Scar Revision 

Because of its location, a facial scar is frequently considered a cosmetic problem. There are several ways to make a facial scar less noticeable.

Often it is simply cut and closed with tiny stitches, leaving a thinner, less noticeable scar.

If the scar lies across the natural skin creases, Dr. Braly may be able to reposition it to run parallel to these lines, where it will be less conspicuous.

Some facial scars can be softened using a technique called microdermabrasion, a controlled scraping of the top layers of the skin. Microdermabrasion leaves a smoother surface to the skin, but it won’t completely erase the scar.

Z-Plasty

Z-plasty is a surgical technique used to reposition a scar so that it more closely conforms to the natural lines and creases of the skin, where it will be less noticeable. It can also relieve the tension caused by contracture.

In this procedure, the old scar is removed and new incisions are made on each side, creating small triangular flaps of skin. These flaps are then rearranged to cover the wound at a different angle, giving the scar a “Z” pattern. The wound is closed with fine stitches, which are removed a few days later. Z-plasty is usually performed as an outpatient procedure under local anesthesia.

While Z-plasty can make some scars less obvious, it won’t make them disappear. A portion of the scar will still remain outside the lines of relaxation.

As you heal, keep in mind that no scar can be completely removed. The degree of improvement depends on the size and direction of your scar, the nature and quality of your skin, and how well you care for the wound after the operation.