Question : I notice that when I am not smiling, it looks like I am frowning. People actually comment that I seem angry. I don’t know if this involves just my mouth or both my mouth and eyes. Would a consultation help me identify whether I need a cheek lift, an eyelift or both?
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Posted in Laser Skin Resurfacing, Scar Revision on December 20th
Question:
My child suffered a severe burn. Are there any surgical options for improving the scarring?
Answer:
This all depends on the extent and location of the scars. Some can be treated medically with silicone applications and massage or steroid injections. Sometimes a surgical scar revision may help.
Posted in Laser Treatments, Scar Revision on December 8th
Question:
I have some scarring on my cheek and chin from an accident. The scars have never lightened in color but seem as bright red as when I first got them. What procedure can you offer to remove these scars?
Answer:
Unfortunately, nothing can remove a scar completely. You can improve the appearance. If the scars are still red, they can be treated with a pulsed dye laser. This may also decrease the appearance some. A surgical scar revision or the carbon dioxide laser can also help. Here is an appropriate link.
Posted in Scar Revision on October 2nd
Question:
I was in a terrible accident exactly one year ago. While I know I should just be grateful to just be alive, every time I look in the mirror I remember that night. Can large facial scars be removed? Does it require extensive surgery under general anesthesia?
Answer:
Scars can never be removed but can often be modified to hide better along the natural crease and skin lines of the face. Some may also need camouflage with surgical techniques or even laser resurfacing.
Posted in Scar Revision on September 22nd
Question:
I have some keloid scarring on my ears from piercings. Can these be removed, and how can I prevent them from coming back in the future?
Answer:
Keloid scars and the more common hypertrophic scars of the external ear are very common. We see and treat a lot of them. People with black skin are the most prone to keloids of the ear lobe, just from the piercing itself. Hypertrophic scars often develop as a result of an infection. Piercing through the cartilage of the ear puts you at risk for infection and both of these scars. Treatment of these scars can be challenging. It usually requires a series of injections with a steroid suspension called triamcinolone to soften the scar. Once soft enough and small enough, according to the surgeon’s judgement, an attempt at excision is worthwhile. This is followed by monthly triamcinolone injections into the scar beginning 10 days after surgery. Sometimes we excise a keloid with the carbon dioxide laser, but most insurance companies do not cover this. Keloid and hypertophic scars that go through the ear from one side to the other are particularly challenging. Treatment of any of these scars typically takes well over a year.
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