Home / Facial Scar Revision
Facial Scar Revision St. Louis
Facial scar revision is a customized treatment approach designed to reduce the visibility of scars and help them blend more naturally with the surrounding skin. No treatment can completely remove a scar, but with surgical revision, lasers, microneedling, and injectable options, many scars can be significantly improved. At St. Louis Dermatology & Cosmetic Surgery in Troy, MO, scar revision is performed under the direction of Dr. Brandon T. Beal, a double board-certified, fellowship-trained dermatologist and Mohs surgeon.
Double board-certified
Dermatology and Mohs micrographic surgery
Fellowship-trained
Advanced cosmetic and reconstructive training
Physician-owned
Independent practice, never corporate
Troy & Chesterfield
Second location now open
What Is Facial Scar Revision?
Scar revision isn’t a single procedure; it’s a plan built around your specific scar. The type of scar, its depth, its age, and your skin all shape which approach makes sense, and treatment may combine surgical techniques, laser therapy, microneedling, injectables, or chemical resurfacing.
Because Dr. Beal is fellowship-trained in both Mohs surgery and cosmetic reconstruction, the practice can offer the full range, from surgical excision and rearrangement through non-surgical resurfacing, and match the technique to the scar rather than the other way around.
Types of Facial Scars We Treat
- Acne scars (ice pick, rolling, and boxcar scars)
- Surgical scars from previous operations
- Traumatic scars from injury or accidents
- Burn scars
- Keloid scars (raised, thick growth beyond the wound edges)
- Hypertrophic scars (raised but confined to the wound area)
- Depressed or atrophic scars
Treatment Options
Your treatment plan may include one or more of the following, depending on the type of scar and your goals.
Surgical scar revision
Excision removes the scar and carefully closes the wound for a smoother result. Z-plasty and W-plasty rearrange scar tissue so it blends with natural skin lines, and skin grafting or flap techniques are used for more complex cases.
Laser scar resurfacing
Fractional lasers can smooth rough texture, stimulate collagen production, and fade discoloration. Our laser resurfacing page covers the ablative and non-ablative options in detail.
Microneedling and RF microneedling
Microneedling and radiofrequency microneedling create controlled micro-injuries that trigger the skin’s natural collagen repair, which can improve scar depth and texture over a series of sessions.
Injectable treatments
Dermal fillers can lift depressed scars, and corticosteroid injections can help flatten raised scars.
Chemical peels and dermabrasion
Chemical peels and dermabrasion remove damaged outer skin layers, which can reveal smoother, healthier-looking skin underneath.
Your Scar Revision Visit
1
Consultation
We examine the scar, discuss its history and what bothers you about it, and recommend an approach, which may be a single treatment or a combination.
2
Treatment
Treatment is performed in-office with comfort measures appropriate to the procedure, from topical numbing for lasers and microneedling to local anesthesia for surgical revision.
3
Recovery & results
Recovery ranges from a few days for laser or microneedling to a few weeks for surgical revision. Improvement develops gradually as the skin heals and remodels.
What Results Can I Expect?
The goal of scar revision is improvement, not erasure. Depending on the scar and the approach, treatment can soften texture, reduce depth or height, and help color blend with the surrounding skin. Some approaches show change after a single procedure, while collagen-building treatments like microneedling and non-ablative lasers improve gradually across a series.
Results vary. No treatment can completely remove a scar, and a consultation is required to determine which approach, if any, is appropriate for your scar. Treatment plans are individualized, and outcomes differ from person to person.
Schedule a Scar Revision Consultation in Troy, MO
If a facial scar bothers you, the first step is an honest conversation about what can realistically be improved and which approach fits your scar. We welcome patients from across the region, including Warrenton and Wentzville, at our Troy office, and our second location in Chesterfield. Call (314) 834-1400 or request a consultation online.
Common questions
Facial Scar Revision FAQs.
Can facial scars be removed completely?
No scar can be entirely erased. With modern techniques, though, many scars can be significantly improved in texture, size, and color, so they blend more naturally with the surrounding skin.
How long is the recovery after scar revision?
It depends on the treatment. Laser and microneedling sessions typically involve a few days of redness or mild flaking, while surgical revision may take a few weeks to heal. Most patients resume normal activities quickly, and your provider will walk you through aftercare for your specific plan.
Is scar revision covered by insurance?
When scar revision is for cosmetic reasons, it’s usually not covered. When it’s performed for functional reasons, such as a scar that restricts movement, insurance may offer partial coverage. We can help you understand your options at your consultation.
How soon after an injury or surgery can a scar be treated?
It varies. Some treatments work best once a scar has fully matured, which can take several months to a year, while early intervention helps in other cases. The right timing for your scar is determined at your consultation.
Which treatment is right for my scar?
That depends on the type of scar, its depth, and your skin. Raised scars, depressed scars, and discoloration each respond to different tools, and many plans combine more than one. A consultation is where the plan gets built.
A scar that blends, not stands out.
Surgical and non-surgical scar revision, matched to your scar, under the direction of a double board-certified dermatologist. Troy, MO, and Chesterfield now open.