Scar revision is performed to reduce the appearance of scars caused by injury or previous surgery. While many scars fade over time and eventually transform to become barely noticeable, many patients experience disruptions to the healing process that causes scars to become red, raised, indented or otherwise deformed. Many patients are unhappy and embarrassed by the appearance of these scars, especially when they are located in prominent areas, and seek treatment to improve them. Midtown Manhattan plastic surgeon, Dr. Dana Khuthaila provides comprehensive scar revision services to help patients achieve smooth, clear skin that they no longer have to hide.
"24 and Baby Faced - I went to Dr. Khuthaila for "facial slimming botox" - it's a procedure where botox is injected into your masseter muscles (your jaw) and gradually paralyzes the muscle causing the muscle to atrophy overtime. For my first session i had 40 units put in, Dr. Khuthaila used a vibrating tool as a distractor as she administered the injection. It was completely painless and it was done in what felt like under two minutes. There was some slight bruising on the side of my face which I promptly covered up with makeup and went back to work right after. I have to preface this with this. I have a theory that I have especially hypertrophied masseters because I used to chew gum while I lifted weights. I've also always had a round wide-ish face and I've been looking into invasive asian cosmetic procedures for years. I decided to try this to see if I could go about it differently. I'm a personal trainer, fit, at my goal weight, 20% body fat and I know this is the smallest my face is going to get. You can make your face appear smaller by reducing your body fat, and I had just hit my ceiling. The first week really didn't garner a noticeable difference in my eyes. My face was still pretty round and not "v'd". I went back for a touchup (10 units) a week and a half later because Dr. Khuthaila noticed a bit of asymmetry with my jawline. (Probably because I chew with my right side, also a theory) About two weeks out I woke up and noticed that my chin looked especially prominent and I could not stop staring at myself throughout the day. It really was working. In fact, I felt like I had a new face. So all and all the procedure works, but it takes time and the changes are subtle. "- J. / RealSelf / Apr 08, 2017
"22 Year Old Unhappy with Profile of the Nose - I always felt that my profile was missing something but I didn't know what I wanted to correct. I realized after taking countless profile selfies that the tip of my nose was lacking perky-ness (If that any makes sense). I've thought about having a rhinoplasty to correct it but I didn't want to break my nose in the process being that all I wanted was structure to the tip. Dr.Khuthaila recommended we try a non surgical temporary treatment and we proceed from there. I was amazed with how quickly and instantly the results were! My nose has the perfect uplift I was looking for and she saved me from going under the knife when it truly was not necessary. The result is exactly what I wanted and I cannot thank her enough for all her help and support. <3 "- S. / RealSelf / Apr 06, 2017
"Best Plastic Surgeon in NYC! Love my Botox! - Dr Dana Khuthaila is amazing! After turning 30 I was interested in less invasive procedures to spruce up my face. I started to get annoyed at the lines starting to become permanent on my forehead. Dr Khuthaila suggested I try Botox in the forehead and between my eye brows to smooth everything down and get rid of those lines...(I also have thick forehead muscles that bulge up when I squint). Being a professional and expert injector she used the perfect amount of the Botox that gave my eye brows a nice little lift and totally smoothed out my forehead, I still have movement and I certainly do not look "overdone" which was one of my main concerns. Everyone keeps complimenting me on how refreshed and rejuvenated I look, even my husband can't quite figure out why I am looking exceptionally awesome these days! The injections were painless and she even used a really cool vibrating gadget that helped distract me from any pain (which I did not feel at all). She took her time, explained everything in detail and gave me great post op care instructions. Her office is spectacular with overlooking views of Central Park...million dollar view for sure! Her staff is warm,welcoming ,always smiling and so amazing at confirming appointments AND they even called me the next day to see how I was feeling after the injections...totally thoughtful follow up care, they make you feel like family! Hands down she is the best, her surgical work as well is beyond incredible. I will be back for more Botox and her injectable filler work is flawless as well."- M. / RealSelf / Mar 31, 2017
"I LOVE Dr Khuthaila. She is one of the very few doctors that will not only do an amazing and meticulous job, but will take her time to explain the procedure and answer all questions along the way, and do it with the integrity of a true professional and with the best interest of the patient in mind first and foremost. I saw many plastic surgeons before I found her, at the recommendation of a very close friend, and once you meet her, you will immediately understand why her patients love her so much. She's treated me and my mom, I've recommended her to friends and will keep going back to her. She is 5 star all around. As an added bonus, her gorgeous office overlooks Central Park and is close to wonderful restaurants and the nice shops on 5th and Madison. Thank you Dr Khuthaila!!!"- S.M. / Yelp / Aug 23, 2016
"Excellent experience - I am very picky, before the procedure I had 7 consultations with 7 different drs. She was by far the most detailed, honest and explained exactly what shall I expect. The procedure was very smooth, I didn't feel a thing, healing process was much faster than my friends who did it with other Drs I was able to go out 2 days after the procedureToday I am 2 weeks after And I have no visible scared or bruises Oh and the most important thing is She phoned to check on me and they have me a number to text or call if I have any questions and I did text many times and they reply fast and efficient Excellent experienceHighly recommended"- K. / RealSelf / Mar 30, 2017
Types of Scars@headingTag>
There are various methods available to treat unsightly scars, but it helps to first understand the different kinds of scars.
- Superficial scars are the most subtle type of scars. They do not cause any issue other than an unsightly appearance.
- Keloid scars are larger, painful scars, which are often discolored and tend to extend beyond the edges of a wound.
- A hypertropic scar does not extend beyond the wound, but it continues to become larger, thicker, and more painful over time.
- A contracture scar develops over a larger section of skin creating a tight feel and impairing one’s ability to move. A severe burn is an example of this.
Scar revision treatment will be chosen based on the scar’s location, type, size and overall extent. There are various techniques to consider.
For scars that are raised, a shave excision may be performed to remove the top of the scar and even-out the surface with the rest of the skin. This creates a smoother, flatter appearance. During the procedure, a surgical shaver is used to slowly shave off the raised portion of the scar. Sutures are not needed in most shave excision cases.
This is also a technique used for raised scars. It can be accomplished a couple of different ways. First, is the elliptical removal pattern. This involves removing the scar as well as an edging (ellipse) of skin encompassing the scar so a clean enclosure can be made. The sutures may be placed on the inside or outside of the skin. Sometimes a scar exists because the incision was closed poorly. By reopening the scar and resuturing the skin in a different direction, the new scar can be minimized.
Skin Grafting/Tissue Expansion@headingTag>
Large scars may require a skin graft (skin taken from another area on the body) to close the wound once the scar has been removed. Carefully placed sutures will be used around the graft to close and blend the skin together for healing. If a skin graft will not be used, tissue expansion may be used instead. During this process, a tissue expander will be placed under the skin where the scar resides and filled with a sterile solution. Once the expansion process is complete, the surgeon will stretch and join the edges together and place sutures carefully into the tissue wall.
Scars that are depressed or concave may benefit from a filler material known as injectable derma filler. There are a wide variety of fillers on the cosmetic surgery market that may be considered. Collagen is a common filler used for scar revision. During the procedure, the injectable material will be injected into the skin through a syringe. The surgeon may manipulate the outside of the skin to help shape the surface accordingly.
Some scars can be treated with a series of skin rejuvenation treatments, which can soften the surface of the skin, smooth out uneven scarring, reduce uneven pigmentation and lighten the skin where needed. Some scars may even become non-existent because of the skin removal mechanism. Skin surface treatments include laser skin resurfacing, chemical peels, dermabrasion and skin bleaching.
All scar revision procedures are performed in an accredited surgical facility. Some procedures will require general anesthesia, but most will only need local anesthesia. Following this procedure, patients will need to adhere to a daily scar treatment regime so the wound site and new scar can heal. It is important to protect this area of skin from sun exposure to avoid any further skin discoloration. While this treatment does not fully eliminate a scar, the visible imperfections are certainly minimized. Most patients feel more confident exposing the section of skin where the unsightly scar once resided.
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