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4 Things You Should Do for Your Skin After You Turn 30

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Written By: Twin City Plastic Surgery

You’re never too young to invest in your skin and in good skin care. One of the biggest misconceptions that people have about their skin and skin care is that you don’t need to worry about it too much until you are in your 40’s, 50’s or 60’s. However, as soon as you are in your teens, you should have an appropriate plan for taking care of your skin that includes sunscreen and taking some preventative measures. When you hit 30, however, is when you should start making bigger changes to your skincare routine so that your skin will stay healthy and vibrant looking in the years to come.  Let’s take a closer look at four things you should do for your skin after you turn 30.

Try Microneedling

Microneedling is probably the biggest trend in skin care right now. By making tiny punctures in your skin, microneedling triggers the body to release its own natural growth factors in response, specifically new collagen and elastin, in a way only the body can do, delivering the purest form of each internally, without additives or preservatives. Micro-needling is extremely effective for treating a variety of skin conditions including wrinkles, scarring, (including acne scarring), stretch marks from pregnancy or weight loss/gain, texture or dryness problems, and hyper-pigmentation issues.  Additionally, it has the advantage of being utilized on skin that otherwise may not be well-suited to the irritation of chemical peels or the heat of lasers.  Micro-needling involves very little downtime and the end result is smoother, younger-looking skin.

Invest in Good Skin Care

Proper skin care is a must at any age, but when we are young and enjoying our smooth, tight, beautiful skin, wrinkles and dark spots are the last thing on our minds! By the time you hit 30, it’s time to start investing in anti-aging skin care products that contain ingredients like glycolic acid and retinol.  Most women also find that they need to pay more attention to the type of moisturizer they use.  It’s a good idea to consult a professional aesthetician who can recommend the best type of products for your individual skin type.

Use Sunscreen Everyday

Protecting your skin from the harmful rays of the sun is the single most important thing anyone can do to their skin looking it’s best.  Not only is the sun a major cause of skin cancer, but sun exposure causes sagging, wrinkles, dark spots, and generally contributes to skin that looks older than a person’s actual age.  If you haven’t been diligent about using sunscreen, now is the time to start.

Get Botox

You may have noticed that more and more thirty (and even twenty) somethings are getting Botox on a regular basis. You may think that you shouldn’t get Botox until you start noticing fine lines and wrinkles, but we encourage some of our patients to start getting Botox before their wrinkles get deeper and their fine lines get worse; as a sort of preventative measure.

Taking good care of your skin in your 30’s will set you up for better skin throughout your life.

You’ve Lost The Weight: Now What?

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Submitted by Twin City Plastic Surgery

We’ve all heard countless success stories about friends, family members and even total strangers who have lost significant amounts of weight. Maybe it’s even you who has dropped 100 pounds or more, either strictly by diet and exercise or interventional methods such as bariatric surgery. While either of these results in better long-term health, your initial appearance after weight loss may be not quite what you expected.

What happens after massive weight loss?

While you’re carrying those extra pounds, your skin is stretched around areas of your body like the abdomen, arms, legs, breast and face. After significant weight loss, the skin often fails to shrink back, resulting in upper arms that may sag and appear loose or full, flattened breasts, excess abdominal skin that may lay apron-like around your sides and lower back area, and hanging pockets of skin around buttocks, groin and thighs.

Many individuals who have experienced a great weight loss are turning to plastic surgery to improve the shape and tone of underlying tissue that supports fat and skin and removes excess sagging fat and skin. The result gives your new body a more “normal” appearance, with smoother contours.

The skinny on post-weight loss plastic surgery

There are a number of procedures that may be of interest to an individual who has recently lost 100 pounds or more. They include:

Body Contouring

Also called a body lift, this is the most commonly-performed surgery after weight loss. More than 106,000 body-contouring procedures were performed in 2004, up 77 percent over the last five years, according to the American Society of Plastic Surgeons. Massive weight loss patients accounted for nearly 56,000 procedures. Body contouring is the removal of excess, sagging skin around the abdomen and a tightening of skin around the buttocks, abdomen, waist, hips, thighs and arms.

Tummy Tuck

A tummy tuck involves an incision at the bikini line and around the navel. The surgeon then manipulates the skin and tissues and repairs weakened abdominal muscles. In some cases, you may have an additional incision to remove excess skin in the upper abdomen.

Breast Lift

During a breast lift, excess skin and tissue is removed and the nipple is repositioned. Implants can be added as well to improve shape.


 This procedure removes excess skin from the upper arm area.

Face “Lift”

This procedure involves removing excess skin around the face and neck.

Are you ready for the final step?

Many consider plastic surgery the “final step” in their weight loss journey. If your weight has stabilized for at least a year and you’re in overall good health, and if you don’t smoke and are committed to good nutrition, fitness and an overall healthy lifestyle, you are likely to get the thumbs up from your doctor as well as your plastic surgeon to make the desired physical tweaks. However, this process is not one to be entered into lightly. The results may be immediate but the healing will take time, your activity will be restricted temporarily, visible scarring will remain, and it will be your job to maintain a stable weight and overall fitness for the remainder of your life.

No matter if your weight loss is due to diet or surgical means, you deserve to have the body you earned for a lifetime to come.

Plastic Surgery Offers Solution For Enlarged Male Breasts

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Written by Twin City Plastic Surgery

A condition that plagues many men yet goes almost undiscussed in the media is Gynecomastia, otherwise known as enlarged male breasts. Gynecomastia occurs in 40 to 60 percent of men, sometimes as an on-going condition or may develop due to other medical changes.

While a man’s chest typically has some shape, many men find their chest has excess fat or contouring similar to women’s breasts. Gynecomastia doesn’t have a negative impact on a man’s overall health, but can cause social awkwardness or body image issues. And since it receives little public discussion, men facing this condition frequently don’t feel comfortable talking with their doctor or looking for solutions.

The size and shape of male breasts can vary. It’s not uncommon for men with breasts to hide their body by wearing loose clothing or developing a hunched-over posture. Sometimes the condition is noticeable only when a man has his shirt off, such as at the beach or pool. But the condition may be more pronounced on other men, with their breasts showing through shirts and clothing adding to the awkwardness they feel on a daily basis.

No one knows for sure what causes male breasts, but most doctors agree it appears to result from a hormone imbalance. All men have both androgens (hormones that create male characteristics) and estrogens (hormones that create female characteristics) in their bodies. Changes in the levels or in how the body uses or responds to these hormones may cause enlarged breasts in men.

Some young men form male breasts during puberty, but their chest returns to a normal appearance as they grow and mature. Other men find their breasts continue after puberty through the rest of their lives. Being overweight causes the body to develop more fatty tissue and may also aggravate the condition. Using certain prescription medications, steroids, or “street drugs” may also cause male breasts to develop.

Unlike Gynecomastia which results in enlargement in both breasts, some men notice enlargement in only one breast or that the breast has a hard or firm feel. Men who notice these types of changes should visit their doctor immediately to rule out breast cancer.

Currently, the only known treatment for Gynecomastia is breast reduction surgery, and a board-certified plastic surgeon can help a man suffering from this condition explore his options. One of the most rewarding parts of working in plastic surgery is helping people manage the special needs of their bodies.

The physician will conduct a thorough medical evaluation to confirm that the patient is in good health, review the patient’s weight and medication or drug use history, and determine if there are any other medical conditions contributing to the breast formation.

If breast reduction surgery is the right solution, the plastic surgeon will help the patient understand the procedure, any steps needed for preparation, and the potential side effects or complications. Although different techniques are performed depending on the severity, in most cases the surgery will include glandular tissue being surgically removed with simultaneous liposuction to contour excess fat.  Recovery time varies from person to person and depends upon the extent of the surgery. Patients often return home the same day, return to non-physically demanding work in less than a week, and resume normal activities including exercise in 4-6 weeks. 

But, the most important change a patient will experience is the new-found confidence and comfort with their physical appearance. Gynecomastia may not be discussed much in the media, but the only discussion that matters is one a man has with his plastic surgeon.

The In’s and Out’s of Laser Hair Reduction

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Written by Twin City Plastic Surgery

Hair is tricky. You want it on your head but can do without it virtually anywhere else. There are several hair removal options available, and each has their pros and cons. Shaving is the most common method and for many people, shaving works just fine. But shaving must be done several times a week and sometimes, the results are less than ideal. For sensitive areas, like the bikini line, shaving often causes irritation and skin breakouts.

Waxing is a safe and simple way to remove hair for several weeks at a time. Many people feel that the main drawback of waxing is that hair needs to grow for about a week in order for the wax to properly grab onto the hair and remove it from the follicle. Do it yourself waxing seems like it would be convenient and economical, however, most women find that in-home waxing is not as easy as it may seem and often leads to irritation, ingrown hairs, and burning instead of smooth, hair-free skin.

Waxing your skin is an art— that’s why it’s best to trust a professional to get the job done. In order to get the best possible results, it’s important to know the following things before you get waxed.

• Don’t Shave. In fact, it’s important to let your hair grow out for at least a full week before you get waxed— the hair should be a least ¼ inch, to make it easier for the wax to grasp onto the hair.
• Don’t Exfoliate. Exfoliating your skin right before you get it waxed will just cause irritation and will likely cause your skin to hurt more during your waxing session. It’s probably wise to stay off of the exfoliation wagon for at least a day or two before your waxing session— just to play it safe.
• Avoid Retinol. If you use a facial or body cream that contains retinol, take a break for at least a few days before your waxing session. Retinol is great at clearing up acne and helping to get rid of fine lines and wrinkles, but it can also cause your skin to become super sensitive to things like waxing.
• Avoid Moisturizing. Although great for your skin 99% of the time, moisturizers can also clog your pores and hair follicles, making it harder for the aesthetician to get all of the hair out when waxing, so do not apply moisturizer the day of a waxing session.
• Avoid Hot Baths for 24 hours. Hot baths and hot tubs are the perfect way to relax and unwind after a long day. However, because your skin is especially sensitive after getting waxed, you are more prone to getting a bacterial infection from a bath or hot tub that is known to harbor germs. Additionally, the hot temperature could irritate your skin and cause it to become red and inflamed.
• Stay out of the Sun. Because your skin will be extra sensitive after getting waxed, avoid sun exposure for at least 24 hours.

Laser hair reduction is another popular option to get rid of unwanted hair. This procedure initially costs a bit more, but is worth it. After several treatments, many people experience complete hair removal – forever – although results will vary depending on density, color, and coarseness of the hair and the area of the body that you are targeting. If you are deemed a good candidate, you can expect 80% in hair reduction. It’s important to understand that laser hair removal should only be performed by a healthcare professional with proper knowledge and training in the use of lasers. An expert can also advise you on the number of treatments and the results that you can expect to see.

Would You Like Fuller Lips?

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Submitted by Twin City Plastic Surgery

There’s no doubt about it that our lips change as we get older.  They may become somewhat shriveled, the lip line may fade, and those dreaded vertical lines will almost always appear to some degree. While you can’t avoid getting older, there are several things you can do to help lips look fuller and lines less noticeable. 

First of all, you can help lips look better and slow down the loss of volume by protecting them from the sun and not smoking.   Lack of hydration can also cause lines to be more noticeable.  So, regardless of your age or how your lips look now, be sure to always use lip balm with SPF of at least 30, drink plenty of water, and don’t smoke.

For a fast, temporary fix, there are instant glosses that plump the lips.   The gloss irritates the lips so that they “swell” slightly, thus looking fuller.  However, these products are often itchy and uncomfortable. Another option is to use a topical ultra-hydrating hyaluronic acid lip serum such as HA Smooth and Plump Lip System by SkinMedica.  This two-step treatment, available at physician offices,  uses hyaluronic acid which can soften the appearance of lip lines by smoothing the skin and temporarily imparting a plumping effect.

One of the best ways to restore fullness and address the problem of vertical lines is through the use of dermal fillers. Fillers are a quick and easy way to help you look more youthful and refreshed by treating not only fine lines and wrinkles on your face, but by placing the filler directly into the lips to temporarily increase volume, which, in turn, reduces the appearance of vertical lines.

Fillers usually last anywhere from 4-12 months. Lips will eventually go back to normal, but they won’t be more saggy or wrinkly than before.  In fact, even after the injection wears off, you might find that your lips continue to be a bit fuller, due to the trauma of the needle indirectly stimulating your own collagen. There is usually some swelling for a few days after injection and the procedure itself can be a bit uncomfortable. 

If you want to try a filler, be sure to choose a board-certified plastic surgeon.  Although injectable fillers are a very common procedure, they are a medical treatment with some potential risks and side effects if not done correctly by a skilled provider. There are different types of fillers and the one that is best for you depends on many different factors. Most providers recommend starting out with a smaller amount to make sure that lips don’t look too oversized.  You want the result to be a subtle improvement, not something that looks ridiculously huge.  It requires a bit of artistry to create the perfect amount of lift and fullness. 

There are many ways to improve the look of your lips.  Set up a consultation with Dr. Laura Randolph so you can understand all your options, the details of how a procedure will work, and decide on the treatment that is best for you.   

“Brotox”: A Growing Trend

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Written by: Twin City Plastic Surgery

BOTOX has been deemed as a miracle injectable by plastic surgeons and patients alike. When first released, women everywhere were amazed at the results that they never thought could be possible. And although women are still equally as excited about the results from BOTOX, men are hopping on board too.

Men Have Wrinkles Too

Although it can seem like men are able to get away with a couple additional pounds around their middle and grey hair covering their head way more than women, they still can’t get away with the effects of aging and how it affects their skin. If you’re a middle-aged man, you’ve probably started to notice the appearance of horizontal wrinkles across your forehead, and maybe some subtle wrinkles around your eyes.  For some men, the aging process causes them to look perpetually tired, worried or angry. If you are starting to feel a little self-conscious about the sudden onset of said wrinkles, maybe it’s time to consider BOTOX.

How Does BOTOX Work?

BOTOX works by temporarily relaxing facial muscles that cause wrinkles when you contract them so that fine lines and wrinkles are smoothed out.  Results are usually seen within a few days with maximum effects occurring in about 10 days. The best part is that there is virtually no down time.  You can go back to work the same day.  

It’s Still Manly

No matter what you might think, BOTOX is still manly. Yes, your girlfriend, wife, sister, and mom might all get it, but they are doing it for a reason— because it works. And, you don’t have to get so much BOTOX that you start to look like a Ken doll. In fact, your plastic surgeon will work with you to ensure that the results are subtle, yet enough to make a difference at the same time.

BOTOX isn’t about competing with the women and men in your life to see who can look younger for longer. However, if the women in your life are looking younger every year and you notice that you’re just looking more haggard – then you might as well join them!

If you looked at the most handsome men in Hollywood, you would likely be surprised by how many of them have hopped on the BOTOX wagon. Although typically associated with women, BOTOX can be equally effective for men.  And ladies – if you are struggling to find the perfect gift for the man in your life, consider a BOTOX gift certificate.  And guys – just hand this article to the woman in your life if they need a hint.

Plastic Surgery Can Boost Self-Esteem

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Submitted by Twin City Plastic Surgery

The term “plastic surgery” often brings to mind ongoing attempts, especially by the rich and famous, to turn back the hands of time and the effects aging has on the body, or to correct what nature never provided in the first place.

Technically, however, that thought is not quite accurate. In its broadest sense, plastic surgery refers to any medical procedure that alters or restores the form of the body. Under this wide umbrella fall many variations, including reconstructive, craniofacial, hand, and micro surgeries, as well as procedures to treat severe burns.

Cosmetic surgery, the most well-known of the plastic surgery types, is a sub-category of plastic surgery that includes a variety of elective procedures all aimed at improving a person’s appearance. But contrary to popular thought, it’s not only for the rich and famous, nor is it simply about vanity.

The physicians and staff at Twin City Plastic Surgery (TCPS) work to improve the life of each patient, regardless of the reason they’ve walked through the door for treatment. And, as one patient shares, “they make it as easy as possible,” from providing education and information regarding the specifics of the procedure to the excellent skill and medical care during the procedure itself and the support and follow up during the recovery and post-surgical healing process.

“I never thought I’d do something like this,” says one of their patients. When a mass on her neck proved to be fatty tissue rather than a tumor, she felt relieved. But because the tissue grew only on one side, she felt more and more uncomfortable about it. “It was obvious, even though I tried to hide it as much as possible with scarves,” she explains. It was bothersome, and made her very self-conscious.

She finally reached the point that she needed to either live with it or do something about it. “I decided I could do nothing or do something…and I decided to do something.”

Although she’s very happy with the results, she emphasizes that the reason for her decision to have surgery to remove the mass was not simply based on vanity. “People tell me I look younger, but that’s an unexpected benefit. I still have wrinkles and crow’s feet—but now I’m not self-conscious about the mass, so I have a better outlook and am more confident. I think confidence has a huge effect on how you look.”

Additionally, she stresses that having the surgery was not a rash decision made in a fit of frustration. She did her homework, taking several months to research procedures and surgeons. She advises anyone who is considering this type of elective surgery to do the same. “I had heard about similar facial surgeries from others, and the staff at TCPS provided names of other patients who had had similar experiences. They [previous patients] can tell you what’s really going to happen. It is, after all, surgery—it’s not going to be a piece of cake. It’s really a pretty big deal.”

Another wise decision she made was to research the doctors. “I wanted to know their background, their education and credentials—I wanted an expert in the type of surgery I was going to have,” she says, because something as important as surgery deserves to have the best person performing it.

What surprised her was that she didn’t have to leave town to find that level of excellence. “I was set on going to Chicago, but when I researched the credentials and read the patient reviews, I realized the physicians here [at TCPS] were highly qualified and got even better reviews than the doctors in Chicago.”

Elective, cosmetic surgery can certainly change how you look, but it’s important to be realistic about what surgery can and can’t do for you. Surgery is a big decision, but if you do your homework about the type of surgery you want, the surgeons, and the costs, it’s definitely something that can enhance your life.

“I didn’t want to look like a different person…I just wanted to take care of something that bothered me,” the patient explains. “And I’m glad I did.”

Hydrafacial – The Latest in Skin Care

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Submitted by Twin City Plastic Surgery

Whether your goal is to correct fine lines and wrinkles, improve elasticity and firmness, even out skin tone and improve vibrancy, reduce enlarged pores, improve skin texture, lighten brown spots, or treat oily or congested skin, HydraFacial MD offers a treatment for you.

Katie Bertsche, the Spa Manager for Twin City Plastic Surgery and Oasis Medical Spa, is very excited about this newest skin care treatment available since the beginning of May. “Anyone who follows beauty blogs or wants to know the latest trends in the beauty industry has heard of HydraFacial. It is one of the most talked about treatments these days because it really works!”

The HydraFacial MD therapy uses the latest developments in skin care to clean, hydrate, and protect skin. The 3-step treatment cleanses, exfoliates, and extracts to get rid of impurities and dead skin cells, and infuses the skin with vital nutrients, antioxidants, peptides, and hyaluronic acid to protect and nourish the skin from the inside out.

The HydraFacial MD’s three-step system can be completed in as little as a half hour. According to the HydraFacial website (, Step 1 cleanses and peels impurities thereby uncovering a new layer of skin with gentle exfoliation and relaxing resurfacing. Excess oil and debris is extracted from pores using painless suction in Step 2, then the skin is nourished with skin solutions to address specific skin concerns. Step 3 saturates the skin’s surface with antioxidants and peptides to fuse and protect, locking in all the beneficial serums included in the process.

“The benefit of the HydraFacial MD system over treatments such as microdermabrasion is that it can be used for any skin condition. Microdermabrasion can be harsh for some skin types, and only treats limited skin issues,” Katie explains. “This is safe enough to have a treatment every week, based on the goals for your skin concerns.” Another great benefit is that there is no downtime—clients can put on makeup and resume their normal activities immediately after a session.

A typical protocol would be for someone to come in every 4-6 weeks for preventive treatment. A basic treatment takes 30-40 minutes. Clients can request to have add-ons, or “boosters,” depending on the focus of the treatment.

The boosters that can be used during a treatment include Growth Factor, which minimizes fine lines and wrinkles; Britenol, brightener for pigmentation, sun spots, and improved radiance; and Dermabuilder, which minimizes signs of aging and recharges skin with a patented combination of peptides. Clarifying treatments for acne and red and blue LED light treatments that will decrease inflammation or redness in the skin and kill acne-causing bacteria respectively are also available.

To find out more about this amazing treatment or to schedule a consultation with our Aesthetician, Alyssa, please give us a call at (309) 662-6772.



Mastectomy or Lumpectomy?

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Submitted by Twin City Plastic Surgery

There is nothing easy or simple about a cancer diagnosis. From the moment a patient hears the words “you have breast cancer,” she begins an exhausting schedule of medical appointments, treatments, and procedures. While much attention is given to treating the patient’s medical condition, she also needs support in thinking through her options impacting her health and appearance.

The vast majority of breast cancer diagnoses involve some type of surgical treatment with lumpectomies being more common in early-stage cancer situations. According to the American Cancer Society (ACS), 57 percent of women with early stage (Stage I or II) breast cancer have a lumpectomy or partial mastectomy and 36 percent have a full mastectomy, with others electing non-surgical options. Thirteen percent of women with late stage breast cancer (Stage III or IV) have a lumpectomy or partial mastectomy and 60 percent have a mastectomy.

The ACS also tells us 20 to 40 percent of women who undergo mastectomy have breast reconstruction which typically includes an implant, tissue from another part of the body, or a combination of the two.  Some types of reconstruction can begin during the mastecomy surgery itself, so having a reconstruction plan from the beginning of treatment is critical. Of course, some women are not candidates for lumpectomies due to the size or location of the tumor. But for a woman who has options, how does she make the decision to remove part or all of her breast?

Current data shows the type of surgery – lumpectomy or mastectomy – does not appear to impact a patient’s survival rate or possibility of cancer recurrence. Also, these surgical options do not impact the need and/or type of chemotherapy and/or hormone therapy a doctor recommends.

A lumpectomy always:

  • Allows the patient to preserve more of their breast, which can give the patient comfort and an obvious feeling of normalcy.
  • Involves a less extensive surgery in which the patient can go home the same day.
  • Requires radiation as part of the therapy to treat the breast cancer.
  • Does not involve placement of an implant.

Lumpectomy with radiation therapy (XRT) is becoming much more common versus a full mastectomy, and, therefore, mastectomies may be on the decline. From a breast conservation perspective and oncologic perspective, this is good. But there are some downsides to choosing lumpectomy/XRT that are rarely mentioned to the patient.

  • Lumpectomies can result in uneven breasts which may not give the patient the look they hoped for.
  • The defect may still leave a significant cosmetic concern, but any surgery to correct this may be considered cosmetic and be more difficult to get covered by insurance.
  • Radiation treatments can cause adverse cosmetic changes such as darkening of the skin at the treatment site.
  • Any surgery that is ever done on the radiated breast for the rest of that patient’s life, is at a much higher risk for complications due to the radiation, and, therefore, limits the patient’s options for reconstructive surgery in the future.

The decision to have a lumpectomy or mastectomy is as individual and personal as a surgery can be. Each patient should to talk with their plastic surgeon prior to making their final decision so they can be fully informed of the advantages and challenges of each option. As board-certified plastic surgeons, we have the education and experience to provide effective breast reconstruction consultations and provide our patients peace of mind during a stressful time as they reclaim their life and body from this disease.

Scar Revision….Minimizing the Reminder of a Wound or Surgery

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Submitted by Twin City Plastic Surgery

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.

Scar revision is meant to minimize the scar so that it is more consistent with your surrounding skin tone and texture. Although scar revision can provide a more pleasing cosmetic result or improve a scar that has healed poorly, a scar cannot be completely erased.

Is it right for me?
Scar revision is a highly individualized procedure and you should do it for yourself, not to fulfill someone else’s desires or to try to fit any sort of ideal image. Scar revision can be performed on people of any age and is a good option for you if:

You are bothered by a scar anywhere on your body
You are physically healthy
You do not smoke
You have a positive outlook and realistic goals for your scar revision surgery
You do not have active acne or other skin diseases in the area to be treated

The success and safety of your scar revision procedure depends very much on your complete candidness during your consultation. You’ll be asked a number of questions about your health, desires and goals, medical history, and lifestyle habits.

Different types of scars include:
Discoloration, surface irregularities and other more subtle scars can be cosmetically improved by
surgery or other treatments recommended by your plastic surgeon. These types of scars do not impair
function or cause physical discomfort and include acne scars as well as scars resulting from minor injury and prior surgical incisions.

Hypertrophic scars are thick clusters of scar tissue that develop directly at a wound site. They are often
raised, red and/or uncomfortable, and they may become wider over time. They can be hyperpigmented
(darker in color) or hypopigmented (lighter in color).

Keloids are larger than hypertrophic scars. They can be painful or itchy, and may also pucker. They
extend beyond the edges of an original wound or incision. Keloids can occur anywhere on your body, but they develop more commonly where there is little underlying fatty tissue, such as on the face, neck, ears, chest or shoulders.

Contractures are scars that restrict movement due to skin and underlying tissue that pull together during healing. They can occur when there is a large amount of tissue loss, such as after a burn. Contractures also can form where a wound crosses a joint, restricting movement of the fingers, elbows, knees or neck.

The degree of improvement that can be achieved with scar revision will depend on the severity of your
scarring, and the type, size and location of the scar. In some cases, a single technique may provide
significant improvement. However, your plastic surgeon may recommend a combination of scar revision techniques to achieve the best results.

Topical treatments, such as gels, tapes or external compression can help in wound closure and healing,
or to reduce the ability of skin to produce irregular pigment. These products may be used to treat existing surface scars and discoloration, and to aid in healing of scar revision procedures.

Injectable treatments are often used to fill depressed or concave scars. Depending on the injectable
substance used and your particular scar conditions, results may last from three months to several years.
Therapy must be repeated to maintain results.

Surface treatments are most often used for cosmetic improvement of scars. These methods can soften
surface irregularities and reduce uneven pigmentation. Surface treatments are a controlled means of
either mechanically removing the top layers of skin or changing the nature of tissue. These treatment
options include:

Microneedling is a form of collagen induction created by a mechanical force delivered to the
dermis. It also is useful for improving acne pock marks and can weld stretch marks together by
creating collagen bridging.
Dermabrasion is a mechanical polishing of the skin.
Laser or light therapy causes changes to the surface of the skin that allow new, healthy skin to
form at the scar site.
Chemical peel solutions penetrate the skin’s surface to soften irregularities in texture and color.
Skin bleaching agents are medications applied topically to lighten the skin.

Surgery is sometimes necessary for the improvement of scars especially if non-surgical means are not
possible or successful. Often the scar is excised and then closed in layers adjusting the tension or
orientation of the scar. Advanced techniques with flap closure or repositioning of the scar in a natural
crease sometimes makes it less conspicuous. More advanced techniques, such as tissue substitutes/skin
grafting or tissue expansion, may be necessary if the scar is more complex.  Give Dr. Laura Randolph a call at (309) 664-6222 to discover your scar revision options today.

Call Dr. Randolph (309) 664-6222 for a consultation. Contact Us

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