Types of facial scars

  • Hypertrophic scars: Raised and thickened scars that form as a result of an overproduction of collagen during the healing process.
  • Keloid scars: Similar to hypertrophic scars, they extend beyond the boundaries of the original wound and can continue to grow over time.
  • Atrophic scars: Indented or depressed scars that develop when tissue is lost during the healing process.
  • Boxcar scars: Depressed scars with well-defined edges and a box-like appearance, often left from acne breakouts.
  • Ice pick scars: Deep and narrow scars resembling small holes or skin punctures.
    Rolling scars: Scars with a wavy or rolling appearance caused by fibrous tissue bands pulling the skin downward.
  • Surgical scars: Surgical scars result from various facial surgeries, including facelifts, brow lifts, rhinoplasty, and others. While skilled surgeons strive to create well-hidden and inconspicuous scars, the healing process and individual skin characteristics can influence the final appearance.
  • Trauma scars: Trauma scars result from accidents, injuries, or wounds to the face, often caused by burns, cuts, auto collisions, and other traumatic events. The nature of trauma scars can vary widely, from superficial abrasions to deep and extensive wounds.
  • Acne scars: Acne breakouts can leave the facial skin with an uneven surface, tone, and texture.

Scar Revision Before & After

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Treatment options for facial scars

Dr. Matthew D. Brace at Guelph Facial Plastics performs a range of scar treatments to improve the appearance of visible facial scars. The options include:

Scar revision

Scar revision is a surgical procedure that aims to minimize the appearance of scars by repositioning or excising the scar tissue. Dr. Brace meticulously performs this technique to achieve a more discreet appearance.

Antiscar injections

Steroid and/or anti fibroblast medications can be injected into thick or tall scars to shrink them or to prevent the recurrence of a keloid scar after excision.

CO2 laser skin rejuvenation

CO2 laser treatment is an advanced and effective method for scar reduction. The laser stimulates collagen production, promoting smoother skin texture and fading scar appearance.

eTwo Radio Frequency

eTwo radiofrequency treatment uses heat to stimulate collagen remodeling, improving the texture and appearance of scars over time.

Dermal fillers

For certain types of scars, dermal fillers can be injected to elevate depressed areas and improve the overall smoothness of the skin.

Laser treatments

Light energy is focused on the scar tissue to create microscopic channels during laser treatment. This process stimulates fibroblast cells to produce new collagen, which can soften and fade the appearance of scars.

Chemical peels

Chemical peels are a skin resurfacing treatment that involves removing the top layer of skin, accelerating your skin's turnover, and reducing scarring by removing damaged layers. The type of peel may be Alpha-hydroxy acid (such as glycolic, lactic, and citric acids), Beta-hydroxy acid (salicylic acid), or Trichloroacetic acid.

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Custom facial scar removal treatments

Our approach to scar treatment is highly individualized, as each patient's scars are unique in size, shape, and location. Dr. Brace will carefully assess the scars and recommend a personalized treatment plan for the best possible outcome. Through a combination of cutting-edge technologies and surgical expertise, we strive to help our patients regain their confidence and enjoy smoother, more radiant skin free from the burden of facial scars.

Educator and leader: Dr. Matthew D. Brace

Dr. Brace also serves as an adjunct faculty member in facial plastic and reconstructive surgery at McMaster University and the University of Western Ontario. He is also a lecturer in the division of facial plastic and reconstructive surgery at the University of Toronto, contributing to the education and training of future facial plastic surgeons.

As one of Canada's few fellowship-trained, double board-certified facial plastic surgeons, Dr. Brace brings exceptional expertise to every procedure he performs. His specialized training ensures the highest level of care and the most advanced surgical techniques. Choosing Guelph Facial Plastics means treatment at a state-of-the-art clinic under the care of a talented and respected surgeon committed to delivering beautiful, natural-looking results in scar treatments, from minor to major. The practice serves the areas of Kitchener, Guelph, Milton, and beyond.

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