Scar revision is a term that may conjure any number of treatment ideas for people. Have you begun to search for ways to minimize skin irregularities? Or perhaps fade signs of an injury that your skin still carries? When sorting through the options and products advertised as “scar treatments”, many people don’t know where to start. We can help.

Dr. Cory Torgerson has been at the forefront of facial cosmetic surgery and rejuvenation for over a decade, and his renowned practice is devoted to offering the most advanced, effective skincare and repair treatments. When they consult an experienced facial cosmetic surgeon in Toronto, people finally access real solutions. We want to share with you some need-to-know information about scars and why you should see a facial cosmetic surgeon in Toronto to treat them effectively.

It’s time to see a facial cosmetic surgeon in Toronto

When human skin is injured, it will almost always form a scar. With few exceptions, people are self-conscious about scars, whether in the form of stretch marks, surgical scars, or acne scars. That is especially true of unwanted marks on the face. It’s nearly impossible to hide textural irregularities on facial skin, so understandably people are willing to try everything from make-up to medications boasting promises to fade and flatten them. Have you ever wasted money only to find yourself disappointed by a scar product? The truth is, few drugstore items can effect any change at all for the appearance of scars. Don’t be discouraged! You’ll find real solutions when you visit a facial cosmetic surgeon.

An inside look at scars and textural changes in our skin

The sequential process of injury and response involves complex, coordinated actions between inflammatory substances and your damaged tissue. Any damage that breaks the skin will trigger bleeding, coagulation, the release of cytokines and platelets, protein, and fibrin to fill in the wound bed. Collagen and fibrin material are what our bodies use as scaffolding to connect blood vessels, wound edges, and build the structure. A person’s overall health, the conditions for healing (such as infection), the location of the injury, and even their age may contribute to the eventual healed outcome.

The newly developed tissue doesn’t look like the surrounding skin, however. Scar tissue is typically lacking in pores, has diminished sensation, or feels extremely sensitive. This “living bandage” will lack normal pigment and, because of that, has no meaningful protection from the sun. Scar tissue doesn’t flex the way healthy skin does. Because of its tight and sometimes constricted texture, this tough tissue may even impair the function of mobile facial features such as the eyelids, mouth, or nose. The following are common types of scars and their causes:

These skin changes will develop after second-degree and third-degree burn injuries to the skin. Because of the wide variety of ways that heat can damage skin, the patterns and severity of scarring are often unpredictable. Burn scars may spread over a large area and often leave the skin discoloured, tight, smooth, or shiny in texture. When scarring is widespread, it may contract and inhibit movement. Because it lacks the natural elasticity and flexibility of skin, scars can be uncomfortable and challenging to live with.

These linear marks appear after pregnancy, puberty, or rapid weight gain and are classified as scars, though the surface of the skin has not been broken. The structural integrity beneath the surface is torn under pressure and leaves dark or silver lines that feel thin, indented, and wrinkled.

Every cosmetic surgeon is familiar with this scar type, yet the expert creation of a well-planned surgical scar results in discreet, faint lines that do not appear unsightly or impair movement. Marks caused by operations are usually linear and accompanied by rows of dots due to stitches and staples.

Pitted scars, whether small or extensive, fall under this category. Because skin and underlying tissue are removed during injury and subsequent scabbing, the wound will close but leave a depression. Acne scars are typically atrophic, and they are further categorized according to sub-type. Perhaps you’ll recognize one or more of the following acne scar types:

  • Ice-pick – These scars are commonly seen, named after the deep, pitted holes they leave in the cheeks.
  • Box scars – These tend to look punched out, with distinct edges. They can also be deep, but are wider than ice pick scars and commonly found on cheeks or temples.
  • Rolling – These are widespread and shallow, but cause the skin to have a waved appearance. The textural change is noticeable at a distance.

What should you do about acne and other scars?

Your first, proactive step is to contact a skin and scarring expert who has plenty of experience in this area. Toronto facial cosmetic surgeon Dr. Torgerson recommends that people allow active acne blemishes to clear up before proceeding with scar therapies. Because of his in-depth medical knowledge and practice experience, he’s able to advise a series of proven, medical-grade products that assist his patients with rapid acne healing.

People who have visible scars want to smooth and blend away their textural irregularities while balancing skin tone. A number of targeted facial cosmetic treatments can accomplish this.

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Important Note

Any scar should be allowed to fully heal and mature for a minimum of one year before undergoing revision treatments. It takes a surprisingly long time for scar tissue to develop. A little patience will help you get the best possible results.

Injectable Dermal Fillers

Hyaluronic acid (HA) facial fillers are a fantastic instant solution for many types of facial scars that are indented or depressed. The injectable products safely lift skin to even out the surface and reduce space in pits. The meticulous eye of an expert injector allows for multiple small scars to be smoothed away in one session. HA facial fillers last between 6 and 9 months on average, but they have the unique property of stimulating collagen production where placed, so you may need less product over time. It is a relatively comfortable procedure with no downtime. Contact us to learn more.

Steroid Scar Injection

Hypertrophic scars may feel itchy and will typically be red and raised. They sometimes develop while a person is healing. Hypertrophic scars represent overstimulation of the immune response. While they are similar to keloid scars, they are not true keloids and will eventually fade and resolve on their own. The scar edges do not grow past the wound borders. Steroid injections, if necessary, are typically effective to calm them down and aid in healing.

Keloid scars describe an expanding, growing mass of fibrotic tissue due to an over-productive immune process, and they are often hereditary. Darkly pigmented skin is usually more prone to keloids. Steroid medications may halt the proliferation of a keloid, or they may be carefully excised.

Dermabrasion Scar Treatment

Some raised or rough scars as well as darkly pigmented lesions respond well to microdermabrasion. This lightly abrasive treatment carefully sloughs off the surface layers of the skin and damaged or pigmented cells along with them. Revealed is brighter, fresh, and less damaged skin, which can significantly improve the look of scars. For minor scarring, pigmentation, and textural irregularities, microdermabrasion can be the quick, simple treatment many people want, with minimal downtime and visible benefits.

Microneedling

Also known as CIT (collagen induction therapy), this treatment has been all the rage in cosmetic and medical spas in recent years, but it started out as a treatment for scars decades ago. Also called micro needling or skin needling, the technology utilizes a small stamp or roller that contains numerous short points spaced apart according to desired puncture depth. The needles create micro-injuries in the skin or scar surface as they are gently pressed on the area. This, in turn, stimulates the body’s natural inflammatory and healing process, bringing collagen to the region. More collagen means thicker, firmer, and smoother skin. This treatment has been made popular for facials and even body applications, but it is a standard, reliable favourite for remodelling scar tissue. For tight, constricted burns, CIT can be very useful to increase the flexibility and mobility of an area. Treatments are usually spread out by a few months, and patience is required to see collagen slowly build and change the surface.

Laser Skin Resurfacing

The term “laser” really covers a wide range of devices and equipment that direct light and heat energy to target locations on the skin or below it. There are many different settings that experienced Toronto cosmetic surgeons select to accomplish specific goals. Ablative laser resurfacing denotes the removal of extremely precise, thin skin surface layers, reducing scar tissue and revealing smoother skin.

YAG erbium and CO2 laser devices have completely changed the landscape of what skin and scar rejuvenation looks like. They direct incredibly fast micro wounds to the target tissue – so small that you cannot see or feel them. These light energy waves are able to work on a cellular level in your skin and your scars to remodel the tissue while removing unwanted scar tissue.

The YAG laser is also very beneficial for lesion and scar revision with its shorter wavelength, penetrating less deeply, but focussed on highly specific small areas. A range of scar types as well as vascular lesions, pigment, and broken capillaries can be treated with these versatile devices. The erbium and C02 technology is preferred by many medical professionals to resurface problem skin without surgery, and it has revolutionized the way that Toronto surgeons treat scars. The process is more transformative and intense than non-ablative skin therapies, but requires only 7 days of downtime, during which the surface layer of the skin will slough away to reveal fresh, healthy skin underneath.

We welcome you to contact us today and find out if a non-surgical approach to skin revitalization is the solution you’ve been waiting for. Laser technology is extremely safe and effective in the right hands, but you shouldn’t trust just anyone with this powerful technology near your body. For safety’s sake and results you’ll love, seek treatment under the supervision of a Royal College-certified facial plastic surgeon.

Non-ablative laser technology such as IPL (intense pulsed light) is useful for light scarring and doesn’t damage the surface layer of skin. Instead, less severe heat energy is directed deeper in the tissue to leave the surface untouched and remodel underlying layers. This simple, painless treatment typically requires only a few days for healing, and the client may see a little redness on the skin’s surface during that time.

Surgical Scar Removal or Revision

Sometimes a scar that impairs soft tissue movement or doesn’t respond to other therapy will be excised. Using advanced surgical wound closure technique, the placement and closure of the incision can be completely controlled and its appearance minimized. Scars are sometimes moved from one area to another, revised to be smaller or thinner than they previously were. Releasing constricted tissue to allow for a softer, smaller scar placement is often preferable. When intentionally creating a subtle, controlled scar, the healing and post-procedure protection is also critical. Dr. Torgerson advises patients how to ensure a hair-thin, pale, and flat scar through infection prevention, topical treatments, and long-term management.

Who is an ideal candidate for advanced scar revision treatments?

People who are in good general health will typically be suitable for any number of therapies. The best methods for treatment will depend on the skin type, the existing scar, and the patient’s goals. The most reliable way to find out what options you have is to schedule a private consultation and discuss all of the considerations with an experienced facial cosmetic surgeon in Toronto. It’s critical to determine what factors contributed to your scar formation to minimize reoccurrence and choose a treatment that will be well tolerated.

Dr. Torgerson will always present realistic and honest guidance for his clients. He wants them to be encouraged by the transformative possibilities of the latest cosmetic procedures, yet also realistic about the limitations. The goal when seeking the correction of an aesthetic issue should always be to improve and build on your natural beauty. We recommend setting your sights on improvement, not perfection. We can diminish scarring, but it’s rarely, if ever, possible to eradicate a scar completely. At the Dr. Torgerson Clinic in Yorkville, our focus is on revealing blemish-free, healthy skin, but we also understand the influential role that scars can have on a person’s psychological wellness. We’re pleased to deliver the industry’s most advanced, high-quality treatment solutions with professionalism and compassion. Always.

We’re ready to schedule your appointment

We facilitate incredible transformations at the Dr. Torgerson Clinic, and we’ve established an expansive family of past clients who are thrilled that they sought expert medical help for their skin and scars. We can do wonders for you too, and we’d love to meet you. Contact us today to take the next step on your journey and get ready to put a more confident face forward.

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Dr. Cory Torgerson
Dr. Cory Torgerson
Dr. Cory Torgerson is one of Canada’s most talented and prominent facial plastic surgeons, focusing on head & neck facial surgery. Dr. Torgerson has been frequently invited to teach and lecture on these topics across North America. He has hospital privileges at Sunnybrook Hospital, one of the premier hospitals in the University of Toronto Health Network.
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