When the skin is in the process of recovering from an injury — whether the result of an accident, surgery, a burn, or acne — scarring will occur wherever multiple layers of the skin have been affected. Scars are usually permanent once they form, but they may be made less visible with several possible treatments. The key is to treat scars early to lessen their effect. Double board-certified facial plastic surgeon Dr. Edward J. Gross offers facial scar treatments/procedures for Orlando women and men who would like to restore their smooth, natural skin.
Case# 479. Ear Lobe Repair. This 24-year-old Orlando woman had an enlarged/torn earring hole, and Dr. Gross repaired it in about 20 minutes under local anesthesia. Recovery was minimal and sutures removed in 1 week. She is very happy, and there is minimal scarring. We re-pierce the ear in 2 months. Read More
Case #499. CO2 Laser for eyelid mole/skin tag removal. Dr. Gross treated this Orlando-area woman using the carbon dioxide (DOT CO2) laser to remove this benign condition known as a Seborrheic Keratosis. It was biopsied prior to treatment. Laser eye shields were used due to proximity to the eye and was done under local and topical anesthesia.... Read More
Case #144. Facial Skin Cancer. This 38-year-old Orlando woman underwent Mohs surgery to remove skin cancer (basal cell carcinoma) and was referred to Dr. Gross for reconstruction. A cheek rotation flap followed by CO2 laser and Pulse Dye laser were used to correct her deformity. Results shown at 6 months. She is very grateful and ha... Read More
Case# 483 | Mole Removal | Orlando. This Hispanic gentleman was born with a large congenital mole on his left cheek which enlarged as he got older. Dr Gross removed this birthmark (giant nevus) with scar revision under local anesthesia. Photos shown at 3 months, and he is very happy. Read More
Case #143. Dog-bite injury. This 4-year-old boy was bitten close to his eye by a family pet. Dr. Gross performed emergency surgery to reconstruct his cheek and orbital area. His results are shown 6 weeks later and there is minimal scarring. His eye function was saved. Read More
Eyelid Laceration. This 8-year-old girl was hit in the eye with a fence post. Dr. Gross repaired the laceration in the emergency room, and her results at 3 months show no visible scar. Her parents are very thankful and happy with the outcome. Read More
Basal Cell Skin Cancer. Nose. This patient was referred to our practice after undergoing a 3-stage Mohs procedure to remove a large basal cell spot of skin cancer on her nose. Dr. Gross repaired the scar defect with a transposition plastic surgery flap. Her results are shown at 1 year following several laser treatments for scar therapy. The C... Read More
Case #482 | Ear Keloid removal | Orlando. This high school student had ear piercing done which became infected and caused a keloid scar on the back of her ear. Dr. Gross performed scar revision and removal to achieve these results. Often, Kenalog injections and vascular pulse dye laser (Candela) are needed after surgery to prevent r... Read More
Keep in mind that each patient is unique and your results may vary.
Proven Techniques, Outstanding Results
Most people are self-conscious about scars. Some people may also experience diminished functioning of the eyes, mouth, or nose due to facial scarring. At Primera, we have several treatment options to improve the appearance of scars after:
Acne and chicken pox
Injuries and accidents
Skin cancers and small biopsies
Edward J. Gross, M.D.
Double Board-Certified Facial Plastic Surgeon
With 24 years in practice, Dr. Gross’ quality of care and results have earned the confidence and referrals of doctors throughout the region. His emphasis on patient education helps the men and women he treats feel comfortable and supported during their treatment.
Facial Scarring Treatment With a Facial Plastic Surgery Specialist
All scars, including stretch marks at early stages, have a pink/purple discoloration that denotes excess circulation within the scar. When these signs appear about 3 to 6 months after the skin injury, this is the ideal time to improve the color and reduce the scar’s visibility. At later stages, increased circulation subsides, and the scar may become white and permanent.
Thanks to Dr. Gross’ facial reconstruction training and his vast laser expertise, we receive a number of referrals for laser scar therapy. The most commonly used lasers are the Candela Pulsed Dye Laser and the Fraxel® laser. These technologies have been a tremendous breakthrough in scar treatments. For many of our Orlando patients, they provide relief without the need for surgery.
Although Dr. Gross is strictly a cosmetic surgeon (our practice does not accept insurance), the costs of laser scar therapy or revision surgery are dependent upon the individual type of scar. However, prices are quite reasonable, and the results are very pleasing.
From A Patient's Perspective
Read and hear real people discuss their unique experiences and get a perspective that is sometimes missing from shorter reviews. These stories feature some of our actual patients describing their personal journeys and what makes Primera Plastic Surgery such a special place.
Our different kinds of scar treatments/procedures can be performed alone or in combination with each other. Some of the following treatments may require several sessions for full results:
Scar Revision Procedure
Dr. Gross will evaluate your previous scarred area to decide if you are a candidate for a non-excision procedure. If that is not going to create the most optimal result, then the Fusiform Excision Procedure, to excise the previous scar and create a plastics closure – offering the finest, thinnest most smooth incision site result. The average cost is $1,250 – $1,750 and may vary, depending on your individual previous scar (NOT including Local Anesthesia/Facility Room Fees).
A painless procedure in which red light is applied directly to the scar by our licensed medical aesthetician, this treatment decreases redness and discoloration of scars.
Pulsed-Dye Laser (PDL)
A concentrated beam of yellow light targets blood vessels in the scar. The light converts to heat, shrinking the blood vessels and reducing the scar and its telltale pink color while leaving the surrounding skin undamaged.
Used to treat hypertrophic scars, microdermabrasion exfoliates the thick epidermis on top of the scar, sanding it to the level of the normal skin. Deeper scars may require dermabrasion under anesthesia.
Injection With Corticosteroids
This method treats thicker hypertrophic or keloid scars. A medical corticosteroid injected within the scar causes the tissue to atrophy, contract, and level off with the normal tissue.
Silicone Gel Sheeting
Surface gel sheeting materials minimize scars and reduce scar formation. These non-medicated strips, available over the counter, are worn on the affected area either 24/7 or during sleep.
Topical Steroid Ointments
Dr. Gross may prescribe low-potency prescription-strength steroids to reduce inflammation and scar redness. We generally treat for no more than 2 months to avoid thinning the skin. Steroid ointments should never be covered with bandages or gel sheets. We recommend steroid ointments instead of creams, which contain an alcohol base that dries the skin.
This treatment uses a Fraxel laser, which is a resurfacing laser that can target specific scar tissue. This erbium-based laser has a high affinity for water and produces minimal heat, making for an excellent safety profile. You may have some downtime (2 to 3 days) with associated pinkness, especially if the scar is deep or complex.
A Reputation Built on Results
Treatment was superb! Everyone was friendly and professional. Highly recommend.
Our practice is among the few that use computer imaging to show potential results. With the help of this technology, Dr. Gross can reliably tailor a surgical treatment plan for the unique needs of each patient.
Will I have scarring, and what will it look like? Usually, facial injuries and lacerations can be improved with laser therapy and time. Certainly, there will be some signs of the injury, but these lessen as time goes by. In children, these typically show up as a bright pink line for several months following the surgical repair. This tends to fade in a 6- to 12-month period, and it is important to use sunblock and to avoid direct sun exposure.
How many treatments will I need with the laser? The average is 3 to 6 sessions, 1 month apart.
Does the pulse dye laser hurt? No. It uses a cooling spray, so there is no pain associated with the treatment.
What ages do you treat with the laser? We treat people ages 10 and older.
Does insurance cover laser therapy? No, these lasers are considered cosmetic and not covered. Although our office does not participate with insurance or Medicare, many patients come for treatment because of the results we achieve and help we provide.