Sacramento Scar Removal doctors

Brian Klink, MD Brian Klink, MD
Sacramento Plastic Surgeon
1001 Nut Tree Rd Suite 130, Vacaville
1 answer
Andrew Pichler, MD Andrew Pichler, MD
Sacramento Facial Plastic Surgeon
6633 Coyle Ave Suite 2, Carmichael
1 answer
Travis T. Tollefson, MD, MPH Travis T. Tollefson, MD, MPH
Sacramento Facial Plastic Surgeon
2521 Stockton Blvd Suite 6206, Sacramento
1 answer
Wayne I. Yamahata, MD Wayne I. Yamahata, MD
Sacramento Plastic Surgeon
95 Scripps Drive, Sacramento
1 answer
Miguel Delgado, Jr., MD Miguel Delgado, Jr., MD
San Francisco Plastic Surgeon
450 Sutter Street Suite 2433, San Francisco

Recent Answers

Is the Vertical Scar from Old Belly Button Sutured to the Muscle?

I had a full tummy tuck with muscle repair. Ended up with a vertical scar where old belly button was which I knew was a possibility. It feels like it is sutured to the muscle below and pulls in creating a "butt" effect with the extra skin that is still there. There's a pocket of fat/skin on my right that protrudes where the two incisions intersect. Is this something that can be revised? I asked my PS and his response was that it could end up worse :0/ Thanks for any input you may have!

A: Not Sutured, but scarred

The vertical incision you have is probably scarred (not sutured) to the underlying wall because there is not as much fat underneath the incision ( the belly button area is thinner) Less subcutaneous fat means that the scar can stick down. This, and the minor contour difference, can be easily revised. 

Good luck!

Brian Klink, MD
Sacramento Plastic Surgeon
Can Punch Excision Surgery Be Used to Treat a Lip Piercing Scar?

I have a scar that looks like a hole in my middle lower lip from a lip piercing. The hole is right below the vermillion line. I was wondering if punch excision surgery would be a reasonable option for augmenting the appearance of the scar. I would rather have a small horizonal scar from a suture than a hole. And it seems like the scar left from the surgery would fade much better than the hole ever would.

A: Scar removal after Lip Piercing

Dear Washington DC3440, your idea of a punch excision is not bad and would likely close the skin side with a small scar.  

  • However, your piercing had an opening between the skin and mouth called a fistula.  If some of the lining from the mouth stays in the piercing site, you could develop a lump (cyst).  
  • From repairing children with cleft lips and small cancers of the lip, we know that a vertical scar will likely fit into the puckering lines of your mouth better than a horizontal scar. 
  • A very small, delicate knife can be used to excise your piercing hole and repair both the inside and skin layers.

 I would recommend consulting with a facial plastic surgeon or plastic surgeon to discuss your options.   

Travis T. Tollefson, MD, MPH
Sacramento Facial Plastic Surgeon
Keloid Treatments to Ensure They Never Reoccur?

What are the ways in which you can treat keloids and make sure that they never reoccur? Thanks.

A: keloids

Formation of keloids are infuenced by many factors, some has to do with surgical techniques and site. But genetic factors are also very important and in that respect recurrence cannot be entirely eliminated or predicted. There are many treatments (surgical excision, intralesional injections, abrasive techniques, various lasers and, yes, low dose external radiation) that is used today and depending on location and size treatement is customized.

Andrew Pichler, MD
Sacramento Facial Plastic Surgeon
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