Scar Revision & Keloid Treatment New Orleans
Dr. Velargo is sensitive to this and is highly skilled in scar revision surgery of the face and neck. “Surgical treatment” for deep scars and skin defects implies that incisions may be made to remove the existing scar or blemish. Each incision made into the skin, regardless of where it is placed, who makes it, for what purpose it is made, or whether it is deliberate or accidental, heals in the same manner as any other cut; that is, it produces scar tissue—nature’s method of healing. This simple fact is frequently forgotten or ignored by individuals who think that a plastic surgeon can make an incision and leave no visible scar and that he can, in fact, eliminate existing scars. In reality, Dr. Velargo’s goal is to replace an unsightly or disfiguring scar with a better scar, one which is narrower, more level, blends with the surrounding skin surface, and causes no contracture or pull on the surrounding structures; in short, one which is as inconspicuous as possible. The final appearance, however, is dependent on many factors, one of which is the patient’s own healing capability.
The passage of time is the best, the kindest, and, in the long run, the simplest treatment to give to any scar of recent origin since most will undergo spontaneous improvement if given enough time to do so, often 6 to 18 months. A decision regarding scar revision may be delayed until this time has elapsed. However, scars that cause distortion of normal structures (eyebrows, lips, eyelids, nostrils, etc.), those that spread widely or produce deformity by contraction, and “U” or “J” shaped scars may be repaired earlier because little or no improvement in the basic problem can be anticipated with the passage of time.
What Can A Scar Revision Accomplish?
A scar revision can correct scars that are:
- Wide
- Crossing natural creases or facial contour lines
- Elevated above the adjacent skin
- Depressed below the adjacent skin
- A different color from adjacent tissues
If any or all of these characteristics are present, improvement in any one of them should make the scar(s) less conspicuous. Correction of two or three of these factors can often result in dramatic improvement of the appearance (and sometimes function) of the scar(s).
What Happens During A Scar Revision?
Scar revision surgery is typically performed under local anesthesia in Dr. Velargo’s clinic procedure room. However, this surgery can be performed under a spectrum of anesthesia based on the patient’s health and comfort level. Dr. Velargo will spend time with you in consultation to ensure that every effort is made to reach your goals in a realistic manner. Dr. Velargo will analyze your scar and develop a unique plan for improvement.
When removing an existing scar or blemish by simple excision, Dr. Velargo makes every effort to place the line of incision as nearly as possible in or parallel to one of the normal crease lines of the face. Simple excision of the old scar with meticulous closure may be all that is required.
Sometimes it may be necessary to change the direction of a scar so that it will follow these lines – a technique known as a Z-plasty. Changing the direction of some scars is impossible and may require an additional technique of camouflage, such as W-plasty or geometric broken line closure.
Excision of large unsightly scars may require multiple operations over a period of time (e.g., serial excisions). Lastly, skin resurfacing procedures such as dermabrasion or laser therapy may be indicated to smooth out scars.
Meet The Surgeons
We’re dedicated to delivering more than treatment—we build lasting connections through compassion, skill, and personalized care. Our mission is to provide exceptional service and results, making us the trusted choice for cosmetic and reconstructive plastic surgery in New Orleans.
Confidence Starts Here
Contact the New Orleans Center for Aesthetics and Plastic Surgery today to find out more about expert scar revision surgery.
Scar Revision FAQs in New Orleans
What Can I Expect During Recovery from Scar Revision?
Recovery from scar revision varies depending on the technique used and the size and location of the scar being treated. Most scar revision procedures are performed under local anesthesia in our clinic procedure room, allowing you to return home the same day. You’ll receive detailed aftercare instructions to optimize healing and minimize the visibility of the new scar. Swelling, bruising, and tenderness are normal in the days following surgery. Dr. Velargo will see you for follow-up appointments to monitor your progress and ensure you’re healing properly. Because scars continue to mature and fade over time, it’s important to be patient as final results can take anywhere from 6 to 18 months to fully develop. Dr. Velargo and our expert team are here to guide you through every stage of recovery and will recommend scar care products or additional treatments like laser therapy to further enhance your outcome.
What types of scars can be improved with scar revision?
Scar revision can address a variety of scar types, including those that are wide, raised above the skin surface, depressed or indented, crossing natural facial contours, or a different color from the surrounding tissue. Common candidates include surgical scars, traumatic injury scars, acne scars, and keloids. During your consultation, Dr. Velargo will carefully analyze your scar and develop a customized plan for improvement. It’s important to understand that while our goal is to replace an unsightly or disfiguring scar with a better, more inconspicuous one, no surgical technique can completely eliminate a scar. However, improvement in one or more characteristics – width, elevation, texture, or placement – can often result in dramatic enhancement of both appearance and, in some cases, function.
Does insurance cover scar revisions?
Scar revision is typically considered a cosmetic procedure and is not covered by insurance. However, if your scar is causing functional problems, such as restricted movement, distortion of normal structures like the lips or eyelids, or significant contracture, there may be circumstances where insurance will provide coverage for the functional component of your surgery. We recommend contacting your insurance carrier directly to inquire about your specific case. During your consultation, our team can discuss financing options to make your scar revision treatment as accessible as possible. Rest assured that we’ll work with you to develop a plan that fits both your goals and your budget.