How to choose the best scar revision treatment for your skin type

Scars can form as a result of injury, surgery, or skin conditions such as acne, and while they are a natural part of the healing process, some individuals may seek treatment to improve their appearance. Choosing the best scar revision treatment depends on various factors, including the type of scar and your skin type. Leading consultant plastic surgeon Mr Andrew Fleming has contributed to a guide to help you understand the options available and how to choose the most suitable one for your needs.

Are there different types of scars?

There are several types of scars, each responding differently to treatments:

• Atrophic scars: These are depressed scars that result from skin damage, often associated with acne or chickenpox. They appear sunken or pitted.
• Hypertrophic scars: Raised scars that occur when excess collagen forms at the wound site. These remain within the boundaries of the original wound.
• Keloid scars: These scars extend beyond the original injury site and are more common in people with darker skin tones. Even after the wound has healed, keloid scars can continue to grow.
• Contracture scars: Often the result of burns, these scars can tighten the skin and affect muscles or joints.

What factors should I consider when choosing a treatment?

Before selecting a treatment, it’s important to consider your skin type and the characteristics of your scar. Key factors include:

• Skin tone: People with darker skin tones are more prone to developing keloid scars and hyperpigmentation. Some treatments, such as laser therapy, need to be adjusted to prevent further pigmentation issues.
• Scar age: Older scars may require more intensive treatments, while newer scars might respond well to topical treatments or minimally invasive procedures.
• Scar location: The sensitivity and visibility of the scar's location on the body can influence the choice of treatment. For instance, scars on the face may require more precise techniques to minimise noticeable effects.

What scar revision treatment options are available?

Choosing the right treatment involves understanding what works best for your skin type and the scar you want to treat. Some common treatments include:

• Laser therapy: Laser treatments work by resurfacing the skin and stimulating collagen production. This can be effective for various types of scars, but those with darker skin tones should proceed with caution, as some lasers can cause pigmentation issues.
• Chemical peels: A chemical peel can help reduce the appearance of scars, particularly atrophic scars. Peels may need to be carefully chosen based on skin sensitivity and tone, as they can sometimes lead to skin irritation or discolouration.
• Steroid injections: These are often used to flatten raised scars such as hypertrophic or keloid scars. Steroid injections work by reducing inflammation and collagen production in the scar tissue.
• Microneedling: This treatment involves using small needles to create micro-injuries in the skin, promoting collagen formation. Microneedling is generally safe for all skin types, though it may require multiple sessions for best results.
• Surgical revision: For larger or more prominent scars, surgical scar revision can be an option. This procedure involves removing the scar tissue and re-closing the wound for a more refined appearance.

Choosing the best treatment for your skin type

Individuals with fair skin typically respond well to most scar revision treatments, while those with darker skin should be cautious of treatments that could cause hyperpigmentation. Laser therapy, microneedling, and chemical peels can be effective, but it’s essential to consult a dermatologist who is experienced in treating diverse skin types to avoid complications. Additionally, those with sensitive or reactive skin may need to start with less aggressive treatments to avoid irritation.

Consulting with a skincare professional or dermatologist is crucial in determining which scar revision treatment is right for you. They can evaluate your scar type, skin tone, and sensitivity to recommend a customised treatment plan that suits your individual needs.

Looking for expert scar revision treatment? Arrange a consultation with Mr Fleming via his Top Doctors profile.