Scar Revision
Restoring Natural Appearance and Function After Trauma, Burns, or Lacerations
Scars can serve as reminders of trauma, surgery, or injury — but for many patients, they also represent ongoing discomfort, restricted movement, or emotional distress. At PainGoneMD, our goal is to help you move forward with confidence through advanced scar-revision techniques that restore both natural appearance and proper function.
Led by M. Ryan Khosravi, M.D., F.A.C.S., a board-certified plastic and reconstructive surgeon, our team specializes in treating traumatic scars, burn scars, and complex lacerations that impact the skin’s appearance or the body’s mobility. Each treatment plan is customized to minimize visible scarring, release tightness, and restore soft-tissue balance — combining surgical precision with regenerative medicine for optimal healing.
Conditions We Treat
- Traumatic or post-surgical scars
- Burn scars with contracture or tissue distortion
- Hypertrophic or keloid scars
- Facial or joint-area scars that limit movement
- Scars causing chronic pain or sensitivity
Treatment Options
Depending on the type and severity of the scar, Dr. Khosravi may recommend:
- Surgical scar revision – excising and re-orienting scar tissue for improved alignment and texture
- Z-plasty and flap reconstruction – releasing tightness and restoring natural contour and movement
- Laser and microneedling therapy – improving texture, tone, and pigmentation
- PRP or stem-cell–enhanced healing – accelerating regeneration and reducing scar thickness
- Injectable therapies and silicone management – minimizing raised or discolored scars
Our Approach
At PainGoneMD, scar revision is more than cosmetic — it’s restorative. We address not only the skin’s surface but also the underlying structures that affect mobility and comfort. By integrating plastic surgery, regenerative therapy, and pain-management principles, our approach supports faster recovery, improved function, and renewed confidence.
Results You Can Expect
- Smoother, softer, and less visible scars
- Restored flexibility and range of motion
- Reduction in scar-related discomfort
- Improved symmetry and natural appearance
Skin Grafts & Local Flap Reconstruction
Restoring Coverage and Function After Traumatic Tissue Loss
Traumatic injuries, burns, and surgical complications can lead to significant soft-tissue loss, leaving underlying structures — such as tendons, nerves, or bone — exposed. Restoring proper coverage is essential not only for healing but also for preserving mobility, comfort, and appearance.
At PainGoneMD, M. Ryan Khosravi, M.D., F.A.C.S., a board-certified plastic and reconstructive surgeon, performs advanced skin graft and local flap reconstruction to restore protective tissue coverage and improve long-term functional outcomes.
What Are Skin Grafts and Flaps?
- Skin Grafts involve transferring healthy skin from one area of the body (the donor site) to cover a wound or defect where the skin has been lost. Grafts promote closure, protect vital tissues, and improve healing.
- Local Flaps use nearby tissue — including skin, fat, or muscle — that remains attached to its own blood supply and is repositioned to cover the injured area. Flaps are often used for more complex wounds requiring durable, natural coverage.
Both techniques are customized based on the location, depth, and type of injury, ensuring optimal protection, flexibility, and cosmetic integration with surrounding skin.
Common Indications
- Traumatic soft-tissue loss after accidents or surgery
- Burn wounds with exposed tendon, bone, or joint
- Chronic non-healing wounds or ulcerations
- Post-tumor excision or reconstructive defects
- Tissue loss resulting from infection or debridement
Our Surgical Approach
At PainGoneMD, Dr. Khosravi combines reconstructive microsurgery with advanced regenerative methods — including PRP, stem-cell therapy, and peptide-assisted healing — to enhance graft take, minimize scarring, and accelerate recovery.
Our integrated care model also incorporates orthopedic, interventional pain, and physical therapy support, ensuring that both form and function are restored.
Goals of Treatment
- Achieve durable soft-tissue coverage
- Protect underlying structures and prevent infection
- Restore range of motion and joint mobility
- Improve contour and cosmetic appearance
- Reduce pain and improve overall healing outcomes
Comprehensive Recovery at PainGoneMD
From initial trauma repair to long-term rehabilitation, our multidisciplinary team ensures continuity of care every step of the way. Whether your injury is recent or chronic, our focus is to restore protection, mobility, and confidence — helping you return to your daily life safely and with lasting results.
Soft Tissue Repair After Lacerations, Avulsions, or Animal Bites
Reconstructive Expertise for Complex Injuries
Severe cuts, avulsions (tissue tearing), or animal bites can cause significant damage to the skin, underlying muscle, and nerves — leaving both functional and cosmetic challenges. At PainGoneMD, we specialize in advanced soft tissue repair designed to restore natural appearance, strength, and movement after traumatic injury.
Led by M. Ryan Khosravi, M.D., F.A.C.S., board-certified plastic and reconstructive surgeon, our team combines precise surgical repair with regenerative healing techniques to achieve durable, natural-looking outcomes. Every case is approached with a focus on both function and aesthetics, ensuring long-term recovery and minimal visible scarring.
Common Causes
- Deep lacerations from trauma, glass, or machinery
- Avulsion injuries with tissue loss or detachment
- Animal or human bites causing punctures, crush, or infection
- Post-surgical wound complications or delayed healing
- Crush injuries involving muscle or tendon exposure
Treatment Approach
Each repair begins with a detailed evaluation of the wound’s depth, tissue viability, and vascular integrity. Dr. Khosravi may use a combination of:
- Meticulous surgical closure to realign skin, fat, and muscle layers
- Microsurgical techniques for nerve or vessel repair when required
- Local flap reconstruction or skin grafting to replace missing tissue
- Debridement and infection control to ensure optimal healing
- Regenerative therapies (PRP, stem-cell concentrates, peptides) to accelerate recovery and reduce scarring
Why Choose PainGoneMD
Our integrated model unites reconstructive surgery, pain management, and functional rehabilitation under one roof. This multidisciplinary approach ensures that patients not only heal — they regain full mobility, strength, and confidence. Whether the injury affects the face, hand, or body, our goal is to restore form, function, and comfort with lasting, natural results.
Results You Can Expect
- Restoration of soft-tissue contour and alignment
- Preservation of mobility and nerve function
- Reduced scarring and improved texture
- Decreased pain and faster recovery time
Reconstructive Flap Surgery
Restoring Normal Form and Function After Deep Burns or Complex Injury
When a burn or traumatic injury destroys deeper layers of skin, fat, or muscle, simple closure is not enough. These wounds often expose bone, tendon, or vital structures that require advanced reconstructive solutions to restore proper coverage, movement, and appearance.
At PainGoneMD, M. Ryan Khosravi, M.D., F.A.C.S., a board-certified plastic and reconstructive surgeon, performs flap reconstruction to replace lost tissue with healthy, vascularized tissue from nearby or distant areas of the body. These procedures not only protect underlying structures but also rebuild natural contour and function — allowing patients to heal fully and regain confidence.
What Is Flap Reconstruction?
A flap is a section of tissue that includes its own blood supply, moved to cover a wound or defect. Unlike skin grafts, flaps can include skin, fat, fascia, muscle, or bone, providing durable coverage and improved healing in complex injuries.
Flap reconstruction is often essential after:
- Deep or full-thickness burns
- Severe traumatic injuries or crush wounds
- Chronic non-healing wounds
- Post-surgical defects following tumor removal or infection
- Tissue loss with exposed tendon, nerve, or bone
Types of Flap Procedures
Dr. Khosravi tailors each reconstruction to the patient’s specific needs, selecting from:
- Local or regional flaps – nearby tissue rotated or advanced to close the defect
- Pedicled muscle flaps – robust coverage with preserved blood supply
- Free flaps (microsurgical transfer) – tissue moved from a distant site using microvascular anastomosis for complex reconstruction
- Perforator flaps – precise, minimally invasive options that preserve muscle while restoring skin and soft tissue
Our Integrated Approach
At PainGoneMD, reconstructive flap surgery is part of a comprehensive treatment plan that combines:
- Microsurgical precision for optimal vascular connection and contour
- Regenerative medicine (PRP, stem-cell concentrates, peptides) to accelerate healing
- Pain management and physical rehabilitation restore mobility and function
- Scar-modulation therapies for smoother, natural results
This multidisciplinary care model ensures complete recovery — both functionally and aesthetically.
Benefits
- Durable tissue coverage and protection of vital structures
- Restoration of limb or facial contour and mobility
- Reduction in pain and contracture formation
- Improved long-term cosmetic and functional outcome
Breast & Chest Reconstruction
Restoring Form, Balance, and Confidence After Trauma or Injury
Traumatic injury to the breast or chest wall — whether from an accident, burn, or surgical complication — can leave lasting physical and emotional effects. At PainGoneMD, our mission is to restore both form and function through advanced reconstructive techniques that rebuild natural contour, symmetry, and confidence.
Led by M. Ryan Khosravi, M.D., F.A.C.S., a board-certified plastic and reconstructive surgeon, our team provides specialized care for patients who have experienced soft-tissue loss, deformity, or scarring of the breast and chest region. Dr. Khosravi combines microsurgical precision, regenerative medicine, and aesthetic artistry to help patients recover fully — physically, functionally, and emotionally.
Common Causes
- Motor-vehicle or blunt-force trauma
- Burn injury to the breast or chest wall
- Surgical complications or infection after prior procedures
- Soft-tissue loss following tumor or cyst removal
- Penetrating injuries causing deformity or asymmetry
Treatment Options
Depending on the nature and extent of the injury, reconstruction may include:
- Soft-tissue reconstruction using local or regional flaps
- PFat grafting or tissue transfer to restore contour and volume
- Implant or expander-based reconstruction when indicated for symmetry
- Scar-revision and contracture-release surgery for improved motion and appearance
- Regenerative therapies (PRP, stem cells, peptides) to enhance healing and reduce scarring
Every plan is customized to meet the patient’s aesthetic goals while ensuring optimal chest wall stability, range of motion, and natural balance.
Our Approach
At PainGoneMD, breast and chest reconstruction is more than cosmetic — it’s restorative. Dr. Khosravi’s integrated approach combines surgical precision with a deep understanding of anatomy, tissue dynamics, and emotional healing. Working alongside orthopedic and pain-management specialists, our goal is to return patients to full function while achieving natural, symmetrical results that restore confidence and quality of life.
Results You Can Expect
- Restoration of breast or chest contour and volume
- Improved symmetry and aesthetic appearance
- Protection of underlying structures
- Relief from pain, tightness, or restricted motion
- Renewed self-image and confidence
Reconstruction After Traumatic Breast Injury
Restoring Form, Symmetry, and Confidence After Accidents or Burns
Breast trauma from motor-vehicle collisions, burns, or penetrating injuries can lead to complex damage of the skin, fat, and underlying muscle. Beyond appearance, these injuries often affect comfort, posture, and confidence. At PainGoneMD, we specialize in reconstructive breast surgery that restores natural contour, symmetry, and soft-tissue integrity after traumatic injury.
Led by M. Ryan Khosravi, M.D., F.A.C.S., a board-certified plastic and reconstructive surgeon, our team integrates microsurgical reconstruction with regenerative medicine and pain-management expertise to achieve complete, functional recovery.
Common Causes
- Motor-vehicle accidents resulting in blunt-force or seat-belt trauma
- Thermal or chemical burns affecting breast or chest wall tissue
- Penetrating injuries or lacerations
- Post-surgical complications or tissue loss after infection
- Crush injuries leading to deformity or contour irregularity
Treatment Options
Depending on the nature and severity of injury, reconstruction may involve:
- Soft-tissue and flap reconstruction to restore breast volume and shape
- Skin grafts or tissue expansion for coverage after burns or avulsions
- Fat grafting (lipofilling) for natural contour restoration
- Implant-based reconstruction when appropriate for symmetry
- Scar revision and contracture release for improved motion and appearance
- PRP, stem-cell, and peptide therapy to accelerate healing and minimize scarring
Our Approach
At PainGoneMD, breast reconstruction following trauma is approached with equal focus on function, form, and emotional well-being. Dr. Khosravi’s experience in complex soft-tissue reconstruction ensures durable results with natural aesthetic outcomes. Working collaboratively with orthopedic, interventional pain, and rehabilitation specialists, our goal is to help each patient regain strength, symmetry, and self-confidence after injury.
Benefits
- Restoration of natural breast contour and volume
- Improved chest wall protection and mobility
- Reduction in pain, tightness, and scar visibility
- Enhanced symmetry and confidence in appearance
Correction of Asymmetry or Deformity After Injury
Restoring Natural Balance and Contour Following Trauma
After trauma, even when initial healing is complete, visible asymmetry or contour irregularities can remain. These deformities may result from soft-tissue loss, scar contraction, or uneven healing — affecting not only appearance but also comfort and confidence.
At PainGoneMD, M. Ryan Khosravi, M.D., F.A.C.S., a board-certified plastic and reconstructive surgeon, specializes in the correction of post-traumatic asymmetry and deformity. Using advanced reconstructive and aesthetic techniques, he restores symmetry, balance, and natural proportions to the face, breast, or body following injury or previous surgery.
Common Causes
- Motor-vehicle or workplace injuries
- Burn or crush trauma
- Surgical complications or tissue loss
- Scarring and contracture pulling tissues out of alignment
- Previous reconstruction that healed unevenly
Treatment Options
Each case begins with a detailed anatomical assessment to identify the underlying cause of asymmetry. Treatment may include:
- Soft-tissue rearrangement or local flap reconstruction to restore contour
- Fat grafting or structural volume replacement for balance and natural shape
- Scar revision and release to improve mobility and alignment
- Implant adjustment or replacement when prior reconstruction was disrupted
- Laser, microneedling, or regenerative therapy to enhance texture and tone
Our Approach
Dr. Khosravi’s method combines reconstructive precision with aesthetic refinement. Every correction is designed not only to restore structural harmony but also to achieve results that look and feel natural. Working alongside PainGoneMD’s interventional pain and rehabilitation specialists, the team ensures full-spectrum recovery — improving both form and function.
Benefits
- Improved symmetry and body balance
- Restoration of natural contours and proportions
- Enhanced movement and comfort
- Reduced scar visibility and tissue tension
- Renewed confidence in appearance
Scar Revision & Contracture Release
Restoring Mobility, Comfort, and Natural Appearance
After trauma, surgery, or burns, scar tissue can tighten over time — restricting movement, causing pain, or distorting normal anatomy. This condition, known as a contracture, can significantly impact daily activities, especially when it affects the hands, joints, or face.
At PainGoneMD, M. Ryan Khosravi, M.D., F.A.C.S., board-certified plastic and reconstructive surgeon, specializes in scar revision and contracture release procedures designed to restore both mobility and appearance. Using advanced reconstructive and microsurgical techniques, Dr. Khosravi carefully releases restrictive scar bands, realigns tissue, and rebuilds flexibility — often in combination with regenerative and aesthetic therapies for optimal healing.
When to Consider Treatment
You may benefit from scar revision or contracture release if you experience:
- Tightness or limited motion after a burn or injury
- Pain or stiffness around a joint or incision site
- Visible deformity or pulling of surrounding tissue
- Functional limitations affecting hand, arm, neck, or facial movement
- Raised, thickened, or uneven scars
Treatment Options
Each procedure is customized based on the scar’s location, depth, and impact:
- Surgical contracture release to restore movement and relieve tension
- Z-plasty or local flap reconstruction to reorient scars for flexibility and aesthetic improvement
- Skin grafting or tissue transfer for areas with significant tissue loss
- Laser resurfacing or microneedling to refine texture and pigmentation
- PRP, stem-cell, or peptide therapy to accelerate healing and reduce recurrence
Our Approach
At PainGoneMD, we view scar revision as both a functional and reconstructive procedure. Dr. Khosravi’s multidisciplinary approach integrates plastic surgery precision with regenerative medicine, interventional pain control, and physical rehabilitation — ensuring every patient regains movement, comfort, and confidence.
Benefits
- Restored flexibility and joint motion
- Reduction in pain and tightness
- Smoother, softer, more natural-appearing scars
- Enhanced dexterity and functional use
- Long-term improvement in comfort and appearance
Revision of Deformities After Prior Surgery or Trauma
Restoring Harmony, Function, and Confidence
Even after initial healing, previous surgeries or traumatic injuries can sometimes leave visible deformities, contour irregularities, or functional limitations. Whether caused by scarring, tissue loss, or unsatisfactory reconstruction, these issues can affect both appearance and quality of life.
At PainGoneMD, M. Ryan Khosravi, M.D., F.A.C.S., a board-certified plastic and reconstructive surgeon, specializes in the revision of post-surgical and post-traumatic deformities. With a precise understanding of anatomy, tissue dynamics, and aesthetic balance, Dr. Khosravi employs advanced reconstructive and regenerative techniques to restore natural form and optimal function.
Common Concerns
- Irregularities or asymmetry after previous surgery
- Visible scarring, tightness, or skin contracture
- Contour deformities following trauma or wound closure
- Tissue loss, indentations, or contour depression
- Persistent discomfort or limited motion after prior procedures
Treatment Options
Each revision plan is fully individualized and may include:
- Soft-tissue rearrangement or local flap reconstruction to restore contour
- Fat grafting or structural volume replacement to correct depressions or asymmetry
- Scar revision and contracture release to improve flexibility and appearance
- Implant revision or removal when prior reconstruction resulted in distortion
- Laser and regenerative therapy (PRP, stem cells, peptides) to enhance texture and healing
Our Approach
Dr. Khosravi combines meticulous surgical planning with the latest regenerative medicine technologies to achieve natural, long-lasting results. Working in concert with PainGoneMD’s orthopedic and interventional pain specialists, he ensures each patient receives comprehensive care that addresses both aesthetic restoration and physical comfort.
Benefits
- Restoration of balanced, natural contour
- Reduction in scarring and surface irregularities
- Improved motion and reduced discomfort
- Enhanced appearance, confidence, and quality of life
Implant Removal or Replacement After Injury
Restoring Safety, Symmetry, and Confidence Following Trauma
Trauma to the chest or body can displace or damage implants placed from prior cosmetic or reconstructive procedures. Whether caused by a motor-vehicle accident, fall, or direct impact, these injuries can lead to discomfort, asymmetry, or visible deformity.
At PainGoneMD, M. Ryan Khosravi, M.D., F.A.C.S., board-certified plastic and reconstructive surgeon, specializes in the evaluation, removal, and replacement of damaged implants following trauma. His approach ensures the safe restoration of natural contour, comfort, and confidence — with meticulous attention to both aesthetics and long-term function.
When Implant Revision Is Needed
You may benefit from surgical evaluation if you experience:
- Breast or body implant displacement after injury
- Visible deformity, asymmetry, or change in shape
- Rupture, leakage, or capsular contracture
- Pain, hardness, or tissue distortion near the implant site
- Compromised skin or soft-tissue coverage
Treatment Options
Dr. Khosravi customizes each procedure to the patient’s condition and goals:
- Implant removal when tissue healing or infection prevention is the priority
- Implant replacement with modern, biocompatible options for improved safety and symmetry
- Pocket reconstruction or repositioning to stabilize the new implant
- Soft-tissue reinforcement or flap coverage to restore natural contour and support
- Fat grafting and regenerative therapy (PRP, stem-cell, or peptide-assisted healing) to optimize tissue recovery and minimize scarring
Our Approach
At PainGoneMD, trauma-related implant correction is performed with precision and care. Dr. Khosravi evaluates each case using advanced imaging and reconstructive planning to ensure optimal safety and symmetry. Combining surgical expertise with regenerative medicine, our team focuses on restoring not just the physical appearance — but also comfort, function, and peace of mind.
Benefits
- Restoration of symmetry and natural contour
- Resolution of pain, tightness, or distortion
- Improved implant stability and soft-tissue support
- Enhanced comfort and aesthetic outcome
Reconstructive Procedures for Chronic Non-Healing Wounds
Restoring Integrity, Protection, and Long-Term Healing
Chronic wounds that fail to heal over time can lead to infection, pain, and loss of function — especially when underlying tissue, bone, or tendons are exposed. These wounds often develop after trauma, burns, surgery, or underlying conditions that limit blood flow or tissue regeneration.
At PainGoneMD, M. Ryan Khosravi, M.D., F.A.C.S., a board-certified plastic and reconstructive surgeon, provides advanced reconstructive solutions for non-healing wounds. Through a combination of microsurgical techniques, regenerative medicine, and precision wound management, Dr. Khosravi helps patients achieve durable closure, restore coverage, and regain mobility.
Common Causes
- Post-traumatic or post-surgical wound breakdown
- Pressure ulcers or soft-tissue necrosis
- Radiation-induced skin injury
- Burn-related tissue loss
- Diabetic or vascular wounds
- Chronic infection or exposure of bone/tendon
Treatment Options
Each reconstruction plan is individualized according to wound size, depth, and tissue quality, and may include:
- Local or regional flap reconstruction to restore healthy, vascularized coverage
- Skin grafting for durable closure of superficial defects
- Microsurgical free-flap transfer for complex or extensive wounds
- Debridement and tissue revitalization to remove infection and promote healing
- Regenerative therapies (PRP, stem-cell, and peptide-based healing) to stimulate new tissue growth and shorten recovery time
- Compression and wound-care optimization for improved long-term outcomes
Our Approach
At PainGoneMD, chronic wound reconstruction is approached as a comprehensive healing process, not just a surgical procedure. Dr. Khosravi’s team collaborates with interventional pain specialists, vascular experts, and physical therapists to restore circulation, comfort, and function. This multidisciplinary care ensures every patient receives both functional restoration and aesthetic refinement for a complete recovery.
Goals of Treatment
- Achieve stable, long-term wound closure
- Prevent infection and tissue breakdown
- Protect underlying bone, tendon, or nerve structures
- Restore natural contour and movement
- Improve overall comfort and quality of life
Invasive procedure
For all questions regarding invasive procedures and surgeries, please consult directly with Dr. Hanna
Contact Us
50 N. La Cienega Blvd., Suite 150, Beverly Hills, CA 90211
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