Plastic Surgeon Questions Scar removal

Does a fall mark heal on its own, or do I need plastic surgery?

I have a deep cut from a really bad fall. Will this leave a scar? And if it does, can the scar heal on its own or would I need plastic surgery?

10 Answers

Hello, secondary wound healing and scar formation all depend on multiple factors, your age, skin color, location of the scar, and the size and depth of the wound. For further inquiries or questions, you may want to visit my website at DrRoyamd@aol.com. Good Luck!!!!
If you have a scar, it will be permanent. However it will fade dramatically over time. Some scars fade so well that they can hardly be seen except on very close observation. The timeframe for a scar to fade however is quite long and may be 1 to 2 years or more. If after at least a year a scar is still very wide thick and raised surgical scar revision may be considered or injection with Cortizone
Hi, sorry about your fall. Because the cuts from trauma generally have some crush injury to the tissues, they tend to leave more of a scar than surgical cuts. For this reason, it is best to see a plastic surgeon to evaluate your scar and see if there is anything that can be done to decrease the appearance of the scar. The good news is that there are lots of non-surgical options to improve the appearance of the scar. Your plastic surgeon can give you topical treatments to improve its appearance or use of lasers and resurfacing procedures. When all else fails, you can always resect and re suture the scar.
It's difficult to answer your question without the benefit of a physical exam or photos. In general, an injury that goes through the dermis (the collagen-bearing underlying layer of the skin) will create a scar, and the scar never completely disappears--though it does become less red, softer, and less bumpy over time. Any scar matures over the course of a year to a year and a half, meaning there will be improvements in texture and appearance during this time. Plastic Surgery does not take away a scar, but can improve its appearance; there are a variety of treatment options, including surgical excisions of wide or depressed scars, steroid injections for overly bumpy or raised scars, and laser treatments for red or dark scars. Seek out a Plastic Surgeon or a Dermatologist to evaluate your scar and discuss detailed treatment options. Good luck!
Not the simplest of questions. The first is the location and the second the orientation. You will have a scar, but these factors play a role. All scars are initially red and raised. Massage, time, and sunscreen will help to give you the best scar. If in spite of this the scar does not heal to your satisfaction, a scar revision could be considered. This is typically performed with local anesthesia.
Any cut will leave a scar. The larger the cut, the larger the scar. If both sides of the cut are touching as the cut heals, the scar will be smaller, hence why we stitch/glue/staple them. If you are ever dissatisfied with a scar, you can undergo many different kinds of treatments ranging from creams, injections, and lasers, to a scar revision, which is when one cuts out the scar and closes the area once again and allows it to heal again.
It can, but without seeing the wound it is difficult to assess your scarring. I suggest you consult in person with a board-certified plastic surgeon!
Different scars heal differently. If stitches were used, then usually the scar is neater. So, it really depends on how you treat that scar. There are several treatments that can improve the healing and improve the residual scar.
Falls can create deep lacerations with crushed skin and soft tissue. It can also be severely contaminated facilitating infection. Best you seek medical attention immediately so you may avoid more serious problems later. Also Plastic Surgery consultation would minimize scar formation.
It depends on how deep the wound is. Full thickness wounds require long time to heal and probably require surgical intervention