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Scar Revision Treatments

Scar Revision Treatments | Laser Treatments of Scars | Mole Removal | Manhattan | New York City (NYC)Scar revision is performed to reduce the appearance of scars caused by injury or previous surgery. While many scars fade over time and eventually become unnoticeable, many patients experience disruptions to the healing process that cause scars to become red, raised, indented or otherwise abnormal.

Many patients are unhappy and embarrassed by the appearance of these scars, especially when they are located in prominent areas. Dr. Schwartz provides comprehensive scar revision services to help patients improve their scars at his practice in New York City NY.

Types of Scars

There are several different types of abnormal scars that are commonly seen.

  • Hypertrophic scars are red, raised scars filled with excessive amounts of collagen that may be itchy or slightly painful, although they are considered harmless and do not grow beyond the boundaries of the initial wound.  
  • Keloids are overgrown areas of scar tissue that appear as irregularly-shaped, raised, pink or red areas that may continue to grow over time. While they can occur anywhere on the body, they are most common on the face, neck, ears, chest or shoulders. Keloids have a tendency to recur and are typically treated with several different types of therapy.
  • Contractures are more severe scars that restrict movement as a result of the tissue in the area pulling together during the healing process. This type of scar most commonly occurs after tissue loss or in wounds that occur on a joint.

Scar Revision Procedures

Scars are by definition permanent, but certain treatments can narrow, fade and reduce the appearance of severe or unattractive scarring. This is especially helpful in areas of cosmetic importance such as the face and hands. There are many surgical methods of scar revision, only some of which may be appropriate for a particular type of scar or its location. These include surgical excision, skin grafts, flap surgery, Z-plasty, and others.

The best procedure for each patient will vary depending on the location and severity of the scar, as well as the age, overall health and extent of revision desired by the patient. At his practice in New York City NY, Dr. Schwartz will develop a personalized treatment for you after a thorough evaluation of your scar.

Excision of Scars

Surgical excision is most often used for facial scars and scars with contractures. It involves making an incision to surgically remove the scar and surrounding damaged tissue with a scalpel. It is closed with tiny stitches, leaving a thinner, less noticeable scar. A skin flap or skin graft is used to restore the function and appearance of the skin in the treated area when there is a larger scar. A Z-plasty is a type of scar revision used for scar contractures. It repositions scars so that they fall in the natural creases of the skin and improve flexibility that may have been affected by the contracture.

Topical Treatment of Scars

Many abnormal appearing scars will improve with a series of anti-inflammatory (steroid) injections. The most common medication is Kenalog. Kenalog can reduce redness and itching and can shrink the size of the scar.  Patients may require multiple injections to achieve the maximal results. These are given every four to six weeks. Chemical peels and skin bleaching can effectively improve the appearance of discolorations and mild surface irregularities by gently removing the top layers of skin and rejuvenating the underlying layers for a restored appearance. Multiple treatments are needed in order to achieve noticeable results.

Laser Treatments of Scars

Similar to surface treatments, laser treatments gently remove the damaged layers of skin to reveal new, restored skin underneath, while also stimulating collagen production for further gradual improvements. At his practice in New York City NY, Dr. Schwartz uses a combination of the Sciton ProFractional and Erbium lasers to treat abnormal scars. This precise, state-of-the-art-technology ensures that only damaged tissue is treated while healthy surrounding tissue remains intact.

If you are interested in learning more about our Scar Revision procedures, call 212-737-9090 to schedule a consultation.

Mole Removal

Mole Removal Surgery | NYC | ManhattanMoles are small growths of the pigment cells in your skin. These growths can be raised or flat, dark or light, or in some cases will look like same color as the surrounding skin. A mole may be unchanged throughout your life, or in areas that have substantial sun exposure, new moles may develop over time. Moles that appear on the face and body can be particularly unattractive and distracting.

At his practice in New York City NY, Dr. Schwartz will examine each mole you are interested in having removed. With a local anesthetic, the moles can be surgically excised and the tissue is sent to a pathologist for analysis. Every precaution is taken to assure that the moles heal with as little visible scarring as possible, by placing the scars within the direction of natural skin lines. Also, tiny sutures are used to repair the excision. Occasionally, a raised mole can be shaved to make it flat. While this technique does not require sutures, there is a good chance the mole will return at a later date. Regardless of technique, excised moles are sent to the pathologist for analysis.

The cosmetic advantage of mole removal is obvious--your appearance will improve once a disfiguring mole is removed, giving you clearer skin and improved self-esteem. Mole removal also offers an important health benefit. Removal of a suspicious mole and examination by a pathologist is the best way to detect skin cancer. In general, the main risk to mole removal is the chance of a thin scar which will likely fade with time. Most patients consider this a small trade off for removing an unsightly or growing mole.

If you are interested in learning more about our Mole Removal procedures, call 212-737-9090 to schedule a consultation.

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