When you injure your skin through instances such as burns, cuts, lacerations, acne, chickenpox or previous surgery, the area develops fibrous scar tissue. Depending on your age, skin type and the location of the scar, and the scar’s healing process, the scar can widen, become red, discolored, raised or hyperpigmented – which can cause self-consciousness and even restrict movement in the skin or limbs.
Surgical scar revision, also called scar removal, fades a scar that is not cosmetically pleasing, or has reduced function or movement in the area. While scar revision or reduction treatments cannot completely remove a scar without there still being a scar in its place, it can dramatically reduce the size or appearance of scars1, and any tightness or stretching of the skin.
Patients will often require a combination of treatments to achieve their desired outcome. At his offices in Manhattan and Garden City, Long Island, Dr. Cameron Rokhsar performs scar treatment to reduce the appearance of scars.
*Results may vary.
There are several types of scars, influenced by how the scar heals, or what caused the scar.
Acne affects up to 60 million Americans annually. Of these, 20 million will have severe acne, often leaving them with scars. These scars can have a variety of appearances, and fall into four types – boxcar, icepick, rolling and keloid.
Keloid scars occur when the skin ‘over-repairs’ itself after injury, producing too much collagen. This results in a raised or protruding scar which grows beyond the site of the original injury. These scars often appear red and can be itchy, and can restrict movement if they occur near a joint.
Similar to keloid scars, hypertrophic scars are formed by overproduction of collagen during a scar’s healing process, but do not grow beyond the site of the injury. These, too, are red and raised and often itchy, and require treatment.
Contracture scars occur after burns and often penetrate deep into the skin – affecting nerves and muscles below the surface of the skin. As the name suggests, they cause tightening in the skin, which affects movement and can be painful or uncomfortable.
Treatment for surgical scar revision2 is a very personalized process – with treatments chosen based on a patient’s age, health and skin type, as well as the size, location and type of scars they have. This highlights the importance of choosing an experienced, board-certified specialist to undertake your scar revision. Scar revision3 treatments include:
Fraxel laser is an advanced skin resurfacing technology which triggers the body’s natural repair response to reduce the appearance of scarring. Dr. Rokhsar was one of the pioneers of the fraxel laser and continues to lead the way in training and innovation. Dr. Rokhsar’s protocols for treatment of acne and surgical scars with the fraxel laser are followed around the world as Dr. Rokhsar helped develop the fraxel laser through the early FDA clinical trials in 2003-2004..
Fractional CO2 Laser Resurfacing
Similar to fraxel laser, fractional CO2 laser resurfacing regenerates the skin to improve its texture and tone. Fractional Co2 laser resurfacing has shown much promise in the treatment of a variety of scars, but especially hypertrophic, tight, contractured scars commonly caused from burns especially on the face, hands, legs, the torso and the feet. This laser evaporates scar tissue in a controlled fractionated manner stimulating the body to create new skin to replace the scarred skin. Contractures and tightness can get better after a few sessions with this laser. As this is a very tricky laser and tricky technique, you must choose a doctor with vast experience in the treatment of scars with the CO2 laser. Dr. Rokhsar is considered a world expert in the treatments of scars and wrinkles with the CO2 laser. Dr. Rokhsar trained with the late Richard Fitzpatrick, who is considered the father and inventor of CO2 laser resurfacing. Dr. Rokhsar gets referrals from numerous dermatologists and plastic surgeons from around new york, and the tri-state area and from around the country and the world.
Oftentimes, many scars including scars from cuts, trauma, burns or even acne scars appear red in color. This is because scars are stimulated to grow abnormal scar tissue due to an abundance of blood vessels feeding the scar ths giving its red appearance. Vascular lasers including the pulse dye or the Vbeam laser are an important adjunct to the treatment of many types of scars. These lasers specifically interact with the red color of the scar and diminish the blood vessels that supply blood to the scar. By doing this they help scars calm down, not only in their red appearance but also in their texture, hardness, and toughness. Dr. Rokhsar may advise you to have the pulse dye laser treatment alone or in conjunction with another laser modality. Dr. Rokhsar is considered a world expert in the treatment of scar with a variety of lasers.
Many scars appear hollowed out or depressed in nature. When these depressed scars occur as a result of acne scars, they are often referred to as rolling scars. Scars can also appear hollowed out or caved in other parts of the body as well. Dr. Rokhsar employs a technique called subcision for treatment of these scars. Subcision helps build our own body’s tissue in the area of the depressed scar, creating a smoother contour appearance. Dr. Rokhsar first numbs the area locally. He then uses a special instrument to free up the bound down depressed scar from the underlying tissue. The body replaces this space with normal tissue to create a more even appearance and improve the caved in look. Dr. Rokhsar is highly experienced in the techniques of subcision. Other doctors often refer their tough scar cases to Dr. Rokhsar for his special expertise in this subject.
Scar tissue is often thick. This thickness stems from the over-growth of abnormal thick collagen in the scar tissue. Dr. Rokhsar uses a special formula of an appropriate concentration of a steroid in conjunction with a drug called 5-FU. This combination is highly synergistic and breaks up scar tissue expeditiously. Multiple injections are required at monthly intervals. Dr. Rokhsar’s results employing this combination for treatment of hard raised scars are unmatched.
Sometimes, an incision is needed to alter or reduce the appearance of a scar. There are several techniques surgeons use during scar revision surgery, depending on the size and location of the scar. As an expert reconstructive surgeon, Dr. Rokhsar can advise you if a surgical revision is right for you. If you chose this route, You can rest assured that you are in the care of highly skillful surgical hands with over 25 years of experience. Dr Rokhsar uses highly advanced surgical suture techniques with sutures buried under your skin so that you won’t get track marks. Since Dr. Rokhsar uses both surgical and non surgical methods to improve your scar, you have many options at your disposal. You, along with Dr. Rokhsar will come up with an individualized plan to address the specific type and nature of your scars.
If you have scarring that makes you feel uncomfortable or self-conscious, transformation could be just a phone call away. Contact Dr. Rokhsar for a confidential, personalized scar removal consultation.
Upper East Side Manhattan
121 East 60th Street, Suite 8AB New York, NY 10022
Garden City Long Island
901 Stewart Ave, Suite 240, Garden City, NY 11530
1 Cosmetic Procedures: Scars. Available: https://www.webmd.com/beauty/cosmetic-procedures-scars.
2 Scar Revision – Minimize a Scar. Available: https://www.plasticsurgery.org/reconstructive-procedures/scar-revision.
3 Scar Revision. Available: https://www.ncbi.nlm.nih.gov/books/NBK542318/.