Skin graft or skin flap. Skin grafts or skin flaps are done after the scar tissue is removed. Skin grafts involve replacing or attaching skin to a part of the body that is missing skin. Skin grafts are performed by taking a piece of healthy skin from another area of the body (called the donor site) and attaching it to the needed area. Skin flaps are similar to skin grafts, where a part of the skin is taken from another area, but with the skin flaps, the skin that is retrieved has its own blood supply. The section of skin used includes the underlying blood vessels, fat, and muscles. Flaps may be used when the area that is missing the skin does not have a good supply of blood because of the location or because of damage to the vessels.
There are many different treatment options for various types of scars so the cost would depend on the type of scar, location, how large the scar is, and what treatments would be necessary. Keloidal or hypertrophic (raised) scars are treated with intralesional injections with steroids or chemotherapy agents such as 5-FU (5-fluorouracil) or bleomycin, and also with certain lasers. Other scars may benefit from resurfacing lasers such as CO2, Erbium, Fractionated CO2, or Fraxel treatments. The overall price can range from $75 for one steroid injection to several thousand dollars if several lasers are used and if multiple treatments with multiple devices are required for large exstensive areas. It is necessary to have a consultation with a knowledgeable board-certified dermatologist who specializes in treatment of scars.