I want to have scar revision done on my face. Would it be best to consult a reconstructive surgeon, or a plastic surgeon?

Many plastic surgeons perform reconstructive work, and vice versa. Consult several surgeons to guage their experience with your particular situation. Grigoriy Mashkevich, MDNew York Facial Plastic Surgeon

Our treatments use combination therapy to improve the epidermis and dermis for most deep scars. The options available for acne scars depend on the character of your scars, in terms of topography and contour. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. We begin each scar evaluation with an assessment of scar quality and subtype. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to decide whether early subcision should be started.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Scars may result from trauma (injury), infection (e.g. chicken pocks), inflammation (acne) or prior surgery. Likewise there are certain conditions known for causing scars, such as untreated acne leading to pit scars, or surgical wounds leaving off-white line scars and stitch tracks, etc. Accordingly, there are quite a few methods for treating and improving scars, depending upon the specific type, whether it is elevated above the skin (as in the case of keloids and hypertrophic scars) or atrophic (depressed scars), such as those box scars,  rolling scars, or ice pick scars that may follow severe acne. Without a photo and some history it is impossible to really say what form of treatment(s) is appropriate in this case. Treatments run the gamut from surgical revision, punch-excision, chemical peels, radiowave treatments, subcision and fractional medical microneedling, each having its own purpose and expected outcomes. To determine what is best for you, consultation with a board certified aesthetic physician with extensive experience with each of these modalities is strongly urged.