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Boston University School of Medicine

Boston University School of Medicine

BU Center for Cosmetic and Laser Surgery

Scar Revision
Scars can develop as the result of acne or other types of inflammations or trauma, such as infections, chickenpox or surgery. Rarely, but more commonly in darker skin types, scars can develop spontaneously. Most scars improve with time. However, early intervention may affect the way a scar remodels itself and may minimize its appearance.

scar

scar

scar after

Before and after laser resurfacing of acne scar revision (subcision)
Courtesy of Dany Touma, M.D.

  • Smooth Beam
  • Aesthetics Services
  • Laser Resurfacing of Wrinkles and Scars
  • Hair Removal for All Skin Types
  • Vascular Lesions (including leg veins)
  • Pigmented Lesions
  • Tattoo Removal
  • Botox
  • Liposuction
  • Fat Transplantation
  • Filler Substances
  • Sclerotherapy
  • Photodynamic Light Therapy
  • ThermaCool TC
  • Scar Revision

Raised scars respond to steroid injections while vascular scars are better treated with a vascular laser to decrease their blood supply in conjunction with occlusive dressings. These treatments often lead to lighter, flatter and softer scars.

scar before

scar before

scar after

Before and after laser treatment of abdominal scar. The endpoint is a flatter, softer, lighter, and less uncomfortable scar.
Courtesy of Dany Touma, M.D.

Depressed scars can be removed surgically, especially when small. Alternatively, one can utilize a needle under the skin to stimulate collagen synthesis (subcision). Non-vascular laser treatment can be used in two ways. The CO2 and Erbium lasers can be used to resurface and soften the edges. Also, a non-ablative resurfacing laser may be used to stimulate collagen to give a more raised appearance. Lastly, one can inject collagen into the scar.

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