Laser Treatments for Scar Management: Options and Costs Explained - Surgery

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When I was young, I had a teratoma on my ovary and underwent surgery, but the scar became very large.
I had another surgery, but it didn't help because the scar grew larger again and sometimes it itches and hurts.
I previously read some information suggesting that laser treatment could be effective.
Is that true? If so, what is the cost of laser treatment? Are there any medications that can prevent the scar from getting larger? Could you please provide me with some answers? Thank you!

gobby, 20~29 year old female. Ask Date: 2001/08/29

Dr. Liu Mingyue reply Surgery


According to your statement, keloids can be treated with injections, while laser treatment or surgical excision is ineffective and not recommended.

Reply Date: 2001/08/29

More Info


Laser treatments for scar management have gained popularity due to their effectiveness in improving the appearance of scars, including hypertrophic scars and keloids. In your case, where you have a significant scar resulting from surgery for a teratoma, it is understandable that you are seeking options to manage and potentially reduce the size and discomfort associated with your scar.


Understanding Laser Treatments for Scars
Laser therapy works by using focused light to target specific areas of the skin. There are different types of lasers used for scar treatment, including:
1. Ablative Lasers: These lasers remove the outer layers of the skin, promoting new skin growth. They are effective for deeper scars but require a longer recovery time.


2. Non-Ablative Lasers: These lasers penetrate the skin without removing any layers. They stimulate collagen production and are less invasive, resulting in minimal downtime.

3. Fractional Lasers: These can be either ablative or non-ablative and treat only a fraction of the skin at a time, allowing for quicker healing while still improving the overall texture and appearance of the scar.


Efficacy of Laser Treatments
Laser treatments can be effective for reducing the size and improving the texture of scars. They can help flatten hypertrophic scars and keloids, reduce redness, and alleviate discomfort such as itching or pain. However, the results can vary based on the type of scar, skin type, and individual healing response. Multiple sessions may be required to achieve optimal results, and it is essential to have a thorough consultation with a dermatologist or a plastic surgeon specializing in laser treatments to determine the best approach for your specific scar.


Costs of Laser Treatments
The cost of laser treatments can vary widely depending on several factors, including:
- Type of Laser Used: Ablative lasers tend to be more expensive than non-ablative lasers due to their complexity and the need for more extensive recovery.

- Number of Sessions Required: Most patients require multiple sessions to see significant improvement, which can add to the overall cost.

- Geographic Location: Prices can vary based on the clinic's location and the expertise of the practitioner.

- Facility Fees: Some clinics may charge additional fees for the use of their facilities or equipment.

On average, laser treatments can range from $200 to $3,000 per session, depending on the factors mentioned above. It is advisable to consult with a few clinics to get quotes and understand what is included in the price.


Alternative Options for Scar Management
In addition to laser treatments, there are other options to consider for managing scars:
1. Topical Treatments: Silicone gel sheets and silicone ointments have been shown to help flatten and soften scars. They can be particularly effective when used early after the scar forms.

2. Steroid Injections: For hypertrophic scars and keloids, steroid injections can help reduce inflammation and flatten the scar.

3. Microneedling: This procedure involves using fine needles to create micro-injuries in the skin, promoting collagen production and improving scar texture.

4. Pressure Therapy: For some scars, especially those resulting from burns or trauma, applying pressure garments can help flatten the scar over time.


Conclusion
In summary, laser treatments can be a viable option for managing your scar, especially if it is causing discomfort and has not responded well to previous interventions. It is crucial 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. Additionally, exploring alternative treatments may provide further options for scar management. Always ensure that you discuss the potential risks and benefits of any treatment with your healthcare provider before proceeding.

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