Scar revision is a procedure designed to improve the appearance of scars on the skin through surgical techniques. The specific method depends on the scar's type, location, and depth. A surgeon may use excision to remove the scar and create a finer line, or employ techniques such as Z-plasty or W-plasty to redirect scar tension and blend it with surrounding skin texture. The goal is to make scars less noticeable, though complete removal is rarely possible.

People with visible scars from injury, surgery, or acne who wish to improve their appearance may be candidates for revision. Scars that are flat or depressed, wide, or have poor directional alignment are often good targets. A qualified surgeon will assess factors such as skin tone, scar maturity, and location to determine the best approach for each individual.

Scar revision typically takes place in an outpatient surgical setting under local anesthesia, though more extensive cases may require sedation. The surgeon will mark the area, remove or reorient the scar tissue according to the chosen technique, and close the wound with careful suturing. Most procedures take between 30 minutes and two hours depending on scar size and complexity.

Initial healing takes one to two weeks, during which the area should be kept clean and protected from sun exposure. Sutures are usually removed within 7 to 14 days. Full maturation of the revised scar can take 12 to 18 months, and your surgeon will provide specific wound care instructions to support optimal healing.

Results become visible as the new scar matures and becomes lighter and flatter. The revised scar will typically be less noticeable than the original, though it remains a scar. Results are permanent, though the final appearance continues to improve for many months as the tissue remodels.