Scar Revision

Scar Revision in Washington, DC

Board-Certified Dermatologist | 34+ Years Experience

Scars are a natural part of the skin's healing process after an injury, surgery, infection, or other skin condition. While scars often become less noticeable over time, some may remain raised, depressed, thickened, discolored, or otherwise noticeable.

Scar revision is a procedure intended to improve the appearance or characteristics of an existing scar. Depending on the type, location, and characteristics of the scar, treatment may involve surgical revision or another appropriate approach.

At Yolanda C. Holmes, M.D., P.C., Dr. Holmes provides personalized evaluation and scar revision in Washington, DC. As a board-certified dermatologist with more than 34 years of experience, Dr. Holmes considers the type, location, size, texture, pigmentation, and individual characteristics of each scar when determining whether revision may be appropriate.

Schedule a Scar Revision Consultation

Scar revision procedures are scheduled by phone. Call our office to discuss your concerns and determine the appropriate next step.

Call: 202-737-6800

What Is Scar Revision?

Scar revision is a procedure intended to improve the appearance, shape, texture, or position of an existing scar.

The goal is generally not to completely erase a scar. Instead, treatment may make the scar less noticeable or improve an area that has become bothersome because of its appearance, texture, or location.

The appropriate approach depends on the individual scar.

What Causes Scars?

Scars develop as part of the body's natural healing process.

They can occur after:

  • Surgery
  • Cuts or lacerations
  • Accidental injuries
  • Burns
  • Infections
  • Acne
  • Skin inflammation
  • Other injuries to the skin

Scars can change over time as they mature and heal.

What Types of Scars Can Be Evaluated?

Scars can vary significantly in appearance and texture.

They may be:

  • Flat
  • Raised
  • Thickened
  • Depressed
  • Firm
  • Discolored
  • Irregular in shape
  • Contracted or tight

The type and characteristics of a scar help determine which treatment options may be appropriate.

When Should You Consider Scar Revision?

Scar revision may be considered when a scar:

  • Is noticeable or cosmetically bothersome
  • Has an irregular shape
  • Is raised or thickened
  • Is depressed or uneven
  • Has an unusual contour
  • Causes functional concerns
  • Feels tight or uncomfortable
  • Developed after an injury or surgery
  • Has healed but remains a significant concern

An evaluation is important because not every scar requires surgical revision.

Scar Revision vs. Scar Treatment

Scar revision and scar treatment are not necessarily the same.

Some scars may be better suited to nonsurgical treatments, while others may benefit from a surgical revision.

The appropriate approach depends on factors such as:

  • Scar type
  • Scar size
  • Location
  • Depth
  • Texture
  • Age of the scar
  • Skin type
  • Individual healing characteristics

Dr. Holmes will evaluate the scar and discuss whether surgical revision or another treatment approach may be appropriate.

How Is a Scar Evaluated?

During a consultation, Dr. Holmes may consider:

  • Location of the scar
  • Size and shape
  • Color
  • Texture
  • Thickness
  • Whether the scar is raised or depressed
  • How long the scar has been present
  • How the scar developed
  • Previous treatments
  • Symptoms such as tightness, tenderness, or discomfort
  • Your individual skin characteristics

This evaluation helps determine whether scar revision is appropriate and what approach may provide the most reasonable result.

How Is Scar Revision Performed?

The technique used for scar revision depends on the individual scar.

When surgical revision is appropriate, the procedure may involve removing or revising the existing scar and carefully closing the area to create a less noticeable scar.

The specific technique may depend on:

  • Scar size
  • Location
  • Shape
  • Tissue characteristics
  • Direction of the scar
  • Amount of scar tissue
  • Individual healing characteristics

Dr. Holmes will discuss the recommended approach during your consultation.

Is Scar Revision Painful?

When surgical scar revision is performed, local anesthesia is generally used to numb the treatment area.

You may experience pressure or movement during the procedure, but the area should be adequately numbed.

Some tenderness, swelling, or discomfort may occur afterward as the area heals.

How Long Does Scar Revision Take?

The length of a scar revision procedure varies depending on:

  • Size of the scar
  • Location
  • Type of revision
  • Amount of tissue involved
  • Whether the area requires additional reconstruction

Your expected procedure time can be discussed during your consultation.

What Is Recovery Like After Scar Revision?

Recovery depends on the location and extent of the procedure.

After scar revision, you may experience temporary:

  • Swelling
  • Tenderness
  • Bruising
  • Mild discomfort

You will receive instructions for caring for the treated area while it heals.

Depending on the procedure, follow-up may also be recommended to monitor healing.

Will Scar Revision Completely Remove a Scar?

No procedure can guarantee that a scar will be completely eliminated.

The goal of scar revision is generally to make the scar less noticeable or improve its appearance, rather than erase it completely.

The final result can depend on:

  • Scar characteristics
  • Treatment technique
  • Individual healing
  • Skin type
  • Location of the scar
  • How the scar responds during healing

Dr. Holmes will discuss realistic expectations during your consultation.

Will Scar Revision Leave a Scar?

Yes. Surgical scar revision involves creating an incision, so the procedure itself will result in a new scar.

The goal is to replace or revise the existing scar with a scar that may be less noticeable, better positioned, or more favorable in appearance.

The final appearance depends on individual healing and other factors.

Scar Revision and Skin of Color

Patients with skin of color may experience changes in pigmentation following inflammation, injury, or surgical procedures.

A healing incision may temporarily become darker or lighter than the surrounding skin. Some individuals may also be more prone to noticeable pigmentation changes after injury.

With a focus on skin of color, Dr. Holmes considers each patient's natural pigmentation and individual skin characteristics when evaluating scars and discussing treatment.

Learn more about Dermatology for Skin of Color in Washington, DC →

Can an Old Scar Be Revised?

In some cases, yes.

A scar does not necessarily need to be recent for it to be evaluated for revision.

Older scars can sometimes be considered for treatment depending on their appearance, location, texture, and individual characteristics.

An evaluation can help determine whether revision may be appropriate.

Can Scar Revision Treat Acne Scars?

Not necessarily.

Acne scars can include depressed scars, uneven skin texture, discoloration, and other changes that may be treated differently from a single traumatic or surgical scar.

Learn more about Acne Scar Treatment →

Scar Revision vs. Keloids

Scar revision is also different from treatment for keloids.

A keloid is an overgrowth of scar tissue that extends beyond the original area of injury. Keloids can require specialized management and may sometimes return after treatment.

Learn more about Keloid Treatment →

When Should You See a Dermatologist About a Scar?

Consider scheduling an evaluation if a scar:

  • Is raised or thickened
  • Is depressed or uneven
  • Has an irregular appearance
  • Is causing functional concerns
  • Feels tight or uncomfortable
  • Is cosmetically bothersome
  • Has changed over time
  • Developed after an injury or surgery
  • Has not healed as expected
  • Continues to concern you after healing

A dermatologist can evaluate the scar and determine whether scar revision or another treatment approach may be appropriate.

Frequently Asked Questions About Scar Revision

Click on a question to reveal the answer:

Q: What is scar revision?
A: Scar revision is a procedure intended to improve the appearance, shape, texture, or position of an existing scar.
Q: Can scar revision completely remove a scar?
A: No procedure can guarantee that a scar will be completely eliminated. The goal is generally to make the scar less noticeable or improve its appearance.
Q: Can an old scar be revised?
A: In some cases, yes. Older scars can sometimes be considered for treatment depending on their characteristics. An evaluation can help determine whether revision may be appropriate.
Q: Is scar revision painful?
A: When surgical scar revision is performed, local anesthesia is used to numb the area. Some tenderness or discomfort may occur afterward as the area heals.
Q: How long does scar revision take?
A: The length of the procedure varies depending on the size and location of the scar. Your expected procedure time can be discussed during your consultation.
Q: What is recovery like after scar revision?
A: Recovery depends on the location and extent of the procedure. You may experience temporary swelling, tenderness, bruising, or mild discomfort. Instructions for caring for the treated area will be provided.
Q: Will scar revision leave another scar?
A: Yes. Surgical scar revision involves creating an incision, so the procedure will result in a new scar. The goal is to create a scar that is less noticeable or more favorable in appearance.
Q: Can scar revision treat scars on the face?
A: Yes. Scars on the face and other visible areas can be evaluated for revision. Dr. Holmes considers the location and individual characteristics of the scar when discussing treatment options.
Q: Can scar revision treat scars on darker skin?
A: Yes. Dr. Holmes considers each patient's natural pigmentation and individual skin characteristics when evaluating scars and discussing treatment.
Q: What is the difference between scar revision and scar treatment?
A: Scar revision is a procedure intended to improve the appearance of a scar, while scar treatment is a broader term that may include nonsurgical approaches. The appropriate approach depends on the individual scar.
Q: Can acne scars be treated with scar revision?
A: Not necessarily. Acne scars may be treated differently from a single traumatic or surgical scar. Learn more about Acne Scar Treatment →
Q: Can keloids be treated with scar revision?
A: Keloids may require specialized management. Learn more about Keloid Treatment →
Q: How much does scar revision cost in Washington, DC?
A: Costs vary depending on the type and extent of the procedure. During your consultation, the practice can discuss your treatment options and associated costs.

Why Choose Dr. Holmes for Scar Revision

Board-Certified Dermatologist

with 34+ years of experience

Individualized Scar Evaluation

based on the type, location, size, and characteristics of the scar

Personalized Treatment Planning

based on your individual concerns and skin characteristics

Experience With All Skin Types

including patients with skin of color

Attention to Healing and Pigmentation

with consideration for individual skin characteristics

Recognized

2025 Best Dermatologist in Dupont Circle

Meet Dr. Yolanda C. Holmes

Dr. Yolanda C. Holmes is a board-certified dermatologist with more than 34 years of experience serving patients in Washington, DC.

She provides individualized evaluation and treatment for scars and other dermatologic concerns. When scar revision is appropriate, Dr. Holmes considers the type, location, size, texture, pigmentation, and characteristics of the scar when developing a treatment plan.

With a focus on skin of color, Dr. Holmes considers each patient's individual skin characteristics when evaluating scars and discussing treatment and healing.

Learn more about Dr. Holmes →

Concerned About a Scar?

If you have a scar that is raised, depressed, irregular, uncomfortable, or otherwise bothersome, a dermatology evaluation can help determine whether scar revision or another treatment approach may be appropriate.

Call: 202-737-6800

Schedule a Scar Revision Consultation in Washington, DC

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