Throughout one’s’ life it’s not uncommon to accumulate a scar or two as a result of an injury, burn, acne, surgical procedure or trauma to the skin. The location of the scar and the degree of the damage to the skin will often determine whether or not someone chooses to have it treated. At Solomon Facial Plastic, we specialize in scar revision as Dr. Philip Solomon has been treating patients for nearly 20 years and is one of the best surgeons in Toronto and an expert in his field.
Scars are created during the natural healing process as a result of damage to the skin or tissues. Once skin or tissue has been injured, the body releases collagen to repair the damage. Collagen helps to reattach the damaged skin. A scab then forms to cover the wound to protect the damaged area. The healing process can take up to 18 months. Some may heal naturally while others may require additional treatment.
A scar revision is a procedure designed to minimize the appearance of scars so that they blend in with the surrounding skin texture and tone. Depending on your healing mechanisms and the depth of an injury, a mark may be permanently present. Once the wound has completely healed, a scar may remain if the wound caused injury to multiple layers of the skin triggering fibrous scar tissue development.
An unsightly scar can be aesthetically displeasing, psychologically distressing to some individuals and can affect one’s self-esteem, depending on the size and location of the scar. Unfortunately, tissue scarring is unavoidable as there are many factors that influence the growth of scar tissue. People with existing health conditions, or who are of a certain age, are generally more susceptible to scar formation.
Surgical scar revision can change the size of a scar, raise depressed scars or lower elevated scars. Scar revision improves the appearance of a scar while leaving another – though less obvious – scar in its place.
Scar revision can also be achieved with laser resurfacing and the injection of steroid medications. Topical treatments occasionally prescribed by some surgeons or doctors.
There are minimally invasive procedures available at the offices of Dr. Philip Solomon, Otolaryngologist, Head and Neck Surgeon practicing Facial Plastic Surgery, as well as surgical procedures that involve more advanced wound closure techniques. Dr. Solomon will discuss different treatment options that are available for your unique needs, as well as the long-term effectiveness of each procedure, in order to provide a tailored solution to help minimize your scarring. Scar revision can help make your scar less visible, however, it may not completely erase it.
It is advisable to wait at least a year for the scar to completely heal before deciding whether a scar revision will be beneficial, therefore allowing for a proper assessment of the mature scar by Dr. Solomon. While there are many different surgical techniques that can be used to treat scarring, the result tends to reduce the scar as much as possible so that its appearance is less visible. In some cases, the scar may be relocated to another part of the body. The patient’s skin may be moved around to accommodate the scar, or the initial incision may actually be recreated using advanced surgical techniques.
Laser resurfacing and/or dermabrasion can be used to improve raised scars. Noticeable, elevated and rough scars can be treated by removing a part of the uppermost layer of skin, which will cause the skin to regenerate, resulting in a less visible scar. In most cases the surgeon will use a laser light or abrading tool to do so, making the scar appear less prominent in the process. It is important to note, however, that the scar will still technically remain. The difference is that the scar will be smoother and less visible after the surgical procedure. Laser skin resurfacing and dermabrasion may not be useful in treating scars that are deep or have a depressed surface.
Hypertrophic and keloid scars are typically raised and can also feel irritated and itchy. Often, steroid injections are introduced first to reduce the size of the scar. In the event that the medication based injections are not sufficient, then surgery may be recommended. In such cases, the scar will be eliminated surgically and fine stitches will be used to close the incisions; resulting in less prominent scarring. In addition, please note that in many cases more than one procedure or treatment is required. A combination of treatments is often the best course of action in order to obtain optimal results. In the end, regardless of how unappealing a scar looks, it can usually be worked on and improved upon in a meaningful way.
More than 80% of the population is affected to some degree during their teen years and adult life with a skin condition called acne. For most, it will be a somewhat distressing temporary condition that leaves no significant lasting effects. For others, acne can result in scarring that is not only disfiguring but can affect an individual’s self-image in a negative way, for the rest of their lives.
Though there are a variety of topical products that may somewhat improve mild scarring, most acne scars require treatment with laser skin resurfacing, injectable fillers, and/or surgical procedures. Most of these treatments provide long-lasting or permanent smoothing out and lightening of the acne scar. Some treatments can even control future breakouts.
Treatment of acne scarring is often dependent on the size, shape, and depth of the scar because some treatments are more effective on certain types of scarring. Accutane use, though very effective in controlling active outbreaks, can be contraindicated in conjunction with many treatments for scarring and should be discussed with your doctor prior to treatment.
Until recently, dermabrasion and dermaplaning have been the most common and effective methods of skin resurfacing treatment for acne scars. Dermabrasion uses a rotating abrasive wheel to remove the top layer of damaged skin, allowing new skin to grow. The technique takes about an hour and downtime is about two weeks.
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However, with the introduction of fractional resurfacing technology such as the new Ultrapulse Fractionated CO2 Laser and Fraxel®, dermabrasion may become less common. Laser skin resurfacing takes less time and allows penetration of the skin layers to be more controlled than in dermabrasion. Because only small “fractions” of the skin’s surface are treated, laser resurfacing results in less downtime and an easier recovery. Results from treatment with the Ultrapulse are dramatic and immediate, often requiring only one to two appointments. The Fraxel laser treatments may take up to six visits to achieve desired results.
Another mode of treatment for acne scarring is injectable therapy. This method involves injecting material such as collagen, fat, hyaluronic acid derivatives, or polymethylmethacrylate (PMMA) microspheres combined with collagen under the scar to plump up the surface to the level of the skin around the scar.
Artecoll® is one product used for treatment that offers permanent improvement in acne scars. Usually only requiring one implant injection, Artecoll uses PMMA microspheres suspended in collagen to plump the scarred area. The formula contains a trace of anesthetic to minimize any discomfort from the injection. The results are not fully seen until about three months after the procedure, but the effects are the longest lasting of any of the injectables that are currently available.
More temporary results can be achieved with hylaform viscoelastic gels like Restylane®, Perlane®, and Juvederm™ made from natural materials that fill in the scar depression. Though this treatment needs to be repeated to maintain the desired effect, the procedure is simple with little discomfort and the results are immediate.
Fat grafting or fat transfer uses your own body fat that is taken from another part of your body (thighs, for instance) to fill in the scar. The fat is concentrated and then injected into the depression to plump the area. The procedure involves little discomfort, though for longer-lasting results, patients will probably need three to four treatments over the course of several months.
Punch techniques are minimally invasive surgical procedures that can be highly effective in improving the appearance of acne scarring. There are three types of punch excision and they all use a punch biopsy tool to correct deep acne scars.
Punch excision removes the base of the scar, and the skin is then closed with sutures and allowed to heal. Punch elevation uses the punch tool to remove the base of the scar that is then sutured to the surrounding skin. Punch replacement involves the removal of the scarred skin which is then replaced with a skin graft (most commonly from behind the ear). These punch techniques are often combined with laser resurfacing to even out the surface and tone of the skin and are highly effective in improving the appearance of the skin.
For some scars, a surgical procedure that will detach the scar from the deeper connective tissue may be required. This procedure is called subcision and usually requires one to three treatments. Bruising and swelling may last up to two weeks. This acne scar treatment is also usually combined with laser resurfacing for optimal results.
It is common to experience a level of discomfort after undergoing a facial or any other scar revision procedure. Redness, bruising, and swelling are commonly reported side effects of the surgery and are usually well tolerated by most patients. In many cases, the sutures that were placed will be extracted a few days after the surgery has been completed.
The head should also be elevated whenever the patient lies down, and cold compresses are recommended in order to reduce any swelling. Any medications that the patient is taking will also be taken into account before and after the surgery. To ensure a quick and easy recovery, please follow the carefully formulated aftercare instructions that are provided by Dr. Solomon’s office in order to ensure a smooth and uncomplicated recovery process. Some scars may take more time to heal than others.
Contact the Solomon Nasal and Facial Plastic Surgery Centre today 905-764-7799 to find out which scar removal option may be the best solution for you. Dr. Philip Solomon is a double board certified facial cosmetic surgeon practicing in Thornhill, Toronto and the GTA. A consultation with Dr. Solomon is the best way to determine a plan for treatment in minimizing the appearance of your scar(s). Every treatment is tailored according to your individual needs and aesthetic goals.
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Itay Kreinin2025-02-18Trustindex verifies that the original source of the review is Google. I had an amazing experience with Dr. Solomon!! I had a rhinoplasty around 2 and a half months ago and I am obsessed with the results. It’s still far from fully healing, but I can honestly say that it looks absolutely incredible! From the first consultation, everyone at the office was friendly, passionate and knowledgable. Dr. Solomon was transparent with what to expect from the operation, and the healing process, as well as wasn’t deceiving and comforted any worries along the way. My procedure was smooth, I had no pain at all. I was contacted several times after to make sure my recovery was going well. I thank everyone who contributed in my surgery!! Dr. Solomon is truly a genius and I 100% recommend to anyone who is looking to get a nose procedure done. Ruth Mandelman2025-02-18Trustindex verifies that the original source of the review is Google. I am a 70 year old woman who had a face lift when I was younger. Time to do it again and this time I went to Dr. Solomon. What a find! He did an amazing job. Made me look at least 10-15 years younger. Everyone says I look so restedHe also did a CO2 laser treatment in my full face. My skin has never looked this good, not even as a kid. And the best part, he listens and cares. Understood my concerns and gave me exactly what I wanted. So happy! meme corp2025-02-11Trustindex verifies that the original source of the review is Google. My name is Salvatore. I wanted to share my incredibly positive experience with Dr. Solomon and his entire team. Before undergoing a facelift, I had significant fears, especially as someone who wanted to look younger without it being obvious that I had undergone plastic surgery. It’s a delicate paradox—wanting to appear rejuvenated but still natural. Dr. Solomon and his staff exceeded my expectations and completely resolved this concern. Dr. Solomon is not just a conventional plastic surgeon—he is an artist and an empathetic professional. He truly understands how to achieve subtle yet transformative results. My facelift was performed with the utmost care and artistry. The outcome was amazing: my face looks 10 years younger, yet it remains natural and harmonious. I was functional within a week and started seeing people after two weeks. The best part? Nobody suspected I had a facelift! Instead, everyone assumed I had just returned from a relaxing vacation, which is exactly the result I was hoping for. I cannot recommend Dr. Solomon and his staff highly enough. They provided exceptional care from start to finish, and I am beyond grateful. Thank you from the bottom of my heart for giving me such a positive and life-enhancing experience. Five stars all the way! anonymous (calendar)2025-02-06Trustindex verifies that the original source of the review is Google. I recently underwent a deep plane facelift and CO2 laser treatment, and couldn't be happier with the results. From the initial consultation with Dr. Solomon to my follow-up appointments, I was greeted with warmth and kindness that immediately made me feel at ease. Dr. Solomon took the time to explain every step of my procedure, ensuring I fully understood the process and felt confident in my decision. Although I was understandably nervous, Dr. Solomon's reassuring manner and empathetic nature made me feel completely comfortable throughout the entire experience. His expertise and attention to detail were clear from the start, and the surgery and recovery were much easier than I had anticipated. I can honestly say I experienced no pain whatsoever. I took no pain medications, not even a Tylenol. What truly stands out and pleases me the most, is the natural result. I look like a rejuvenated and refreshed version of myself, which is exactly what I was hoping for. My features have been enhanced, but I still feel like me. Dr. Solomon and his entire team are exceptional. They are highly professional, and incredibly empathetic, taking the time to listen to concerns and questions without ever making you feel rushed. What truly sets this practice apart is the dedication to patient care and the compassionate, accommodating nature of the entire staff. Whether it was Dr. Solomon's manager, Nancie, helping me with scheduling and providing support during recovery, or his nurse, Maddie, who was so kind and encouraging during my post- surgery visits, every team member was available and eager to assist. They genuinely care about their patients and go above and beyond to ensure you have the best possible experience. If you are considering facial cosmetic surgery, I highly recommend Dr. Solomon and his team. Their expertise, combined with their kindness and personalized care, made all the difference in my journey. I would certainly return to Dr. Solomon should I require any future procedures and will continue visiting the clinic for non-surgical treatments to maintain the results of my surgery. I am very grateful for the outstanding care I received! Donna Najjar2025-01-23Trustindex verifies that the original source of the review is Google. I came to see Dr. Solomon to inquire about a chin implant. I didn't have much definition on my jawline and my chin before was almost non-existent. Dr. Solomon discussed my options and further explained the benefits of a chin implant which excited me even more. I decided to proceed with the surgery, which went super well and the staff took care of me so well. The healing process was super easy, I didn't need to take any pain medication, my smile was crooked which is totally normal. After four months, my chin completely healed and I couldn't be happier with the results! The shape of my face looks great, more defined and balanced. Dr. Solomon is an artist who works magic to make your vision come to life. Thank you to Dr. Solomon and his wonderful staff for the exceptional experience! Ashley Cox2025-01-14Trustindex verifies that the original source of the review is Google. I recently had rhinoplasty completed by Dr. Solomon and I am so happy with the outcome! His wealth of knowledge and expertise were evident in our initial assessment. I felt completely comfortable and at ease trusting his opinion. He helped shape my nose in a way that better suited my face. I knew very little about the process but Dr. Solomon and his staff were able to answer my questions in a timely and efficient manner. I was able to book surgery very quickly and I was back to work in a week. Overall a fantastic experience! Francesco Racanelli2025-01-14Trustindex verifies that the original source of the review is Google. Dr. Solomon is a nothing short of professional and an exceptional surgeon. I am a Canadian citizen who lives in the US and it was important to me to do my surgery back home. I had a virtual consultation for a facelift with Dr. Solomon which was extremely informative. His team was incredibly helpful in assisting with the necessary logistics needed for my surgery. My recovery was flawless much easier than I had anticipated. I was ready to celebrate the holidays 4 weeks later. I would highly recommend Dr. Philip Solomon and his team without hesitation. They are exceptionally caring and deliver first class care.
In order to best assist you, we require all cosmetic patients to schedule a virtual or in-person consultation. There is a fee of $200 with imaging plus HST for all consultations. Your consultation fee will be credited towards your procedure and/or treatment. To schedule a consultation, please complete the attached form or call our office at 905-764-7799. We look forward to hearing from you.