Scar Revision & Other Soft Tissue Reconstruction

Do you ever feel self-conscious about scars or deformities on your face? It is understandable - they can be emotionally distressing and affect your confidence. Dr. Fedok has special skills and experience in managing these types of facial concerns.

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What Is
Scar Revision?

What Is Scar Revision?What Is Scar Revision?

The appearance of unsightly or disfiguring scars and defects may be improved by well-planned and carefully executed surgery. However, there are very important facts that patients should consider if they are contemplating this type of procedure. These include the goal of the surgical treatment of scars, deformities and defects which is to make the deformity less noticeable than the current deformity and to improve function.

How Does
It Work?

Scar Revision: How Does It Work?Scar Revision: How Does It Work?

Each incision that is made into the skin, regardless of where it is placed, heals in the same manner as any other cut based on the patient’s own healing capacity. Any reconstructive procedure has to be optimally and strategically planned. It must be understood that not all the defects and deformities can be remedied by Dr. Fedok, or times even by other surgeons. It must also be understood that not all deformities and defects can be managed outside of a specialized tertiary care center and may not be able to be managed in our local community.

Are You an
Ideal Candidate?

Scar Revision: Are You an Ideal Candidate?Scar Revision: Are You an Ideal Candidate?

Dr. Fedok is committed to ensuring that his patients receive optimal outcomes from their treatments. The scar must be fully healed and stable before undergoing any scar revision surgery. The severity and location of the scar will determine if scar revision is appropriate. An in-person consultation is required to confirm whether you are a suitable candidate for scar revision or soft tissue reconstruction. Dr. Fedok consults with patients throughout Alabama, including, Foley, Gulf Shores, and Fairhope.

Scar Revision Benefits

Scar Revision Benefits

Dr. Fedok has extensive experience and training in facial plastic surgery, his scar treatment benefits include:

  • Significantly reduce the appearance of scars, making them less noticeable
  • Improve the contours of the face, restoring a more youthful and natural appearance
  • Better movement and range of motion in areas that were previously restricted or affected
  • Techniques and technologies used are safe and effective
  • Improved confidence

Scar Revision Before & After Results

Scar Revision Before & After Results
Treatment Consultation

Scar Revision Procedure

Reconstructive procedures and simple scar revisions depend on a number of general techniques, including scar revision, the use of flaps and tissue transfer, and possibly postoperative use of Laser and other techniques to optimize healing. Based on his years of experience, Dr. Fedok will advise you on the best method of treatment and its alternatives, limitations and possible complications.

When surgery is appropriate, Dr. Fedok works in conjunction with several local Moh’s surgeons to plan early reconstruction after a cancer procedure. Dr. Fedok has been working in conjunction with Moh’s surgeons like this for most of his career. We have found that it is best to plan the reconstructive procedure on a day different than the Moh’s procedure in most cases. By planning as a separate procedure on another day (usually the next day) we can keep the patient more comfortable, and avoid unnecessary delays and cancellations.

Scars and defects that are a result of an accident will take the same time to heal as any other type of scarring. It is necessary that the scar be on its way to maturity and become soft before the decision to undergo surgical treatment is made. Sometimes, the natural healing process produces results that do not require surgery. But if surgery is required, it will not be as complicated as it would be if the scarred area were treated immediately after the surgery. In some situations, however, there are scars and defects which require revision surgery before the scar is mature and soft. Scars that result in distortion of normal structures, such as the eyebrow, eyelid, lips or nostrils, may require immediate attention. Those that have an obvious wideness or depression as well as U-, C-, or V-shaped configurations may require plastic surgery to correct the underlying tissues and provide a good base for the scar to begin to heal. Otherwise, the scar areas may contract and distort other structures.

A variety of techniques are used to revise unsightly scars and to make them less noticeable. These techniques may be used over a period of time to produce a favorable result. Techniques include scar revision or camouflage techniques, laser abrasion, and others. The important fact to remember is there will always be a scar, but it will be less noticeable.


Patients may anticipate that surgery will produce immediate results; however, that is not the case. A maturation process will occur that will continue to change the appearance of the previously scarred area. Once healing is complete, the scars will be mature, and they will undergo no further change in appearance. This process takes place over a period of six to eighteen months, sometimes longer. Immediately following surgery, a fresh scar may look good, although it may be raised slightly above the skin’s surface. In the next two to three weeks, the area becomes reddened and somewhat lumpy in comparison to the surrounding skin, and may have a hard consistency. This is a natural part of the healing process: the tissue needs to develop a base on which to heal. Later, over the next several weeks and/or months, the scar will soften, flatten, and become paler than the adjacent skin.

Scar Revision: Recovery
Scar Revision: Risks and Side Effects

Risks and Side Effects

With scar revision, the risks and side effects can include infection, bleeding, and the possibility of the scar returning in some cases. It is important to note that every individual’s healing process is unique and cannot be guaranteed to produce the same results. Dr. Fedok has a wealth of experience and expertise in this area, and takes all precautions necessary to minimize these risks.

Book Your Scar Revision Consultation With Dr. Fedok

Dr. Fedok has decades-long experience in performing plastic and reconstructive procedures on the face and other areas of the body that are the result of trauma, congenital deformities, cancer-related surgery, and other ideologies. Whether it is wide, elevated or depressed scars, long, discolored marks or distortions in adjacent facial features, Dr. Fedok can help. You do not have to live with the insecurity anymore – book a consultation today and take the next step to feeling confident again.

Dr. Fedok photo

By Dr. Fedok, a well-respected and widely published double board-certified plastic surgeon whose before and after gallery, RealSelf and Google Reviews reflect his trusted expertise.

Dr. Fred G. Fedok - inspected patient


Scar revision surgery can be worth it for individuals who have prominent or bothersome scars that affect their confidence and well-being. It can significantly improve the appearance of scars and may enhance function in some cases. However, the decision to undergo scar revision surgery should be based on a consultation with a qualified plastic surgeon, considering the individual’s specific scar and goals.

Insurance coverage depends on the specific insurance policy and the reason for the surgery. Insurance may cover the scar revision procedure if it is deemed medically necessary to improve function or address a medical condition. However, cosmetic scar revision to enhance appearance is typically not covered by insurance.

The cost of scar revision surgery can vary widely depending on factors such as the surgeon’s fees, the complexity of the procedure, the type of anesthesia used, and the geographic location of the practice. It is best to consult with a plastic surgeon for a personalized cost estimate.

It is advisable to choose a board-certified plastic surgeon or a facial plastic surgeon with expertise in scar revision and facial aesthetics. These specialists have the training and experience to achieve optimal scar revision before and after results, especially on the face.

The type of anesthesia used depends on the extent of the procedure and the patient’s preference. Some scar revision procedures may be performed with local anesthesia, while others may require general anesthesia. Your surgeon will discuss the appropriate anesthesia options with you during the consultation to ensure your comfort and safety during the procedure.

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