Scar Revision Surgery: Options and Costs for Facial Scars - Plastic Surgery

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Regarding scar removal surgery?


About 20 years ago, when I was a child, I accidentally injured my face, leaving a noticeable scar (a depressed scar approximately 1 cm wide and 0.5 cm high).
Compared to surgical scars, I would consider it a small scar, but since it is on my face, I feel regretful about it.
I often feel the need to cover it up, and there is a traditional belief that scar removal can be very expensive.
Since the injury occurred when I was very young, I assume it is not covered by health insurance anymore.
Although this is just a textual description, what would be the approximate cost? What methods should be used to treat a depressed scar?

Niming, 20~29 year old female. Ask Date: 2006/09/16

Dr. Lu Daokuan reply Plastic Surgery


Depressed scars on the face can be treated with autologous fat grafting.
First, it provides a filling effect, and second, it improves the appearance of the scars.
Both scar revision surgery and autologous fat grafting typically cost around NT$15,000 to NT$20,000.

Reply Date: 2006/09/16

More Info


Scar revision surgery is a specialized procedure aimed at improving the appearance of scars, particularly those on the face, which can significantly impact an individual's self-esteem and confidence. In your case, you have a 1 cm wide and 0.5 cm high depressed scar on your face, which, although considered small, can still be a source of concern. Understanding the options available for scar revision, their associated costs, and the potential outcomes is crucial for making an informed decision.


Options for Scar Revision
1. Surgical Excision: This method involves surgically removing the scar tissue and closing the wound with stitches. This can be effective for raised or depressed scars, but it may leave a new scar that could take time to heal. The new scar may be less noticeable than the original scar if done correctly.

2. Dermal Fillers: For depressed scars, dermal fillers can be injected to raise the scar to the level of the surrounding skin. This is a non-surgical option that provides immediate results, but it is temporary and may require repeat treatments.

3. Laser Therapy: Laser treatments can help reduce the appearance of scars by resurfacing the skin and stimulating collagen production. This method can be effective for both raised and depressed scars and typically requires multiple sessions for optimal results.

4. Microneedling: This technique involves using fine needles to create micro-injuries in the skin, promoting collagen production and improving the texture of the scar. It is less invasive and can be combined with topical treatments for enhanced results.

5. Chemical Peels: Chemical peels can help improve the appearance of scars by removing the outer layer of skin, promoting new skin growth. This method is more effective for superficial scars but may not be suitable for deeper scars.


Costs of Scar Revision Surgery
The cost of scar revision surgery can vary widely based on several factors, including the type of procedure, the surgeon's experience, the geographic location, and whether anesthesia is required. Here’s a rough breakdown of potential costs:
- Surgical Excision: This can range from $500 to $3,000, depending on the complexity of the procedure and the surgeon's fees.

- Dermal Fillers: The cost for fillers can range from $600 to $1,200 per session, and since results are temporary, multiple sessions may be needed.

- Laser Therapy: Each session can cost between $300 and $1,500, depending on the type of laser used and the number of sessions required.

- Microneedling: Typically ranges from $100 to $700 per session, with multiple sessions often recommended.

- Chemical Peels: Costs can range from $150 to $600 per session.


Insurance Coverage
Regarding insurance coverage, it is essential to note that most cosmetic procedures, including scar revision, are not covered by health insurance, especially if they are deemed elective. However, if the scar is the result of an accident or injury, it may be worth discussing with your insurance provider to see if any coverage is available.


Conclusion
In summary, there are several effective options for scar revision, each with its own benefits and costs. It is advisable to consult with a board-certified dermatologist or plastic surgeon who specializes in scar revision to discuss your specific case, evaluate the scar, and recommend the most suitable treatment plan. They can provide a more accurate estimate of costs based on your unique situation and help you understand the potential outcomes and recovery process. Remember that while the financial aspect is important, the emotional and psychological benefits of improving your scar's appearance can be invaluable.

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