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Scar Revision

Scar revision is a plastic surgery performed to improve the condition or appearance of a scar anywhere on the face or body.  Discoloration, surface irregularities, and other more subtle scar characteristics can be cosmetically improved by surgical scar revision or other treatments by our Scar Management Program.  These typically do not impair function or cause physical discomfort and include acne scars as well as scars resulting from minor injury and prior surgical incisions.

The degree of improvement scar revision can achieve depends greatly on the severity of scarring, and the scar type, size and location.  In some cases, a single technique may provide significant improvement. However, our Scar Management Team may recommend a combination of scar revision techniques to achieve optimal results such as Topical treatments, injectable treatments, surface treatments and excisions.

A scar can occur any time the skin is cut, abraded or burned.  Here’s how: The body’s wound-healing process begins with inflammation. Scarring occurs when the wound-healing process is disrupted by factors such as too much or too little collagen (the main structural protein found in your skin).  Exactly how a scar forms depends on several factors, including your age, the part of your body that has been injured as well as your skin color, texture and tone.  The more significant the injury and the longer the healing period, the greater the chance of developing a noticeable scar.

Scars are visible signs that remain after a wound has healed. They are unavoidable results of injury or surgery, and their development can be unpredictable. Poor healing may contribute to scars that are obvious, unsightly or disfiguring. Even a wound that heals well can result in a scar that affects your appearance. Scars may be raised or recessed, different in color or texture from surrounding healthy tissue or particularly noticeable due to their size, shape or location.

Do you have a scar that bothers you?  Do you want to find out if scar revision in Colombia is best for you?  Request a consultation online or call us at (+57) 312 545 5569 in Cartagena and (+1) 305 8481909 in United States to request an appointment with one of our skilled, sensitive plastic surgeons.

There are several types of scars, including:

Atrophic Scars.These acne scars are depressed and pin-like.

Hypertrophic Scars. These scars are firm, raised and pink. They stay within the borders of your wound and tend to develop soon after your injury.

Keloid Scars.These are raised, red scars that often spread outside the borders of your injury. Keloids often appear dark and “ropey” and may form months after your initial injury.

The consultation process at Premium Care starts with a candid discussion of your goals and your relevant medical history.  Disclose all information regarding your health, including whether or not you smoke and what medications or vitamins you presently take.

After examining your skin and the scar(s) you want removed or diminished, your surgeon will explain the technique he or she thinks is best suited for you as well as the risks, costs and recovery associated with this procedure.  Your doctor will likely stress the fact that no scar can be removed completely.  Your treatment may only slightly improve the appearance of your scar.  Expectation management is important when it comes to scar revision.

Scar revision may take anywhere from a few minutes to a few hours. This depends on the size of the scar or scars. Most of the time, it is done using local anesthesia, but general anesthesia may be an option in some extreme cases.

Scar revision is meant to minimize a scar so that it is more consistent with your surrounding skin tone and texture.  There are many options for scar removal or scar revision, and there is no one-size-fits-all scar removal treatment just as there is no one-size-fits-all scar.

Silicone sheeting or gels can be placed on your scar for several weeks or months to help it fade and flatten. These products can also be used preventively after a cut or skin trauma if you are prone to unfavorable scarring.

Steroid injections can help break up collagen and reduce the appearance of certain scars. Surgical excision or removal of the scar is also an option, but it could result in a worse scar.

Chemical peels and dermabrasion also play a role in scar removal.

Laser scar revision   uses a surgical laser is moved along your scar, vaporizing or removing a layer of skin.  This triggers a controlled wound healing process in which untreated skin surrounds the wound, helping to repair it.  A more natural-looking skin layer forms that, over time, heals and minimizes your scar’s appearance. Some lasers actually stimulate the production of new collagen, basically correcting scars from the inside out.

Surgical revision with advanced techniques in wound closure is often used to turn a widened scar into a fine line.  Although scar revision can provide a more pleasing cosmetic result or improve a scar that has healed poorly, a scar cannot be completely erased.

Initial wound healing may take 1 to 2 weeks at which time you will follow up  and have any sutures removed, if necessary.  Healing will continue for the several weeks; as the new scar heals it will ideally, slowly refine and fade.

The results will be long-lasting

The final results of your scar revision surgery will be long-lasting, however it may take several months for your final results to become apparent and in some cases it may take a year for the new scar to fully heal and fade.

The practice of medicine and surgery is not an exact science. Although good results are expected, there is no guarantee, in some situations, it may not be possible to achieve optimal results with a single surgical procedure and another surgery may be necessary.

  • Chemical peel solutions:Substances that penetrate the skin’s surface to soften irregularities in texture and color.
  • Contractures: Scars that restrict movement due to skin and underlying tissue that pull together during healing and usually occur when there is a large   amount of tissue loss, such as after a burn.
  • Dermabrasion:Mechanical polishing of the skin.
  • Excision: Surgical removal of a scar.
  • General anesthesia: Drugs and gases used during an operation to relieve pain and alter consciousness.
  • Hyperpigmented scar:A scar that is darker in color.
  • Hypertropic scar:Thick clusters of scar tissue that develop directly at a wound site.
  • Hypopigmented scar:A scar that is lighter in color.
  • Intravenous sedation: Sedatives administered by injection into a vein to help you relax.
  • Keloids:Large scars that can be painful or itchy, and may also pucker which can occur anywhere on your body, developing more commonly where there is little underlying fatty tissue, such as on the breastbone or shoulders.
  • Laser resurfacing: A method to change to the surface of the skin that allows new, healthy skin to form at the scar site.
  • Light therapy: (Intense Pulsed Light) Pulses of light that can be used to treat discoloration and texture changes of the skin.
  • Local anesthesia: A drug injected directly to the site of an incision during an operation to relieve pain.
  • Skin grafts: Healthy skin taken from other areas of your body, such as the abdomen or thigh, to revise a scar.
  • Tissue expansion: A procedure that can substitute for skin grafts. An inflatable balloon called a tissue expander is placed under the skin near the scar site to stretch additional skin to be used to revise a scar. Oftentimes, multiple procedures are needed.
  • Z-plasty: A surgical technique that creates angled flaps on either side of the original scar site that can completely reposition or change scar direction, interrupt scar tension or improve scar flexibility.

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