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Scar Revision

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Reclaim Natural Skin Texture

Scar Revision at Knoxville Center for Dermatology & Plastic Surgery

Whether caused by prior surgery, accidental trauma, or severe acne, visible scars can draw unwanted attention and make you feel self-conscious. At Knoxville Center for Dermatology & Plastic Surgery, our experienced medical team provides personalized scar revision to refine scar texture, reduce discoloration, and blend scar tissue into surrounding skin. Our practice brings board-certified plastic surgeon Dr. Daniel Fowler, board-certified dermatologist Dr. Carley Fowler, and our expert team of aesthetic providers together under one roof for complete, compassionate skin care.

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Purpose

Softens, flattens, and improves the color and texture of surgical, traumatic, or hypertrophic scars.

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Treatment Options

Non-surgical (laser resurfacing, SkinPen microneedling, steroid injections) and surgical excision.

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Downtime

Ranges from minimal downtime for non-surgical treatments to 5–7 days for surgical revision.

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Key Benefit

Blends scar tissue into surrounding skin to restore confidence and skin comfort.

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The Science Of Skin Healing

What Is Scar Revision?

Scar revision is a specialized cosmetic and reconstructive process designed to minimize the appearance of a scar so that it blends more naturally with your skin tone and texture. While no scar can be completely erased, scar revision alters the structural tissue to make it far less noticeable and significantly smoother.

Depending on the scar type, location, age, and depth, your provider will recommend tailored non-surgical or surgical approaches:

  • Topical and Injectable Therapies: Corticosteroid injections help soften and flatten raised, thick keloids or hypertrophic scars, while targeted medical-grade silicone gel sheets aid everyday healing.
  • Non-Surgical Resurfacing: Modalities like SkinPen microneedling, laser skin resurfacing, and chemical peels break down rigid fibrous scar tissue and stimulate new collagen production to smooth indented or irregular surface scars.
  • Surgical Scar Excision: For wide or raised scars, Dr. Daniel Fowler performs precise surgical revision. The old scar is excised, and the wound edges are meticulously re-joined using advanced plastic surgery suture techniques to align with natural skin tension lines.
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Step-By-Step Skin Refining

What Is the Scar Revision Procedure Like?

On the day of your treatment, our team ensures your comfort and peace of mind. Non-surgical options like microneedling or laser resurfacing involve applying a topical numbing cream before gliding light energy or medical micro-needles over the scar tissue to promote collagen remodeling.

For surgical scar revision, local anesthesia is administered to keep the area completely numbed. Dr. Fowler carefully cuts away the dense scar tissue and closes the new incision with fine sutures positioned along natural skin creases. Soothing ointments and protective dressings are applied to encourage optimal healing.

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Real Texture Solutions

What Conditions Does Scar Revision Address?

Scars can distract from how you feel about your appearance. Our scar revision procedures solve this by making the following kinds of scars less prominent:

  • Hypertrophic Scars: Reduces thick, raised, red scar tissue that remains confined to the original wound site.
  • Keloids: Softens and flattens large, itchy, or painful raised scars that grow beyond the original incision borders.
  • Atrophic Scars: Smoothes depressed or pitted scars often left behind by severe acne or chickenpox.
  • Surgical and Traumatic Scars: Refines wide, discolored, or uneven scars resulting from past surgeries or accidents.

Target Body Areas

What Areas Can Be Treated?

Scar revision can be performed on any area of the body, including high-visibility zones like the face, neck, chest, arms, legs, and abdomen.

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Boosted Self Confidence

What Are the Benefits of Scar Revision?

Scar revision delivers physical and emotional benefits by making disfigured skin far less noticeable.

Seamless Natural Blending

Aligning scar tissue with natural skin tension lines makes scars significantly thinner, flatter, and closer in color to surrounding skin.

Restored Comfort and Movement

Flattenering tight, raised scars relieves localized itching, tightness, and physical restrictions around joint zones.

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Smoother Complexion Revealed

Am I a Candidate for Scar Revision?

Good candidates for scar revision are patients in good overall health who have fully healed scars that bother them. Ideally, scars should be fully healed—usually 6 to 12 months after the injury—before having revision. Patients should have realistic goals and understand that while treatment can greatly improve how a scar looks, no procedure can make it disappear completely.

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Caring For Treated Skin

Scar Revision Recovery

Recovery depends on the treatment modality used:

  • Non-Surgical Resurfacing: Expect mild redness or light peeling for 2 to 4 days, with zero downtime required.
  • Surgical Revision: Initial healing takes 7 to 10 days, during which you will keep the incision clean and covered. Sutures are removed in our office within 5 to 7 days.

Strict sun protection is vital following any scar treatment. Applying broad-spectrum SPF 30+ daily and protecting the new scar from direct UV light prevents hyperpigmentation and ensures the scar heals as discreetly as possible.

Lasting Collagen Remodeling

Scar Revision Results

Initial results emerge as swelling and redness subside, with surgical incisions taking on a thinner, cleaner appearance. However, final scar maturation and collagen remodeling take time—your skin will continue to soften, fade, and smooth over 6 to 12 months.

Non-surgical approaches like microneedling or laser therapy build optimal results across a series of sessions spaced a few weeks apart. Maintaining a proper skincare routine and shielding your skin from sun damage preserves your refined, subtle outcome for years.

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Collaborative Revision Care

Why Choose Knoxville Center for Dermatology & Plastic Surgery for Scar Revision?

At Knoxville Center for Dermatology & Plastic Surgery, your scar revision is backed by board-certified dermatologists, plastic surgeons, and credentialed medical providers. Having medical dermatology, facial plastic surgery, and laser therapies under one roof allows us to combine surgical precision with advanced laser technology. We deliver warm, approachable care tailored to helping you look and feel your best.

Scar Revision Frequently Asked Questions

No surgical or cosmetic procedure can erase a scar completely. However, scar revision can dramatically soften, flatten, and reposition a scar so that it blends naturally into surrounding skin and becomes barely noticeable.

It is usually best to wait at least 6 to 12 months after an initial wound or surgery before undergoing scar revision. This allows time for the body’s natural wound-healing process to mature fully.

Local anesthesia is used during surgical scar revision to ensure you feel no pain during the procedure. Post-treatment soreness is mild and easily managed with over-the-counter pain medication.

If a scar causes physical functional impairment, severe tightness, or discomfort, insurance may partially cover reconstructive revision. Purely cosmetic scar improvements are out-of-pocket expenses. Our team provides clear pricing guidance during your consultation.

For depressed or pitted acne scars, most patients achieve optimal results with a series of 3 to 5 microneedling or laser resurfacing treatments spaced about 4 weeks apart.