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Plastic Surgery Case Study – Z-plasty for Eyebrow Lowering

Background:The eyebrows provide an important framing structure for the eye area. Residing over the brow bones (supraorbital rims) their hairy composition provide an instantly recognizeable facial feature. While eyebrows have very variable shapes and hair features, and they are subject to considerable grooming and modifications based on contemporary style, the one consistent and important feature Read More…

Early Fractional Laser Treatment Of Surgical Scars

Early treatment of scars by some method is certainly preferred by patients whether the scars  are from traumatic injury or elective aesthetic surgery. A variety of such scar strategies exist from topical gels and tapes to pulsed dye and ablative laser treatments. All of these methods have shown long-term scar appearance benefit with topical treatments Read More…

Fat Injections For Scar Therapy

Fat injections, also known as autologous lipofilling, continues to expand in usage in plastic surgery. While initially perceived as just a soft tissue filler, it has become known for improving the quality of the tissues into which it is injected. The precise mechanisms as to why this happens is not known but observations and anectodal Read More…

Botox Injections for Keloid Scars

  Keloids represent the extreme of scar problems. As a tissue overgrowth response to an injury, and often progressive and unremitting, keloids are a true pathologic scar problem. Besides being an overly obvious scar problem, it is also highly refractory to conventional scar therapies. While many strategies have been used for difficult keloids after excision Read More…

Fractional Laser Treatments for Traumatic Burn Scars

Many disfiguring and debilitating scars, particularly those of a burn origin, are often associated with pain and itching in addition to their appearance. The use of fractional laser resurfacing, which is now about a decade old, has become a very valuable treatment method for these types of traumatic scars. To those experienced in using it, Read More…

Tracheostomy Scar Revision Using Fat Injections

  A tracheotomy is a life-saving operation but will usually leave a scar deformity when it is removed. This is due to the sustained pressure of the tube through the neck tissues and that, when the tracheostomy is removed, the wound is allowed to heal by secondary intention. Thus it is not surprise that wide Read More…

Combination Scar Revision and Radiation for Earlobe Keloids

Keloids are a notoriously difficult scar problem for which there is no match other than perhaps that of the broader-based burn scar. There are a wide variety of treatments used for keloids and that is a testament to their high recurrence rate despite what treatment method is done. Keloids are well known to occur in Read More…

Scar Revision Strategies in Hypertrophic vs Keloid Scars

While scars have a negative connotation due to the imperfect appearance of the skin, they are a normal result of most injuries and surgeries. This is part of the wound healing process and their appearance (or perpetuation) is the expected result of this dynamic process. It is only deviations from normal wound healing, hypertrophic scars Read More…

Case Study: Mega Abdominal Scar Revision

Background: Abdominal wall disruptions and deformities occur from a wide variety of problems. But infection from traumatic injury, surgery or a bowel-related disease process can produce a devastating and life-threatening abdominal wound problem due to having to be packed open. Once the infection is cleared, the open abdominal wound can usually be secondarily closed once Read More…

The Z-plasty Scar Revision Technique

Scar revision techniques have a long history in plastic surgery and are used as much today as they were many decades ago. While many patients think of scar revision as being done with a laser, like a magic eraser, the reality is that surgical excision and rearrangement of adjacent tissues is often more effective. Such Read More…

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