The Power of Healing
A scar forms as part of the body's normal response to tissue damage on skin. Every year millions of people develop scars due to injury after trauma or surgery. Dr. Christie, a Los Angeles-based plastic surgeon with double board certification, has a particular interest in encouraging a healing response closer to a “scarless ideal.” By understanding the mechanical, genetic, and technical aspects of scar formation, she will develop a treatment plan that gives you the best chance to reduce your scars' visibility.
Corrective Facial Surgeries
Dr. Christie and her team currently utilize a combination of surgical and non-surgical modalities to help you achieve the best scarring possible and are constantly evaluating the most innovative techniques and products to achieve “scarless results.” There are three main components that draw attention to a scar - width, height, and pigment. In surgical scars, the width of the scar is largely controlled by surgical techniques that avoid excess tension on the incision line with a multi-layered surgical closure. Dr. Christie performs all of her own suturing and views your final scar as one of the most important visible aspects of her artistic transformations. Meticulous suturing in the operating room to eliminate excess tension and sustain shear stresses is the first step to a beautiful scar.
However, many additional factors affect the final scar outcome, including genetics, shear forces, compressive forces, and osmotic pressures that are often beyond our control. Each anatomic surgical area carries different potential concerns in combination with your skin quality and genetics that all contribute to final scar results. This is discussed in your preoperative visit, so you will be well informed with a curated postoperative protocol. At Curated Beauty Rx, we utilize customized postoperative scar protocols that start immediately after surgery with close follow-up to maximize the maintenance of your scar's final appearance.
Significantly Reduce Scar Visibility
For many patients who have undergone surgical procedures elsewhere or sustained traumatic scars, scar revision can be a good potential option for improving their appearance. Depending on the area of scarring or concern, there are a number of treatments available, including surgical revision, non-surgical technologies, medications, or regenerative therapies to improve your final result.
A Tailored Solution
Surgical scar revision is often required when the scar is too wide, hypertrophic, or has components that are too difficult to minimize. The first step is the excision of the previous scar and essentially starting over with the meticulously layered closure of a new scar. In areas of high tension or high motion, advanced scar revision techniques, including W-plasty or Z-plasty techniques, may be required. Scar revisions are typically performed in-office under local anesthesia, and depending on the areas involved, you can expect one to two weeks of recovery. Recovery may vary depending on the body part involved.
Every scar tells a story, but there is no need for yours to be a graphic novel! Accidents happen, and traumatic lacerations are an inevitable part of millions of lives from childhood to adulthood. The majority of lacerations are repaired in an emergency or urgent care settings. However, there are specific instances when expertise in skin closure with a board-certified plastic surgeon should be utilized.
The Correct Procedure
The first step after an accident is to follow emergency protocol services and triage injuries that may be life-threatening. If you are found to have a laceration, the next step is to evaluate the degree of injury and then whether it is located in a cosmetically sensitive area requiring a higher level of expertise. Traumatic lacerations present a variety of challenges in that foreign debris, missing tissue, or crush injury to the surrounding tissue may all affect final aesthetic results.
A Simple Laceration involves just the superficial layer of the skin and is usually a linear pattern with minimal bleeding. Repair often involves only a single-layered closure and can be performed with local anesthesia. These lacerations are often closed by your local urgent or emergency care provider with similar cosmetic results. Dr. Christie recommends a follow-up with a plastic surgeon to monitor scar formation with early intervention if required.
Complex Lacerations are deeper injuries that involve many layers of the skin and/or soft tissue, may have jagged edges, missing tissue, surrounding bruising, and are typically accompanied by heavy bleeding. Complex lacerations may require more than one procedure, debridement, extensive undermining, and local tissue rearrangement, as well as post-procedure scar management. These lacerations are best managed by board-certified plastic surgeons who possess the expertise for best results and should be contacted on the initial injury.
Determining what you consider cosmetically sensitive is a somewhat personal decision. Areas of high cosmetic sensitivity, such as the face, should always be evaluated by a plastic surgeon as the initial injury represents the best opportunity for anatomic repair, and expertise in long-term management is crucial to a good outcome.
Pediatric Laceration Repair
Pediatric lacerations are always cosmetically sensitive, as poor scarring can present psychosocial dysfunction. Fortunately, children possess the ability to heal well and typically have superior outcomes with the appropriate early repair. In these traumatic moments, Dr. Christie and her team do their best to create an environment that allows children to undergo the necessary repair in a comfortable environment. In some patients, anesthesia is required; however, most patients are able to undergo repair with local anesthesia.
Skin cancer lesions may be excised by a variety of methods, and careful reconstruction follows similar principles to scar revisions or complex laceration repairs in cosmetically sensitive areas (see above). If the lesion is small, simple techniques of approximation may be utilized, and Dr. Christie applies the same meticulous closure for optimal scar results. In larger resections, careful preoperative planning is involved, and you may require a local flap or tissue rearrangement to close the skin defect.
Remove Unsightly Moles
Excision of a mole is a commonly utilized method to remove unsightly moles. Moles (or nevi) often appear in teens and may provide cosmetic and functional challenges. Not all moles are benign, and you should check with your dermatologist if you are concerned about the appearance of a mole. Most moles do not require treatment unless you are unhappy with the way it looks, feels or they cause functional challenges (such as cutting or catching while shaving or brushing your hair). Typical mole excision is performed under local and similar challenges related to scar location, genetics, and shearing forces apply in an attempt for scarless results. Dr. Christie and her team routinely perform these procedures in-office with the same attention to detail in giving you the best possible scar outcomes.
Skin tags are common benign skin lesion that hangs with a stalk. They are frequently found in areas of friction such as the neck, underarms, breasts, and skin folds and can be cosmetically unsightly and functionally irritating. The best method for the management of skin tags is surgical excision. This procedure is a simple and quick, with minimal recovery that can be performed in the office under local anesthesia.
Beauty + Wellness to the Core
Scars are obvious indicators of previous skin trauma or injury, and they can make men, women, and children feel self-conscious about their trauma. Dr. Christie Plastic Surgery in Los Angeles can lessen the unpleasantness of scars and help you heal from the events that caused them. If you are interested in learning more about corrective facial surgery Los Angeles patients are encouraged to call and make an appointment with Dr. Christie today.
Live Well. Be Beautiful.
As the premier female plastic surgeon in Los Angeles, Dr. Christie's expertise and unique perspective on life-improving operations draw patients from across the globe for her signature consultations. Join the satisfied patients from all around the world who have benefited from Dr. Christie's curated Beauty & Wellness plans. Don't delay — schedule your consultation today if you're ready to take charge of your life and appearance.
9201 Sunset Blvd, Suite 705, West Hollywood, CA 90069