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Comparing Plastic Surgeons

This comparison is based on publicly available information and is for guidance only. Please consult a qualified specialist in person before any treatment.

Scar Removal: Treatments for Scars and Keloids

Complete scar removal is rarely possible — the goal is scar improvement: making scars flatter, softer, less pigmented and less visible. The right treatment depends on the type of scar, its age and location.

Types of Scars

  • Atrophic scars: depressed/sunken — common with acne, chickenpox
  • Hypertrophic scars: raised, red, within original wound boundaries — fade over 1–2 years
  • Keloids: raised, grow beyond wound boundaries, do not self-resolve
  • Contracture scars: from burns, can restrict movement

Treatment Methods

Laser Treatment

  • CO2 fractionated laser: best for atrophic scars (acne scars) — resurfaces skin
  • Pulsed dye laser (PDL): reduces redness in hypertrophic scars and keloids
  • Nd:YAG laser: improves pigmentation in scars

Corticosteroid Injections

Triamcinolone injected directly into hypertrophic scars and keloids to reduce inflammation and flatten raised tissue. Multiple sessions 4–6 weeks apart.

Filler Injection

Hyaluronic acid or autologous fat fills depressed/atrophic scars. Temporary effect for HA; more lasting with fat.

Surgical Revision

Re-excision and re-suturing of scars (z-plasty, w-plasty). Only for suitable candidates; carries risk of recurrence.

Silicone Products

Silicone gel sheets or cream — most evidence base for hypertrophic scar prevention and improvement. Used 12+ hours daily for 3–6 months.

Costs

TreatmentCost per session
CO2 laser (face)€500–€1,500
Pulsed dye laser€200–€600
Corticosteroid injection€100–€300
Filler (atrophic scars)€200–€500