Scar Revision

Treatments for Prominent Scars

Scar revision includes techniques that improve the appearance of an unsightly scar, regardless of its size, type or age. This is typically not covered by insurance carriers and is treated as a cosmetic procedure. Though scars can never be completely removed, the appearance of scarring can be greatly diminished.

Who Should Get Scar Revision?

The best candidates for scar revision are in good health and have realistic expectations.

Scar revision may be used to treat:

  • Hyperpigmented scars
  • Large or plainly visible scars
  • Raised scars
  • Deep depression scars

After scar revision, the appearance of your scar should be greatly reduced. Scar revision can improve the size, shape and color of your scar. Multiple procedures may be needed to achieve optimal results.

There are several different techniques that can be used during your scar revision. During a consultation, we can discuss the best techniques and determine if you are a suitable candidate.

What to Expect During Your Scar Revision

Your scar revision may involve one or more of the following techniques:

Topical treatments (gels, creams, external compression) can treat mild scarring or changes in pigmentation. Injectable treatments like dermal fillers are best for filling in scar depressions. These treatment options can provide long-lasting improvements, however, they are not always permanent.

Surgical scar revision is only used in more severe cases. Reconstructive techniques like Z-plasty, tissue expansion, or skin grafting replace a prominent scar with a less noticeable scar.

After Your Surgery

Scar revision recovery varies depending on the procedure you have elected. Topical and injectable treatments rarely require downtime. Surface treatments and surgical removal can require several days of recovery. You may experience some temporary bruising, swelling, or discomfort. Over-the-counter or prescription medication can be used to manage pain.

Topical and injectable treatments are likely to require sustained application to maintain results. The final results of surface treatments and surgical removal may not be visible for several weeks to months. It is important to protect the treatment area from direct sun exposure for several weeks. Additional details about your specific recovery will be discussed during your consultation.

Understanding the Risks of Scar Revision

All medical procedures carry a degree of risk and uncertainty, including scar revision. Potential complications include pain, infection, changes in sensitivity, and additional scarring. Some scar revisions are not covered by insurance and may require a cosmetic fee. This information and associated risks will be discussed in-depth during your consultation.

Schedule Your Plastic Surgery Consultation

Our plastic surgeons have over 75 years of combined experience in cosmetic plastic surgery. If you’re ready to learn more about Scar Revision, please contact our office in Raleigh to schedule a consultation.

Call Us (919)-785-0505

Questions? Contact Us Online

Skin Cancer Surgery

Surgery for Skin Cancer

Affecting more than one million people in the U.S. every year, skin cancer is the most common form of cancer. When caught early, skin cancer is treatable, but it may leave your skin with unwanted scars. Seeking out a skilled surgeon can help maintain the integrity of your skin.

Who Should Get Skin Cancer Removal?

Patients who have been diagnosed with skin cancer may be candidates for skin cancer removal. Most patients have seen a dermatologist and have undergone a biopsy which confirms the skin cancer. They are seeking a plastic surgeon for a complete excision of the skin cancer. 

Candidates for skin cancer removal have one or more of the following:

  • Basal cell carcinoma
  • Squamous cell carcinoma
  • Melanoma
  • Irregular moles that are flagged as concerning by a dermatologist
  • Suspicious lesions diagnosed by a dermatologist

Once the skin cancer has been removed, the healed skin should match the area around it and create a natural, smooth appearance. For more extensive forms of skin cancer, a specific procedure called Mohs surgery (performed by a specialized dermatologist) may be necessary to remove all traces of cancer.

In-Network Insurance Plans

At Specialists in Plastic Surgery, insurances we are In Network with include:

  • BCBS
  • CIGNA
  • Coventry Health Care of the Carolinas
  • Medcost Preferred
  • Medicare Part B

What to Expect During Your Skin Cancer Removal

For basic lesions, surgical removal using a small incision can be performed under a local anesthetic. An incision is made around the lesion and the lesion is removed. The incision is then closed using fine sutures. A surgical dressing will be placed over the treatment area following surgery.

More advanced techniques, such as skin or tissue grafts, may be needed to reconstruct large wounds. During these procedures, a portion of healthy tissue is removed from a donor site on your body and transplanted to the treatment area. The donor site can be taken from any part of your body. In most cases, it is taken from an area that is usually concealed under clothing. Incisions will be closed with small stitches, and surgical dressings will be applied.

After Your Surgery

Immediately following treatment, your skin will be swollen, red and likely draining fluid. Surgical drains may be used to collect this excess fluid if it is an extremely large excision. You may experience some discomfort for several days in the treatment area. Your surgeon will discuss whether you will need prescription-strength pain medication. Bandages are typically removed in a few days, and stitches in one week.

In most cases, you should be able to resume normal activities right away, or within one to two days. More extensive procedures will require some downtime. These details will be discussed during your consultation. It is important to protect the treatment area from direct sun exposure for several months. It is impossible to perform scarless surgery–you will have scars following any surgical procedure. Incisions will take 12-18 months to fade and flatten.

Understanding the Risks of Skin Cancer Removal

All surgical procedures, including skin cancer removal, have risks. Some risks include bruising, pain, unpredictable scarring, changes to sensitivity and asymmetry. All of these risks, along with steps you can take to minimize them, will be discussed in-depth during your consultation.

Schedule Your Plastic Surgery Consultation

Our plastic surgeons have over 75 years of combined experience in cosmetic plastic surgery. If you’re ready to learn more about Skin Cancer Surgery, please contact our office in Raleigh to schedule a consultation.

Call Us (919)-785-0505

Questions? Contact Us Online



Breast Reconstruction

Reconstructive Breast Surgery

Following a life-altering mastectomy, breast reconstruction techniques can restore a normal size, shape and appearance to your chest. If you’re considering breast reconstruction, we’d be proud to help you on your journey toward recovery. For patients that have already had breast reconstruction we also offer the latest breast reconstruction revision surgery procedures.

Who Should Get Breast Reconstruction?

Most women who have undergone breast cancer surgery are candidates for breast reconstruction. There are several surgical breast reconstruction techniques. The ideal procedure for you will depend on:

  • Your current health and medical history
  • Your stage of cancer and any ongoing treatments
  • Whether or not you smoke
  • Your current height-to-weight ratio
  • Your cosmetic expectations for surgery

Breast reconstruction is only performed when it will no longer affect treatment. If you require radiation treatments, it may significantly impact the timing, and, in most cases, the type of breast reconstruction recommended. We can work alongside your oncologist to determine the breast reconstruction options available for you.

Not all women choose to undergo breast reconstruction following breast cancer, but many feel their scars are a constant reminder of the past. Breast reconstruction can restore your figure and help you move forward after breast cancer.

What to Expect During Your Breast Reconstruction

We work closely with our local breast oncology surgeons to determine the best reconstruction options for you. Breast reconstruction can be performed at the same time as your mastectomy or at a later date. There are two general types of breast reconstruction: tissue flap breast reconstruction and implant-based breast reconstruction. These methods can be performed alone or combined to achieve your goals. Multiple procedures may be necessary to achieve a satisfactory outcome.

During flap-based breast reconstruction, we harvest tissue from one part of your body (e.g., abdomen, back) and transplant it to your chest to create a new breast. During a two-stage breast implant reconstruction, we insert a tissue expander, similar to a balloon, at the time of the mastectomy to slowly expand the tissue to prepare it to closely match a normal breast shape. After several months, a silicone breast implant is placed behind the chest muscle. During a one-stage  breast implant reconstruction we insert an implant with biologic mesh support either above or below the muscle. We will discuss the various options and inform you our recommendations.

After Your Breast Reconstruction

Your recovery will vary depending on the type of surgery performed. When you wake up from surgery, it is normal to experience some bruising, swelling and general discomfort. After the mastectomy, most patients are required stay in the hospital overnight. We will provide you with specific aftercare instructions before you leave the hospital.

You will need to wear a special surgical bra for the first few weeks. Prescription pain medication and antibiotics will also be provided to minimize discomfort and your risk of a post-surgical infection. You can gradually begin resuming light physical activity right away, but you should plan on at least of few weeks off from work and one month off before resuming  normal routines. Rigorous physical activity should avoided for four to six weeks.

Understanding the Risks of Breast Reconstruction

We will discuss all risks associated with breast reconstruction with you prior to surgery so that you can make an informed decision. It is important to note that all surgical procedures carry the risk of bleeding, infection, poor healing and adverse reaction to anesthesia. Risks specifically associated with reconstruction include partial or complete loss of sensation. Breast implants also carry the risk of implant malfunction or capsular contracture.

Schedule Your Breast Reconstruction Consultation in Raleigh

Our plastic surgeons have over 75 years of combined experience in cosmetic plastic surgery. If you’re ready to learn more about reast Reconstruction, please contact our office in Raleigh to schedule a consultation.

Call Us (919)-785-0505

Questions? Contact Us Online