Because of its location, a facial scar is usually considered a cosmetic problem, whether or not it is hypertrophic. There are several ways to make a facial scar less noticeable, often it is simply cut the scar out and close it with tiny stitches, leaving a thinner, less noticeable scar.
A scar crossing the natural line, or crease, between the nose and mouth is removed and repositioned using Z-plasty. A forehead scar, located in the natural lines, is excised with tapered ends. The skin is then loosened and brought together with stitches.
If the scar lies across the natural skin creases (or “lines of relaxation”) Dr. Lesavoy may be able to reposition it to run parallel to these lines, where it will be less conspicuous.
The repaired scars will now lie partly within the natural skin crease, where they will be less visible.
Some facial scars can be softened using dermabrasion, which is a controlled scraping of the top layers of the skin using a hand-held, high-speed rotary wheel. While dermabrasion leaves a smoother surface to the skin, it will not completely erase the scar.