|Pain Level:||Minimal to Moderate|
|Length of Procedure:||30 minutes to 2 hours|
|Scars:||Slightly longer than previous scar|
|Final Results:||12 months|
|Return to regular activity:||1-2 weeks|
|Resume Exercise:||2-4 weeks|
|Price:||$1,500 – $4,000|
A cosmetic surgeon is an expert in managing scars. A great deal of education and training goes into giving patients the best scars possible, since this is a big part of any surgery. It is important to make a distinction between fresh and old scars because the handling of each is different. Many factors affect the final scar outcome, such as the location and size of the scar, how the scar was obtained, the quality and age of the skin, the color of the skin, the amount of sun exposure to the scar, and other factors. People have a tendency sometimes to call any unsightly scar a keloid scar. A scar can be a poorly healed, exaggerated, or an “ugly” scar, but is not necessarily a keloid.
A keloid is a very specific scar and not a “catch-all” term. When the skin is cut, the body lays down scar tissue to heal the opening and close it. Once the opening is filled with scar tissue up to the level of the skin, the body stops building scar tissue. In one specific abnormal circumstance, the body does not know when to stop, and keeps building scar tissue. The result is an overabundance of scar tissue above the skin surface. This is a keloid scar. There are multiple surgical and non-surgical ways of treating keloids, from direct excision, to silicone pressure sheets, to steroid injections, or low-dose radiation therapy. Sometimes we use a combination of two procedures to obtain the best results.
When a patient is inquiring about a cosmetic procedure, the physician will try to clearly describe how the resulting scar would appear. An upper eyelid lift scar heals very nicely because the skin is very thin and the tension is minimal. In contrast, a tummy tuck scar is in an area where the skin is thick and the tension is greater, so the results are not the same. The expert surgical skills of our surgeons, along with the sutures they choose, and our exclusive scar management system help to give the most aesthetically pleasing scars possible.
When someone comes to our institute complaining of an old scar that they would like to improve, they are handled on a case-by-case basis. The scar will be assessed and the patient will receive different treatment options that may include excising out that scar to give the patient a “nicer” scar, laser treatment, microneedling, treating it with the scar tape and cream program, massaging it, treating it with silicone sheeting, and other modalities.
We strive to achieve patient satisfaction and provide the latest and greatest treatment options while managing patient expectations. Scars can be improved but never erased.
Here are aspects of the scar that can be improved with a revision:
We believe a well-prepared patient leads to a successful surgery and recovery. Whether you are flying in internationally or a local, our staff strives to give you a great experience. During your initial call to our office, one of our patient care coordinators will discuss the different options available to improve the areas of your concern. A consultation is scheduled with the doctor who best fits your personal situation. The doctor will review your medical history, spend the appropriate time to review all surgical and non-surgical options, and discuss whether surgery can be performed in-office under local sedation or at the hospital under general anesthesia. In sharing our before and after photos, you get a better sense in the quality of surgery our doctors offer and what outcome you can expect to achieve. We will review pre- and post-operative care so you can be prepared for what your role is in surgery. You will be asked to stop smoking two weeks prior to and post-surgery. Next, we see you for a pre-op appointment two weeks prior to surgery to discuss any questions you may have and review surgery details, ensuring everyone is on the same page. You will then receive a courtesy call the evening before surgery to review instructions and any questions you may have.
THE SCAR REVISION PROCEDURE
The procedure takes about 30 – 60 minutes, depending on the size and location of the scar. For very large scars, the revision may be performed under general anesthesia or heavy sedation in the hospital operating room, and not in the office operating room. If a patient is a good candidate for the procedure, an anesthetic is applied. The scar is excised and closed with a meticulous cosmetic closure. Sutures used may either be absorbable sutures, or may need to be removed, depending on the scar. Your options will be discussed before the procedure.
The length of the scar usually cannot be changed with a scar revision, but here are other aspects of the scar that can be improved with a revision:
THE SCAR MANAGEMENT PROGRAM
We are proud to offer a special scar management program. It is unique because it has been clinically proven to work, since it addresses scar healing on many levels. In order to understand why this scar tape and cream system is effective, it is important to understand that its effectiveness lies in giving support, hydration, and enhanced healing:
When the area has appropriately healed we have scar tape and cream available for purchase.
Our office will provide a comprehensive post-operative plan to ensure the best possible outcome.
To promote healing and minimize complications, you will be seen in a series of post-op appointments, including the day after surgery. These appointments will continue throughout the first year after the procedure to make sure you are healing as planned. For your added convenience, you also have direct access to Dr. Bitar’s and Dr. Lickstein’s cell phone numbers if you need to reach your physician after hours. The final post-op visit, one year after surgery, is one of our favorites since the results are fully apparent and we love seeing our patients happy. You are always welcome to come back and see us, even years after your surgery.
At the Bitar Cosmetic Surgery Institute, we take pride in providing our patients with the best surgical experience possible, emphasizing patient safety while trying to optimize surgical results. This is a process that includes comprehensive pre-operative preparation and patient education, the development of a personalized operative plan, and a thoughtful post operative care regimen emphasizing patient comfort and promoting recovery.
There are a number of strategies which the Institute has adapted to further ensure patient safety. We are selective and only offer surgery to patients whose general health and lifestyle choices permit healing and facilitate recovery. To minimize risk, we require a preoperative assessment that includes a thoughtful history and physical exam, as well as targeted laboratory tests.
We operate at accredited hospitals and surgicenters that have demonstrated a commitment to the highest standards of care, employing board certified anesthesiologists and nurses. We adhere to well established surgical principles designed to ensure patient safety and have developed policies and protocols to minimize the risk of infection. Our surgeons are committed to continuing education, honing their skills and introducing new techniques always with the aim of improving safety and surgical results.
We emphasize patient safety in our peri-operative care plan, advocating early mobilization, optimizing nutrition, and providing detailed care instructions. After surgery, patients are seen in our office frequently and early, starting the day after their procedure, and a staff member is available around the clock for any questions or concerns. Our entire team is committed to our patients’ well being and every measure is designed to minimize potential complications, promote comfortable and rapid recovery, and optimize surgical results.
Our commitment to excellence and exceptional patient care is in every step of your doctor-patient experience. Dr. George Bitar and Dr. Larry Lickstein are distinguished board certified plastic surgeons, with over 30 years of combined experience, who exclusively perform cosmetic surgery. Our doctors stay on the cutting edge of advancements in cosmetic surgery and technology to offer the best possible results. With a blend of artistry and meticulous surgical technique, they are able to achieve beautiful and natural results for our patients. We provide a high level of patient safety and our experienced and caring staff will be with you every step of the way. Our institute offers a wide variety of surgical and non-surgical options, from skin care, injectables and lasers to in-office or hospital options, to provide a versatile approach to fit individual patient needs. Your aesthetic goals are our priority and each procedure is customized to ensure you receive the best possible outcome.
For more information, call our office at 703-206-0506.
Content on this website is for information only and should not be used to diagnose or treat your plastic surgery or cosmetic surgery problems. Please contact your plastic surgeon with all questions and concerns.