SCAR EXCISION AND REVISION
Scars in the eyelids and face can often be made less objectionable. As an oculofacial plastic and reconstructive surgeon, Dr. Kohn has the training and experience to choose the most appropriate scar excision technique for each circumstance. Means that minimize ultimate scarring include the use of multi-layered wound closure utilizing exceedingly small sutures. Additionally, whenever possible, the suture line at closure is placed within existing normal skin folds - thereby hiding the scar. Additional techniques variously use Z-plasty, advancement, sliding, rotational, transposition, bilobed, V to Y or rhomboid flaps. When skin grafts are required for the face and eyelids, full thickness grafts are usually most efficacious. The donor site for such grafts is usually the upper eyelid or retroauricular (behind the ear) area - both chosen because they blend in best with the area that is to receive the graft. There is a 99% chance that such grafts will take. In adults, these various techniques are performed under local anesthesia with sedation on an outpatient basis.