Lasers may be used to smooth a scar, remove the abnormal color of a scar, or flatten a scar. Most laser therapy for scars is done in conjunction with other treatments, including injections of steroids, use of special dressings, and the use of bandages.
Normal fine-line scars
A minor wound like a cut will usually heal to leave a raised line, which will gradually fade and flatten over time. This process can take up to 2 years. The scar will not disappear completely and you'll be left with a visible mark or line.
Silicone gels or sheets can be used on healing skin (not open wounds) to help soften and flatten a scar. They can also relieve itching and discomfort. To be effective, silicone gels or sheets should be placed over the scar for 12 hours a day for at least 3 months.
Scars continue to grow and change throughout the recovery process which may take from twelve to eighteen months. Scar massage is an effective way to decrease scar tissue build up and help make scars less noticeable. Massage will not help soften a scar more than two years old.
Corticosteroid injections: This is a main treatment for hypertrophic scars. Injections are made into the scar tissue. They flatten and soften scar tissue and ease pain and itch. Several shots may be needed, each given a few weeks apart.
Bio-Oil helps to improve the appearance of new or old scars; whether from surgery, accidents, burns, insect bites, scratches or conditions such as acne or chickenpox. Although younger scars will have a greater chance of improvement, studies have shown that older scars also benefit from regular use of Bio-Oil.
One tip for taking care of scars is to use a topical ointment. Cocoa butter cream and Vaseline are most often used to help reduce the appearance of scars. Applying the ointment daily will help heal scars but will not make them invisible.
Soft tissue fillers.
Injecting collagen, fat or other substances under the skin can plump the skin over indented scars. The goal is to make the scars less noticeable.
Apple Cider Vinegar
Being a natural astringent and an exfoliant, ACV is blessed with innumerable benefits. It prevents scar-promoting cells from entering the keloid site and also reduces both pigmentation and size of the keloids.
Once it is formed, scar tissue can sometimes be remodeled or reshaped with the help of a facial plastic surgeon or another highly trained specialist. For a rare few, the body may also produce too much scar tissue and cause problems with healing.
Silicone may hydrate the scar tissue and reduce the production of collagen fibres (see scar massage information sheet). It has also been shown to reduce redness and to make the scar flatter, softer and paler.
The scar will appear to become more lumpy and redder at first. This process will take between two and six weeks. Between approximately four and eight weeks the scar will look much wider and redder than it did initially. This is usually the worst the scar will look, and this is a natural part of the healing process.
It is recommended to perform scar massage on a daily basis to have the greatest affect on scar development, pain reduction, and scar mobility.
Can massage break down scar tissue? Yes. the body does not know how to arrange collagen cells after surgery or injury, causing them to clump together and lose their natural structure. Massage breaks them down and helps align the collagen fibers.
Use Vaseline® Jelly for Scars
Using petroleum jelly for scars may be beneficial during and after the healing process. Vaseline® Jelly is known for protecting minor cuts and burns. It creates a protective barrier on the skin's surface to lock in moisture to help protect skin while it heals.
Vitamin E was discovered in 1922 by researchers at the University of California who suggested it had beneficial properties for skin, especially in support of wound healing and scar repair. It is the main lipid-soluble antioxidant in the skin.
Alternatives to Bio-Oil
A combination Bio Oil or skin-nourishing cream and massage may be your best option if you're concerned about scars and money. Any body cream rich in vitamin E (daily massage is the key); Cocoa butter therapy oil (some say this is better than just cocoa butter);
Wait until your wound has fully healed and allow 4 weeks after any stitches have been removed before you start to apply Bio-Oil. To apply, massage in a small amount until it has been fully absorbed. You need to be dedicated and ensure you regularly massage and moisturise your scar twice a day for at least 3 months.
Larger keloids can be flattened by pulsed-dye laser sessions. This method has also been useful in easing itchiness and causing keloids to fade. Pulsed-dye laser therapy is delivered over several sessions with 4 to 8 weeks between sessions. Your doctor might recommend combining laser therapy with cortisone injections.
Silicone can help reduce the appearance of new scars, though it may not improve the appearance of old scars. Doctors have used silicone sheeting for over 35 years , and silicone gel is also now in use. Evidence seems to suggest that these options are effective at reducing scars and improving their appearance.