Should I See a Plastic Surgeon or Cosmetic Dermatologist for Facial Scars?

Question

Hello, Doctor: I would like to ask you! If I have scars on my face from a car accident (almost all over my face) and my mouth has a tendency to be asymmetrical (the thickness of my upper and lower lips is uneven), should I see a plastic surgeon or a cosmetic surgeon? Approximately how much would the cost be? Would I need to undergo laser treatment?

Xiao Ping, 20~29 year old female. Ask Date: 2004/10/28

Dr. Huang Ruiyun reply Dermatology

Orthopedic surgery is the formal name.
Adding the term "cosmetic" is merely to help the public understand.
The performing physician must hold a board certification in orthopedic surgery.
The price and whether laser treatment is necessary can only be estimated after the physician has personally examined the patient.

Reply Date: 2004/10/28

More Info

When it comes to addressing facial scars, especially those resulting from an accident, the choice between seeing a plastic surgeon or a cosmetic dermatologist largely depends on the nature and extent of the scars, as well as any associated functional issues, such as asymmetry in your lips.

Plastic Surgeons vs. Cosmetic Dermatologists:
1. Plastic Surgeons: These specialists are trained to perform surgical procedures that can improve both the appearance and function of the face. If your scars are extensive and involve deeper tissue or if you have concerns about the structural integrity of your face (like the asymmetry in your lips), a plastic surgeon may be the more appropriate choice. They can offer surgical options such as scar revision, flap surgery, or even reconstructive procedures to restore balance to your facial features.

2. Cosmetic Dermatologists: These professionals focus on non-surgical treatments for skin issues. If your primary concern is the appearance of the scars and you are looking for less invasive options, a cosmetic dermatologist could be suitable. They can provide treatments such as laser therapy, chemical peels, or fillers to improve the texture and color of the scars.
Cost Considerations: The cost of treatment can vary significantly based on the type of procedure, the extent of the scars, and the geographic location of the practice. Surgical procedures performed by plastic surgeons can range from a few thousand dollars to tens of thousands, depending on the complexity. Non-surgical treatments offered by cosmetic dermatologists may range from hundreds to several thousand dollars, depending on the specific treatments chosen.

Laser Treatments: Laser therapy is a common option for treating scars. There are various types of lasers, each designed for different skin issues. For instance, fractional lasers can help improve the texture of scars, while pigment lasers can address discoloration. The effectiveness of laser treatments can vary based on the type of scars you have (e.g., hypertrophic, keloid, atrophic) and the skin type. It's important to have a thorough consultation to determine the best approach for your specific situation.

Additional Considerations:
- Consultation: Regardless of the specialist you choose, a thorough consultation is essential. During this visit, you can discuss your concerns, treatment options, and expected outcomes. The doctor will assess your scars and facial structure to recommend the most appropriate treatment plan.

- Realistic Expectations: It's crucial to have realistic expectations about the outcomes of any treatment. While many procedures can significantly improve the appearance of scars, complete removal is often not possible.
- Follow-Up Care: After any treatment, follow-up care is important to monitor healing and address any complications. This is especially true for surgical procedures, where post-operative care can significantly impact the final results.

In conclusion, whether you choose to see a plastic surgeon or a cosmetic dermatologist will depend on your specific needs and the severity of your scars. Both specialists can offer valuable insights and treatment options, so consider scheduling consultations with both to determine the best path forward for your facial scars and lip asymmetry.

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