Effective Scar Removal: Laser Treatments and Other Options Explained - Plastic Surgery

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How to remove scars?


I had a fibroepithelial tumor in my breast that was surgically removed, and I have been using silicone sheets for about a year.
However, once I remove the silicone sheets, the scar becomes more noticeable after a short period.
Can I use laser treatment for the scar? What other methods can help make the scar less prominent?

Ms. Huang, 20~29 year old female. Ask Date: 2005/03/24

Dr. Lu Daokuan reply Plastic Surgery


If the scar after chest surgery is aligned correctly, it should gradually fade to a silver color.
Laser treatment is also one of the methods for scar reduction.
It may be advisable to consult a physician for further evaluation.

Reply Date: 2005/03/24

More Info


When it comes to effective scar removal, laser treatments are among the most popular options available today. However, the choice of treatment can depend on various factors, including the type of scar, its age, and the individual's skin type. In your case, having undergone surgery for a fibroepithelial tumor and subsequently using silicone sheets for scar management, it’s understandable that you are seeking further options to improve the appearance of your scar.

Laser therapy is a well-established method for scar treatment. There are different types of lasers used for this purpose, including ablative and non-ablative lasers. Ablative lasers, such as CO2 and Erbium YAG lasers, work by removing the outer layers of the skin, which can help to reduce the appearance of scars significantly. Non-ablative lasers, on the other hand, penetrate the skin without removing any layers, promoting collagen production and improving skin texture over time. Both types can be effective, but the choice between them often depends on the specific characteristics of the scar and the desired outcome.

In addition to laser treatments, there are several other options available for scar management:
1. Topical Treatments: Over-the-counter creams and gels containing ingredients like silicone, vitamin E, or hydroquinone can help to improve the appearance of scars. Silicone gel sheets, which you have already used, are particularly effective in flattening and softening scars.

2. Microneedling: This procedure involves using fine needles to create micro-injuries in the skin, which stimulates the body’s natural healing process and promotes collagen production. It can be effective for improving the texture and appearance of scars.

3. Chemical Peels: These treatments involve applying a chemical solution to the skin, which causes the outer layer to peel off, revealing smoother skin underneath. They can help with discoloration and texture issues associated with scars.

4. Dermal Fillers: For certain types of scars, especially those that are indented, dermal fillers can be injected to raise the scar to the level of the surrounding skin, making it less noticeable.

5. Surgical Revision: In some cases, surgical options may be considered to remove or revise the scar. This is typically reserved for more severe scars or when other treatments have not provided satisfactory results.

6. Sun Protection: It’s crucial to protect your scar from sun exposure, as UV rays can darken scars and make them more noticeable. Using a broad-spectrum sunscreen with a high SPF can help to prevent this.

Before proceeding with any treatment, it’s essential to consult with a qualified dermatologist or plastic surgeon who can assess your scar and recommend the most appropriate treatment plan tailored to your needs. They can also discuss potential risks and benefits associated with each option, ensuring you make an informed decision.

In summary, laser treatments can be an effective option for scar removal, but they are not the only solution. A combination of treatments may yield the best results, and professional guidance is key to achieving the desired outcome. Remember that scar healing is a gradual process, and patience is often required to see significant improvements.

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