse us for materials we use during the surgery. Some patients like this as they can drive themselves home afterward.
Best Regards,
John Di Saia MD
Dr D – Your Orange County Surgeon
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