Effective Scar Removal: Options, Costs, and Treatment Insights - Plastic Surgery

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Scar removal


Hello, Doctor: May I ask a question? I have two 5 to 6 cm long scars on my elbow that have been sutured and have completely healed for about 1 to 2 years.
They are flat scars.
I heard that it might not be possible to completely remove scars, but only to lighten them.
Is that true? What surgical methods are available to remove scars? Is it covered by health insurance, or is it out-of-pocket? What are the typical costs? Should I consult a dermatologist or a plastic surgeon? Additionally, could you recommend any ointments that might help lighten the scars? I have been quite troubled by this and hope for a comprehensive response.
Thank you.

Niming, 20~29 year old female. Ask Date: 2006/06/07

Dr. Lu Daokuan reply Plastic Surgery


Flat scars should be stable.
To reduce the appearance of scars, laser treatments, scar creams, and vitamin C can be used.
If the scar is very wide, surgical intervention may be necessary, and a consultation with a plastic surgeon is recommended.
If the scar affects the range of motion at a joint, then health insurance may cover the treatment.

Reply Date: 2006/06/07

More Info


Hello! Thank you for your inquiry regarding scar removal options, costs, and treatment insights. Scars, especially those resulting from surgical procedures, can be a source of concern for many individuals. While it is true that complete scar removal is often challenging, there are several effective treatments available that can significantly improve the appearance of scars.


Understanding Scars
Scars form as part of the body’s natural healing process after an injury or surgery. They can vary in appearance based on several factors, including the type of injury, the location of the scar, and individual healing characteristics. In your case, you mentioned having two 5-6 cm long scars on your elbow that have fully healed over 1-2 years. Since they are described as flat, this is a positive sign, as raised or hypertrophic scars tend to be more challenging to treat.


Treatment Options
1. Topical Treatments:
- Silicone Gel Sheets: These are often recommended for scar management. They can help flatten and soften scars over time. They are typically applied for several hours a day over a period of weeks to months.

- Scar Creams: Products containing ingredients like vitamin E, onion extract (found in products like Mederma), or corticosteroids may help in reducing the appearance of scars. However, the effectiveness can vary from person to person.

2. Laser Therapy:
- Laser treatments can be effective for scar reduction. They work by targeting the scar tissue and stimulating collagen production, which can improve the texture and color of the scar. Different types of lasers (ablative and non-ablative) are used depending on the scar's characteristics.

3. Microneedling:
- This procedure involves using fine needles to create micro-injuries in the skin, which promotes collagen production and can improve the appearance of scars over time.

4. Chemical Peels:
- Chemical peels can help in resurfacing the skin and improving the appearance of scars, particularly if they are discolored.

5. Surgical Revision:
- In some cases, surgical options may be considered to remove the scar tissue. This is usually reserved for more severe scarring and would involve a consultation with a plastic surgeon or dermatologist.


Insurance Coverage and Costs
Regarding insurance coverage, it largely depends on the specific treatment and your insurance plan. Generally, treatments deemed medically necessary may be covered, while cosmetic procedures may not be. For example, laser therapy and surgical revision may require prior authorization from your insurance provider.

Costs can vary widely based on the type of treatment, the provider, and your location. Here’s a rough estimate:
- Topical Treatments: $20 - $100 for creams or silicone sheets.

- Laser Therapy: $200 - $500 per session, with multiple sessions often needed.

- Microneedling: $100 - $300 per session.

- Surgical Revision: $1,000 - $3,000, depending on complexity.


Which Specialist to See?
For scar treatment, you can consult either a dermatologist or a plastic surgeon. Dermatologists often handle less invasive treatments like topical therapies and laser treatments, while plastic surgeons may be more suited for surgical options.


Conclusion
While complete scar removal may not be possible, significant improvement is achievable with the right treatment. It’s essential to have a thorough consultation with a qualified specialist who can assess your scars and recommend the most appropriate treatment plan tailored to your needs. They can also provide insight into the expected outcomes and costs involved. Remember, patience is key, as scar treatments often take time to show results. I hope this information helps you in your journey toward scar management!

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