Define Your Past: Scar Revision

Scars occur as a result of the body trying to heal itself after an injury or surgery. In some cases, scars heal well and become much less visible over time. Other scars may not heal as well, becoming a cosmetic nuisance and even affecting function in some cases. For those that are unhappy with the look of a scar, Dr. Madnani offers scar revision procedures to reduce their appearance and create a more pleasing aesthetic result.

What Type of Scar do You Have?

Different scars require different types of treatment, so the first step in choosing a scar revision procedure is to identify the type of scar you are dealing with. These are the different types of scars Dr. Madnani can address at both of his offices:

Acne Scars

These scars are often left behind after the acne breakouts finally stop. Shallow scarring that can cover a wide area of skin can be embarrassing for former acne sufferers. Deep scarring can alsooccur from this condition.

Hypertrophic Scars

When the body’s own healing process becomes overzealous, a hypertrophic scar can be the result. These scars are typically raised above the skin’s surface and may be significantly discolored, making them even more prominent.

Keloid Scars

Keloid scars are hypertrophic scars that continue to grow, usually beyond the boundaries of the original injury. These scars can actually cause physical pain in addition to the cosmeticdiscomfort. They are frequently found on the face, neck, ears and chest.


These scars occur when the skin and underlying tissue constrict during the healing process. In addition to their cosmetic concern, these scars can actually restrict movement or function in the area where they are located.

Once the specific type of scar has been identified, treatment can be recommended. Dr. Madnani offers a variety of scar revision procedures that allow him to customize treatment to the unique needs of each patient.

Options in Revision Treatment

Treatment for a scar will depend on the type of scar it is and the severity of the disfigurement. Procedures might include:

Skin Resurfacing Procedures – Treatments like laser resurfacing or chemical peels go a long way in removing outer skin layers, leaving the skin softer and smoother and the scar less visible.

Injectable Treatments – Pitted scarring, like that left behind after acne, may respond well to injectable dermal fillers. These formulations are injected into the underlying dermal layers to smooth out scars from the inside out.

Steroid Treatments – When the scar is causing discomfort or itching, such as a keloid scar, steroid injections may reduce the discomfort while softening the appearance of the scar overall. Scars that have hardened over time may also shrink in size after steroid injections.

Surgical Procedures – Some scars will require an excision procedure that cuts out the original scar, leaving a much smaller, less obtrusive scar in its place. Dr. Madnani may use a layered approach when closing these scars to get a smoother, less noticeable result.

What You can Expect from Your Results

Scar revision treatments are frequently performed in Dr. Madnani’s office on an outpatient basis. Topical numbing or local anesthesia will be used to keep the procedure comfortable for the patient. In some cases, patients may return to their regular activities as soon as the procedure is over.

The results of scar revision can be seen fairly quickly after the procedure and will continue to improve in the weeks and months following treatment. While these procedures will not eliminate a scar entirely, they can effectively make them less visible to increase the patient’s self confidence and satisfaction with their appearance. To learn more, contact Dr. Madnani today at 212-203-8591 or 516-582-8976.