Top surgery is a meaningful step. The scars it leaves behind don’t have to be. At Arvé Aesthetics in Greenville, SC, we offer a physician-guided scar revision program designed to soften, flatten, and fade post-surgical scars over time — using advanced laser, regenerative technology, and permanent makeup to address both the texture and appearance of the scar line.
What Is Top Surgery Scar Revision?
Top surgery scar revision is a multi-modality treatment program targeting the texture, pigmentation, and surface irregularity of post-surgical scars. Rather than a single treatment, meaningful improvement requires a series of sessions using complementary technologies, layered in the right sequence for your scar type and skin.
Every protocol is physician-designed and adjusted as your skin responds.
What It Addresses
- Raised or thickened scar tissue
- Hyperpigmentation or discoloration along the scar line
- Uneven texture or surface irregularity
- Tethered or tight scarring
- Residual scar visibility after laser and regenerative treatment
- Overall skin quality in the treated area
How It Works
Scar revision at Arvé uses six treatment modalities, sequenced and combined based on your scar characteristics and how your skin responds over time.
CO2 laser (CoolPeel and DekaPulse) resurfaces the skin at controlled depths, targeting texture and surface irregularity. CoolPeel addresses milder concerns with minimal downtime; DekaPulse reaches deeper for more significant revision work.
ResurFX fractional laser delivers non-ablative energy beneath the skin surface to stimulate collagen remodeling without removing the outer layer. It works well between more intensive sessions to maintain momentum.
RF microneedling combines microneedle penetration with radiofrequency energy to remodel scar tissue from within, improving both texture and elasticity over a series of treatments.
SkinPen microneedling creates controlled micro-injuries that trigger the skin’s natural repair response, encouraging new collagen formation along the scar line.
LED therapy supports cellular recovery and reduces inflammation, used as an adjunct to enhance and extend the results of other treatments.
Scar camouflage uses permanent makeup techniques to deposit skin-tone pigment along the scar line, blending residual discoloration into the surrounding skin. It is typically introduced after the scar has been sufficiently refined through laser and regenerative treatments, and works best as a finishing step rather than a starting point.
Benefits
- Multi-modality approach for more comprehensive results than any single treatment
- Protocols customized to your scar type, skin tone, and timeline
- Scar camouflage available as a finishing option for residual discoloration
- Progressive improvement with each session
- Minimal to moderate downtime depending on modality
- Physician-led sequencing and oversight throughout
What to Expect
Scar revision is a gradual process. Most patients complete either a standard four-session package or an advanced six-session package, with treatments spaced to allow adequate healing between sessions. Scar camouflage is scheduled separately and assessed once the skin has stabilized following the revision series. A consultation is required to assess your scars, establish realistic expectations, and determine which package and treatment sequence is appropriate for you.
A Considered Approach
Scars carry history. Our goal is not to erase that, but to give your skin the best opportunity to heal well and look its best. We approach top surgery scar revision with the same care and clinical rigor we bring to every service at Arvé — methodical, patient-centered, and focused on results that last.
3D Areola Tattooing
For some patients, top surgery results in areolas that feel incomplete — whether due to changes in appearance, positioning, or definition following the procedure. 3D areola tattooing is an adjacent service, distinct from scar revision, designed for patients who want to refine or restore the appearance of their areolas after surgery.
Using advanced permanent makeup techniques, we create realistic areola definition through precise shading and pigment placement. Results are long-lasting and highly customizable — tailored to your skin tone, desired size, shape, and level of definition.
This service is performed independently of the scar revision program and can be scheduled once the chest has fully healed from surgery. A separate consultation is recommended to discuss placement, color matching, and what to expect from the process.