Facial Scar Revision Surgery

 

691. Facial Scar Revision Surgery

Facial scar revision aims to reduce the visibility of various types of scars—raised, sunken, pigmented, pale, or contracted—to enhance appearance. Why do scars form differently even with the same incision? It’s not just about your “skin type,” but more about your lymphatic system. When lymph vessels are well-developed and clean, cellular waste drains efficiently, minimizing inflammation and scarring. However, if lymph flow is blocked or polluted—often due to processed foods—the buildup of toxins irritates tissues, leading to hypertrophic scars, keloids, or atrophic scars depending on blood supply and damage level.

To treat scars surgically, local flap techniques such as Z-plasty and W-plasty realign scars along natural skin tension lines, making them less noticeable. For deep sunken scars, dermal grafts or fat grafting can be used. Since fat graft survival may be low in scar tissue, we combine treatments like subcision, PRP (Platelet-Rich Plasma), ADSC (Adipose-Derived Stem Cells), SVF (Stromal Vascular Fraction), and hyperbaric oxygen therapy.

Non-surgical treatments also play a key role. Radiofrequency (RF) helps remodel collagen by gently heating the dermis. Laser therapy breaks down scar tissue and promotes regeneration. Low-Level Light Therapy (LLLT) stimulates mitochondria to boost cellular repair and speed up scar healing. Advanced micro-optic devices now allow ultra-fine skin grafting for even more precision. For raised scars, silicone gel pressure therapy can also be effective.

Ultimately, scar outcomes improve not just with procedures but with lifestyle: eat clean (avoid food additives), exercise to detox lymph fluid, and sleep deeply from 10 PM to 5 AM—the prime time for skin repair.

Facial scar revision is the art of making what remains... beautifully unnoticeable.
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