Facial Scar Revision: What It Is and What to Expect
Medically reviewed by Harsha Moole, MD, Internal Medicine. Last reviewed: October 2, 2026.
What kind of doctor provides Facial Scar Revision?
A plastic surgeon or facial plastic surgeon usually performs facial scar revision, and a specialized eye surgeon may help when the scar is near the eyelids or tear ducts. Ophthalmologists specialize in the eyes and surrounding structures, and some complete extra training in plastic surgery of the eye area. Plastic surgeons also do this procedure on other parts of the face.
What it is
Facial scar revision is surgery that changes the way a scar looks or works. The surgeon removes or rearranges the scar tissue so the new scar lies flatter, blends in better, or pulls less on nearby skin. No surgery can erase a scar completely.
Why a doctor might recommend it
A doctor may recommend revision when a scar pulls on nearby skin and makes it hard to close the eye or move the face normally. Surgery can also help when a scar is thick, raised, or very noticeable, or to relieve itching, pain, or tightness.
How to prepare
- Give the doctor a full list of every medicine, vitamin, and supplement you take, since some raise bleeding risk.
- Stop smoking, since smoking slows skin healing.
- Arrange for someone to drive you home after the procedure.
- Ask which medicines to stop before surgery and when.
- Plan time off from work or school, usually several days to a week.
What happens during it
The procedure usually uses local numbing medicine, though some cases use general anesthesia. The surgeon may cut out the scar, reposition it to follow natural skin lines, or use skin grafts or flaps to rebuild the area. Most revisions take one to a few hours, and you can often go home the same day.
Recovery
The treated area may be swollen, bruised, and sore for the first few days, and stitches usually come out within a week. Keeping the wound clean and following care instructions helps healing. Full fading of the new scar can take several months to a year.
Risks and side effects
Common side effects include swelling, bruising, and temporary numbness. Risks include bleeding, infection, and the chance that the new scar is still noticeable or becomes thick.
Who performs it
Ophthalmologists handle scars around the eyes, especially when the eyelid or tear drainage system is involved. Plastic surgeons and some dermatologic surgeons treat scars on the rest of the face.
How a direct primary care or concierge doctor fits in
A direct primary care doctor charges a flat monthly fee instead of billing insurance, while a concierge doctor usually charges more and often works alongside insurance. Either one can examine the scar, treat minor problems, and refer you to the right specialist if surgery seems likely.
Common questions
Will facial scar revision remove the scar completely?
No. Revision makes a scar less noticeable and can improve how the skin moves, but a mark will remain. Most people find the new scar is thinner and blends in better.
When should I have scar revision surgery?
Many doctors advise waiting six months to a year, since scars often improve on their own as they mature.
Does insurance cover facial scar revision?
It often does when the scar causes a medical problem, such as trouble closing the eye. Coverage for scars treated only for appearance varies, so check with your plan.
Does facial scar revision hurt?
You will receive numbing medicine or anesthesia during the procedure. Soreness afterward is common and usually managed with medicine your doctor recommends.
Sources
- American Academy of Ophthalmology - Eye Health
- MedlinePlus - Scar revision: MedlinePlus Medical Encyclopedia
Medical Disclaimer
This content is for general educational and informational purposes only and is not medical advice. It is not a substitute for professional medical advice, diagnosis, or treatment, and reading it does not create a doctor-patient relationship. Always seek the advice of your physician or another qualified health provider with any questions about a medical condition, and never disregard or delay seeking professional advice because of something you read here. If you think you may have a medical emergency, call 911 (or your local emergency number) immediately.
