Dr. Decherd offers scar revision surgery to patients in the greater San Antonio area who wish to minimize the appearance of an unsightly scar. While the majority of individuals have a scar somewhere on their body, some scars will be large enough or visibly misshaped, creating anxiety for patients when it is on display. Scar revision treatment improves the condition of a scar so that it becomes less noticeable. Patients who wish to reduce their scar should understand that this surgery does not make the scar go away all together. It does, however, improve its appearance and make it more inconspicuous.
"First Class! I highly recommend Dr. Decherd and his staff! I was referred to Dr. Decherd by a friend who had a breast augmentation. She was very pleased with the results, I am three weeks out from a tummy tuck, breast lift, and liposuction, and I feel great. Everything went very smoothly. He was very upfront and informative about the procedure and I knew exactly what to expect. He and His staff are very 'down to earth' and I felt very comfortable. All of the ladies at the front desk are very nice and welcoming. His nurse is also top notch. She has been very helpful! I am so excited about my results! It looks great! He did an awesome job!"- T.S. / Google / Oct 16, 2015
"I recently had a mastopexy done and i am thrilled with the results. Dr. Decherd is a class act. Great bedside manner. 10/10 I would do this again. My surgery was a breeze. I was given great care at the hospital and checked on later after I went home. Follow up care has been great too. His staff is so sweet. Run don't walk to this doc because he is an artist. Plastic surgery really is an art. Thank God I did my research. !"- T.F. / Yelp / May 09, 2017
"Dr. Decherd and his staff are seriously amazing. I was so nervous to have my breast augmentation, but their hospitality made me feel so comfortable. I spent so much time researching doctors in the San Antonio/Austin area, as I go to college in San Marcos, and stumbled upon his practice. I was skeptical because I didn't know anyone who went to him before, just read over hundreds of reviews and went ahead and scheduled a consultation after finding zero negatives. After going to his office, that was it; I knew he was the doctor for me. I never felt rushed to make any decisions, and when I would call to ask my million questions, everyone was super helpful. I definitely recommend going to him, my results are wonderful and I am extremely happy."- L.H. / Google / Apr 08, 2017
"Dr. Decherd is the best surgeon to go to for breast implants. He answered all my questions and didn't make me feel stupid. He always had a smile which made me feel comfortable. If I had a concern, I was told that if I wanted to, I could go in, which made me feel happy. Plus, he did a fantastic job. I'm very happy with the results. The staff were wonderful as well. I would go back again. if I would like to have another surgery."- E. / Google / Mar 27, 2017
"Dr. Decherd was amazing. I recommend him highly. He performed reconstructive surgery for my teenage daughter. He made her feel at ease and has excellent manners. The procedure came out perfect. The office staff is also awesome and helpful with all aspects of the process."- E.S. / Google / Mar 20, 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.
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 eliminate a scar, the visible imperfections are minimized. Most patients feel more confident exposing the section of skin where the unsightly scar once resided.
The cost for scar revision treatment varies depending on what type of procedure was performed. Unfortunately, this can range from several hundred dollars for a skin resurfacing treatment, to several thousand for a surgical procedure.
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 has stretched the skin properly, 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.
Plan Your Procedure
- Average Cost
- $500 - $1,000
- Recovery Time
- 1-6 Weeks
- Average Procedure Time
- 1-2 Hours
- Post-op Follow-up
- 2 Weeks
- Procedure Recovery Location