Scar Revision

B; This individual with Type IV (darker skin color) did not like a long lasting scar on the forehead. It was irregular, lumpy, wide and had areas of hyperpigmentation and hypopigmentation. While small in size, it’s presence was a reminder of a negative, historical event.

A; Six months after an in-office, surgical scar revision the scar looks better. No laser treatments were provided, just a surgical revision and topical bleaching creams. To minimize the chance of normal forehead motion making the scar become wider, Xeomin, a neurotoxin was injected into the forehead one week after surgery. Xeomin works like BoTox and DYSPORT to reduce normal muscle motion.

 

Individual results may vary.

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Before

Following a hand burn, this man had significant pain from the hypertropick scars on his hand. He also suffered from scar breakdown and bleeding.

After

Following a two-stage procedure, he no longer has hypertrophic scars and his hand looks better. He also has better motion of his hand and no pain.

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Individual results may vary.

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Before

This young man sustained a severe electrical injury and almost lost his life. The burn was the most severe kind, involving all the layers of the skin and even the underlying fat, cartilage and muscle.

After

After life saving procedures were completed, reconstructive procedures were started. The scars on his face were limiting his ability to open his mouth, turn his head, itchy, painful, pulling on his lower eyelid and disfiguring.

One year after his tissue expansion and grafting procedures, most of the hypertrophic scars on his face were excised. The base of his nose was reconstructed. He had better lip motion. He was able to close his eyes.

Even years later, he still suffers from the impact of his electrical injury and scar contracture. Even after multiple physical therapy sessions, he could not raise his left arm due to the scar contracture is his axilla = armpit. He needed a significant scar revision, reconstructive plastic surgery surgical procedure to allow him to raise his arm.

He flew from Delaware to San Francisco to have his plastic surgery performed by DR. Michael Kulick. Nine months after a two-stageplastic surgery procedure, he can now raise his left arm up.

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Individual results may vary.

Click here to contact Dr. Kulick and set up a consultation.

Before

This woman suffered from scars to her face. She also suffered from a loss of fat beneath the skin. This made her feel self-conscious.

After

She underwent “tissue expansion” where the normal skin was stretched and then the scars on her face were excised. This picture shows her 2 years after surgery. She still has a contour deformity at her jaw line.
This picture shows her three years after the scar revision surgery and 1 year after liposuction of the jowl region. While she has a feint scar on her cheek, her overall appearance is better.

This woman has scars to her inner arm due to a gunshot injury. Multiple pellets were removed. She also had tissue expansion of the surrounding skin around the scars.
The scars were removed and the “stretched skin” was advanced to replace the scars that were excised. She also received some abrasion of the treatment area, which helped improve the appearance.

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Individual results may vary.

Click here to contact Dr. Kulick and set up a consultation.

B: This young man sustained superficial and deep second-degree burns to his chest and abdomen. Despite compressive garments, he developed hypertrophic scars long after leaving the hospital. These scars were itchy, painful and disfiguring.

A: A two-stage process was performed. First his scars were removed and then a new “dermal” layer was applied. Two weeks later, a thin skin graft was placed on the new collagen. Only six months after surgery, his symptoms are better and he does not have a return of the hypertrophic scars. His scars will improve in appearance over time.

Individual results may vary.

Click here to contact Dr. Kulick and set up a consultation.

B: This young woman had significant lacerations to her forehead. The first phase of her treatment was to close the skin wounds on an emergency basis and then let the skin soften. She then underwent scar revision treatment.

A: She underwent scar revision and laser ablation of her scars. This is her appearance after her reconstructive procedures.

Individual results may vary.

Click here to contact Dr. Kulick and set up a consultation.

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