Category Archives: Uncategorized

scar tissue

6 Ways to Remove a Scar by Plastic Surgeon Thomas Zaydon, M.D.

Introduction

Most of us have – or know someone who has – a scar. They can be created by a variety of factors, including an acute injury (e.g. a dog bite), a medical condition (e.g. acne), by  burns, or by surgery. Depending on the severity of the scar, it may be more (or less) visible. What is also important is the location of the scar. A large scar on your face is considered to be much more noticeable than a scar on your back, for example. 

This blog post walks us through the type of scars which can occur, as well as 6 ways to remove them or at least reduce their severity. This process is known as ‘scar revision’.

4 Types of Scar

Did you know that there are 4 main types of scar?  The American Society of Plastic Surgeons categorizes them as follows:

  1. Discoloration or surface irregularities (subtle scars, the least severe type)
  2. Hypertropic scars (more severe, usually scar tissue formed at the wound site)
  3. Keloids (larger than hypertropic scars and may appear anywhere on the body)
  4. Contractures (as the name suggests, they contract the skin, restricting movement)

How to remove a scar?

As per the infographic below, there are 6 main ways to remove a scar:

5 Ways to Remove a Scar 4 - 6 Ways to Remove a Scar by Plastic Surgeon Thomas Zaydon, M.D.

1. Chemical peels

If your scar is not too deep – that is to say only affecting the upper layers of the skin – then this may be a suitable procedure. It works by causing the epidermis to peel off, so in effect exfoliating the skin. Then new skin will grow back, ideally leaving the scar less noticeable than it previously was.

2. Dermabrasion

Similar to chemical peels, this procedure is most appropriate for scars which are not too deep. The process, similar to exfoliation, uses a dermabrasion machine to remove the top layers of the skin (where the scarring is), subsequently leaving the undamaged lower layers of the skin, resulting in a ‘polished’ or untainted appearance.

3. Fill injections / soft tissue

This procedure is considered most appropriate for indented scars. In other words, scars which do not stick out, but instead are indented into the skin. Collagen or other suitable fillers are used to literally ‘fill the indentation’, subsequently raising it to the level of the rest of the skin, thus making it less noticeable.

4. Surgical scar revision

This is the process of surgically removing the scar and then rejoining the layers of skin and is known as ‘excision’. It cannot totally remove the scar, but can decrease the length or width of a scar. Closure of the resulting surface would is known as a “simple” closure. Layered closure is used where the excision extends to tissue below the skin surface or in areas with a high degree of movement. This first step, or layer, requires a sub-dermal closure (below the skin surface) with absorbable or non-removable sutures. Layers of closure continue to build, concluding with closure of the remaining surface wound.

5. PRP

PRP offers an opportunity to promote not just the speed of healing of scars, but also the degree of their healing. As a result, this can reduce the severity of scars, meaning a better (less visible) outcome. Read more about PRP for scars.

6. Laser Revision

Lasers, various energies and types can be used to lessen scar tissue; the type of laser depends on the age and quality of the scar as well as the skin pigmentation. Regardless, best case scenario, scar’s can be improved but rarely fully removed. 

About Thomas Zaydon, M.D.

Dr. Zaydon is certified by the American Board of Plastic Surgery and is a member of the American Society of Plastic Surgeons. He is also a fellow of the American College of Surgeons. Dr. Zaydon serves as an expert witness on liability cases around the country. He has reviewed many cases and has served as an expert witness for both the plaintiff and defense. He is sought as an expert witness in these cases because of his experience and fairness. Read more about Dr. Zaydon’s role as a plastic surgery expert witnessPlastic Surgery Expert Medical Advisor, or about Plastic Surgery Peer Reviews and Plastic Surgery Independent Medical Evaluations.

plastic surgery miami

A Recap of our Plastic Surgery Blog Posts in 2017

2017 has been a busy year for the Plastic Surgery Institute of Miami. To summarize, it has been a year of helping: We have helped many patients improve their appearance and subsequently confidence. We have helped injured employees get back to their Maximum Medical Improvement and back to work. And last of all, we have helped educate the online world about plastic surgery via our plastic surgery blog!

 

Now that we’re at the end of 2017, it’s a good time to, pause, take a moment, and revisit all of these great blog posts. In order to make it more manageable, we have organized them thematically:

Blog posts about being a Plastic Surgery Expert Witness

Perhaps it’s clear from how often we write about this topic: we are VERY passionate about the role and importance of plastic surgery expert witnesses. There are some great topics here, including the importance of qualifications, experience, and ethics when performing this role:

Blog posts about Workers’ Compensation and Plastic Surgery

We are also very passionate about helping injured workers get back to their pre-injury condition. When people think of work related injuries, they don’t usually associate it with plastic surgery. However, certain accidents can leave very visible scars. According to Workers’ Compensation laws, if an injury is work related, the employee is entitled to medical treatment to return them to their pre-injury condition, or at least Maximum Medical Improvement (MMI). Read our posts about this below:

Blog posts about Scar Reduction

Closely related to workers’ compensation cases is scar reduction. However, not all scars are work related, which is why this is a separate category:

Blog posts about Cosmetic Surgery

We also believe in helping people become the best version of themselves and subsequently boosting their confidence. As such, we have also written about cosmetic surgery:

 

We hope you all enjoyed reading our articles and we look forward to bringing you more interesting content about plastic surgery in 2018!

About Thomas Zaydon, M.D.

Read more about Dr. Zaydon in his role as a plastic surgeon expert witness, workers’ compensation plastic surgeon, and plastic surgeon for scars in Miami.

Plastic surgeon for scars in Miami

Plastic surgeon for scars in Miami – What is Scar Revision? What are the ways to remove scars?

What is Scar Revision?

Plastic surgeon for scars in Miami – We are all familiar with how scars can occur – whether it be through a work related accident, an auto accident, a skin condition such as acne, an auto accident, or a simple bit of bad luck. However, what some people are perhaps less familiar with is how to remove – or reduce the visibility of – these scars. In the medical world this is known as ‘scar revision’. This is all the more important if the scar is in a very visible location, such as your face. Such prominent scars can sometimes lead to psychological issues. But what types of scar revision are there? In other words, what are the ways to remove scars?

What are the ways to remove scars?

When it comes to scar revision, there are several option. The type of scar and location of the scar are two of the factors which help to determine which option is the most suitable one for your specific scar. These options are as follows:

Dermabrasion

This is a mechanical polishing of the skin.

Laser Resurfacing

This procedure changes the surface of the skin to allow new, healthy skin to form at the scar site.

Chemical Peel Solutions

These chemical solutions penetrate skin skin’s surface to soften irregularities in texture and color.

Excision

This procedure is the surgical removal of the scar. Closure of the resulting surface would is known as a “simple” closure. Layered closure is used where the excision extends to tissue below the skin surface or in areas with a high degree of movement. This first step, or layer, requires a sub-dermal closure (below the skin surface) with absorbable or non-removable sutures. Layers of closure continue to build, concluding with closure of the remaining surface wound.

Where can scar revision surgery be performed?

Scar revision surgery may be performed in your plastic surgeon’s office using local anesthesia. If your scarring is more significant and and sedation or general anesthesia is also necessary for you to be comfortable during the procedure, it may be performed in an accredited office-based surgical facility, licensed ambulatory surgical center, or a hospital. If you do require sedation or general anesthesia, you will need another adult to drive you home and stay with you for the first night following the procedure.

 

About Dr. Zaydon – Plastic Surgeon for Scars in Miami

As an Expert Witness Plastic Surgeon Dr. Zaydon is very experienced in both the evaluation and treatment of injuries requiring plastic surgery, including abdominal injuries and Plastic surgeon for scars in Miami . Dr. Zaydon is certified by the American Board of Plastic Surgery and is a member of the American Society of Plastic Surgeons. He is also a fellow of the American College of Surgeons.   Plastic Surgery Institute founder, Dr. Thomas J. Zaydon, M.D. F.A.C.S, has been rendering professional expert witness and plastic surgery services in the Miami, Florida area for over twenty years.  Dr. Zaydon earned his medical degree from Drexel University in Philadelphia, Pennsylvania. Graduating with special honors, he also served as Chief Resident in plastic surgery at the Louisiana State University.   He is a noted author of numerous articles and chapters on various aspects of plastic surgery. Currently, Dr. Zaydon is chief of plastic surgery at Mercy Hospital in Miami, Florida. Read more about Dr. Zaydon, Dr. Zaydon’s role as a workers compensation plastic surgeon, or Contact Us.

Doctor and Patient with injured face, plastic surgery for scars miami

Early Treatment of Facial Injuries

Workers, subject to the ordinary risks of everyday, life, are potential candidates for trauma to the face. A significant number of facial injuries result from industrial trauma. No set program can cover the treatment of an injured individual. Emphasis should be placed on the simplest and most direct method which will provide the best outcome and the earliest return to duty.

A prompt and thorough assessment of the injured worker is usually carried out at an emergency room or urgent care center. Since trauma does not respect the boundaries of any specialty, it is the responsibility of the initial triage facility to obtain appropriate consultation whenever necessary. The facility should not be diverted by the most apparent injury or focus therapy slowly within his or her own particular specialty.

Treatment of a facial injury should be guided by the functions of the face and its components. Physiologically, an airway should be preserved, a solid mobile jaw with functional contiguous soft tissue for normal chewing, talking, and swallowing should be strived for, and functional eyelids for protection of vision should be a goal of any worker who has sustained facial trauma. Too often a facial injury which appears minor to the initial physician ultimately may become serious by developing a tremendous psychological problem for the patient. Therefore, facial trauma must be considered in a slightly different light than similar trauma occurring in most other parts of the body where function is a primary concern and a repair.

In facial injuries, proper measures must be taken for the best possible aesthetic repair. Regardless of the patient’s job description, there is a natural human desire to  present as normal and pleasing facial appearance as possible. The initial repair of a facial injury, if well conceived and properly executed will often yield a better final result than can be obtained by multiple procedures performed secondarily. Furthermore, additional medical expenses, disability, and time away from work can be avoided.

Why is early treatment so important?

With proper early care, there would be less tendency toward infection, mal-union of the underlying bones, and other untoward sequelae. Inadequate primary treatment with superimposition of added trauma may result in deformities which are difficult to correct and certainly prolong morbidity and cost for an injured worker.

In many instances, satisfactory primary repair would be the only correction that is required. Occasionally there may be a need for a secondary surgery, however, the best ultimate results can be achieved with few exceptions by an adequate initial restoration of post-traumatic anatomy.

Facial disfigurement and resultant emotional burden on an individual will markedly hinder his social, educational, and economic activities for the remainder of his or her life. Disabling physiological alterations of the facial structures often compound this problem.

These possible sequelae stress the need for applying sound principles of plastic surgery during the early treatment of initial injuries to obtain a successful functional and aesthetic result, as well as return to duty at the earliest possible times.

About the author, Thomas Zaydon, M.D.

Dr. Zaydon Pic - Early Treatment of Facial InjuriesAs an Expert Witness Plastic Surgeon Dr. Zaydon is very experienced in both the evaluation and treatment of facial trauma, including plastic surgery for scars in Miami. Dr. Zaydon is certified by the American Board of Plastic Surgery and is a member of the American Society of Plastic Surgeons. He is also a fellow of the American College of Surgeons.   Plastic Surgery Institute founder, Dr. Thomas J. Zaydon, M.D. F.A.C.S, has been rendering professional expert witness and plastic surgery services in the Miami, Florida area for over twenty years.  Dr. Zaydon earned his medical degree from Drexel University in Philadelphia, Pennsylvania. Graduating with special honors, he also served as Chief Resident in plastic surgery at the Louisiana State University.   He is a noted author of numerous articles and chapters on various aspects of plastic surgery. Currently, Dr. Zaydon is chief of plastic surgery at Mercy Hospital in Miami, Florida. Read more about Dr. Zaydon, Dr. Zaydon’s role as a workers compensation plastic surgeon, or Contact Us.

Workers’ Compensation Educational Conference in Orlando, August 6-9, 2017

Dr ZAYDON WCI 2017 - Workers' Compensation Educational Conference in Orlando, August 6-9, 2017

Dr. Thomas Zaydon, specializing in plastic surgery for scars in Miami, recently had the honor of presenting at the 72nd annual Workers’ Compensation Educational Conference in Orlando. With over 8,000 registered attendees at this year’s conference, it is considered very prestigious to be invited to speak at the event, held in Orlando. Speaking on the topic of “Multi-Cultural Scarring”, Dr. Zaydon educated the attending adjusters, nurse case managers, and risk managers about the types of scars which can occur to different skin types, as well as the possible methods of treatment, including surgery.

“I am honored to have been invited to present and share my knowledge about plastic surgery for scars. As a plastic surgeon who often treats and evaluates workers’ compensation cases involving scars, it is a topic I am passionate about and I am happy to share my findings about the best treatment options to return injured employees to their pre-injury condition”, stated Dr. Zaydon.

About the Workers’ Compensation Educational Conference

In the words of the Workers Compensation Institute: “The 72nd Annual Workers’ Compensation Educational Conference® and the 29th Annual Safety and Health Conference focus on national workers’ compensation and occupational safety and health industries. Particularly as it relates to workers’ compensation, it has always been felt that each state, having different laws, had to deal with its own issues separate from other states. No longer is this the case. This national conference has evolved into a gathering of all stakeholders, regardless of jurisdiction or state, to study and be educated on issues of common concern – issues that have no geographical boundaries. Regardless of your interests, your position in these important industries, and your role, this conference is designed to provide something of significance. The unprecedented number of breakouts and the quality of presenters representing states throughout the country truly make this the national event not to be missed.”

About Dr. Zaydon

Plastic Surgery Institute founder, Dr. Thomas J. Zaydon, M.D. F.A.C.S, has been rendering professional expert witness and plastic surgery services in the Miami, Florida area for over twenty years. In addition to specializing in plastic surgery for scars,  Dr. Zaydon is also a certified as an Expert Medical Advisor and often serves as an expert witness plastic surgeon. Read more about Dr. Zaydon or Contact Us.

This article was written on behalf of Plastic Surgery Institute of Miami by Red Castle Services. Find out more about our Plastic Surgery SEO services.

Thomas Zaydon, M.D., Plastic Surgery Consultant

Workers Compensation Plastic Surgeon – 3 Ways a Plastic Surgeon can help in the Work Comp Arena

When you think of plastic surgeon, your first thoughts are probably about nose jobs, face lifts, and breast augmentation. Perhaps the last thing on your mind is a ‘workers compensation plastic surgeon’ – in other words, a plastic surgeon who can help with workers’ compensation cases. Believe it or not, plastic surgeons are increasingly requested to assist with work comp claims in several ways. This article will talk you through 3 of them.

1. Cuts / lacerations

Let’s imagine a postal worker who gets bitten by a dog which is a little too keen on protecting his owner’s property. Or a kitchen chef cutting his hand while chopping vegetables. Both of these examples would be considered work related injuries, as they happened while the employees were performing their jobs. Depending on the depth of the bite and cut, they may both leave permanent scarring. But should the employee have to endure this visual reminder for the rest of their lives? According to most workers’ compensation adjusters, the medical costs of removal of scarring – which was sustained during work – are covered. But who can remove this scarring? Yes, you guessed it – workers compensation plastic surgeons.

2. Auto-injuries (if work related)

If you are in Florida, you would be forgiven for thinking that all medical expenses for work-related auto injuries are covered by the $10,000 PIP law. And yes – the majority of patients who suffer injuries sustained in an auto accident do make use of this law. However, if the patient had the accident while driving as part of their job (for example, a truck driver), then this can – and usually is – covered by their workers compensation insurance. But where does a workers compensation plastic surgeon come into this? Well, car accidents often involve facial injuries. For example, breaking your nose on the steering wheel and/or airbag, or cuts from broken glass. A broken nose – and lacerations (as mentioned above) – can leave permanent visual damage to the face. And this is where a plastic surgeon comes in. He/she can return the patient to his/her original appearance (or as close as possible), thus fulfilling the purpose of workers’ compensation insurance coverage.

3. Workers Compensation Independent Medical Evaluations / Expert testimony

In the medical industry – as in any industry – people often have different opinions. For example, following a work related car accident, one plastic surgeon may believe that the patient requires nose surgery, whereas another plastic surgeon may deem it unnecessary. In cases such as this, which surgeon should the adjuster believe? Luckily for the adjuster, he/she has a third option. He/she can ask for an Independent Medical Evaluation from a third party (objective) plastic surgeon who is deemed to have significant experience and qualifications to make a final opinion on the case. If a case is litigated and has gone to court, this opinion is usually provided by an Expert Medical Advisor.

Where can I find a good workers compensation plastic surgeon in Miami?

There are many cosmetic surgeons in Miami, but not many who are experienced with workers compensation. There are even fewer who have experience with workers compensation and who are listed on all of the Florida workers compensation networks, plus are credentialed as an Expert Medical Advisor. One such physician is Thomas Zaydon, M.D. Dr. Zaydon has been treating workers’ compensation patients – and providing expert medical testimony (including Independent Medical Evaluations for Workers’ Compensation cases) for many years. As a result of this, he is now considered to be one of the most recognized workers compensation plastic surgeons in Miami, as well as in Florida and even nationally.

For Dr. Zaydon, assisting with work comp cases is not just work, but also something he enjoys. In his own words:

“I totally enjoy working with worker’s compensation patients. They know we are trying our absolute best to repair their injury and get them back to work. I have been so lucky to meet so many incredibly nice hard working people. I love when they come to our office with one appearance and change for the better in any or all of the following: happier attitude, improved appearance of their injury, even eating healthier and exercising. We encourage our patients to bring their loved ones with them at the time of the visit so they can ask any questions about how to help with their care.”

Read more about Dr. Zaydon and his role as a Workers Compensation Plastic Surgeon.

This article was written on behalf of Plastic Surgery Institute of Miami by Red Castle Services. Find out more about our Plastic Surgery SEO services.

Workers Compensation Plastic Surgeon Miami

Featured Speaker at the 69th Workers’ Compensation Educational Conference

Thomas Zaydon Jr. M.D. was a featured speaker at the 69th Workers’ Compensation Educational Conference and 26th Annual Safety & Health Conference, held in Orlando, FL, August 18th through 20th. Over 7,000 attendees were present at the conference this year. Dr. Zaydon presented on “Electrical and Chemical Burns” and received great reviews with regards to his approach to the treatment of Workers’ Compensation patients.

For further information about Dr. Zaydon or Electrical and Chemical Burns, please contact his Office Manager, Lori Davis at md8883@bellsouth.net