Scars are a natural part of the body’s healing process; however, not all scars heal in a way that feels subtle, comfortable, or easy to live with. Since scars change over time, understanding when to pursue scar revision can be just as important as knowing which technique to use. Timing plays a crucial role in achieving the most natural and refined outcome.
At the Buckingham Center for Facial Plastic Surgery, we approach scar revision with the same anatomical precision and judgment used in advanced facial surgery. Our board-certified, fellowship-trained facial plastic surgeons specialize in the face and neck, bringing decades of experience in treating scars resulting from injuries, acne, and previous surgical procedures, including skin cancer reconstruction. In this blog, we will share our expertise and explain how we can assist you.
Why Timing Matters in Scar Revision
Scar tissue evolves through predictable biological phases, including:
- Inflammation
- Collagen production
- Long-term remodeling
Scars can continue to change for 12 to 18 months after injury or surgery, often becoming flatter, softer, and less noticeable during this maturation period (National Institutes of Health – StatPearls).
Intervening too early or waiting too long can affect outcomes. The ideal timing for scar revision depends on several factors, including:
- Scar type and location
- Skin quality and thickness
- Cause of the scar (injury, acne, prior surgery)
- Functional symptoms such as tightness or distortion
Signs It May Be the Right Time to Consider Scar Revision
1. The Scar Has Fully Healed but Remains Prominent
- Once a scar has matured—typically after about one year—it should no longer appear red, firm, or actively changing
- If a scar remains raised, indented, widened, or irregular beyond this point, scar revision may help improve its contour and visibility
- Dermatologic guidelines note that persistent scars may benefit from surgical or procedural treatment rather than observation alone
2. The Scar Causes Functional or Structural Distortion
- Facial scars can sometimes pull on surrounding tissues, affecting eyelid position, lip movement, or facial symmetry
- We emphasize early evaluation when scars interfere with function or alter facial anatomy, as timely intervention may help prevent permanent distortion
3. Non-Surgical Treatments Haven’t Provided Meaningful Improvement
- Topical therapies, steroid injections, and laser treatments can be helpful for certain scars, but they have limitations
- Studies show that mature scars with unfavorable orientation or significant contour irregularities often require surgical revision to achieve meaningful improvement
When Waiting May Be the Better Choice
Not every scar requires immediate revision. For example, immature scars that are still red, firm, or actively remodeling may continue to improve on their own. In these cases, observation or conservative treatments may be recommended first. Thoughtful restraint is often a crucial component in achieving the best long-term results.
Experience Matters as Much As Timing in Scar Revision
Scar revision is not always about removing a scar entirely, but rather about making it less noticeable while preserving the natural anatomy. Published medical analyses consistently emphasize that surgeon experience, proper technique selection, and individualized planning are key factors in reducing complications and achieving favorable outcomes.
At the Buckingham Center for Facial Plastic Surgery, scar revision is performed by facial plastic surgeons who routinely manage complex scars related to trauma, prior surgery, and skin cancer reconstruction. If you’re considering scar revision surgery in Austin and want thoughtful, individualized guidance, we invite you to schedule a private consultation with our facial plastic surgeons today.
