Surgical scar
Hello, Doctor.
I previously underwent scar revision surgery on my face, and I would like to know if I should wait until the scar becomes white and mature before undergoing fractional laser treatment to make the scar smoother.
It has been 7 months since the surgery, but there is still a slight redness in the area, and I am concerned that the treatment might irritate the wound and cause it to become raised.
Thank you for your response!
Awei, 20~29 year old female. Ask Date: 2013/10/21
Dr. Wu Yuxin reply Dermatology
Scars typically mature in about six months, so your situation should be acceptable.
The slight redness in the middle is likely due to vascular tissue that has not fully resolved.
However, a careful evaluation is still needed to determine which type of laser treatment is appropriate.
Reply Date: 2013/10/21
More Info
When considering laser treatment for scars, particularly after surgical procedures, it is essential to understand the healing process and the maturation of scars. Scars typically undergo several stages of healing, which can last from several months to a year or more. The maturation process involves changes in color, texture, and overall appearance. Initially, scars may appear red or raised, but over time, they often become lighter and flatter.
In your case, since your scar is already seven months old and still shows some redness, it is crucial to evaluate whether it has reached a stage where laser treatment would be beneficial. Generally, it is advisable to wait until the scar has matured, which often means it has turned white or lighter in color and has settled into a flatter texture. This maturation process can take anywhere from six months to a year or longer, depending on individual healing factors, including skin type, the nature of the injury, and overall health.
Laser treatments, such as fractional laser therapy, can be effective in improving the appearance of scars by promoting collagen remodeling and reducing redness. However, if the scar is still in the inflammatory phase, as indicated by the redness, there is a risk that laser treatment could exacerbate the situation, potentially leading to further irritation or even hypertrophic scarring (raised scars). Therefore, it is generally recommended to wait until the scar has matured before proceeding with laser therapy.
Moreover, it is essential to consult with a qualified dermatologist or plastic surgeon who specializes in scar management. They can assess your specific situation, including the characteristics of your scar and your skin type, to determine the best timing and type of laser treatment. They may also suggest alternative treatments or adjunct therapies, such as silicone gel sheets or steroid injections, to help manage the scar's appearance while you wait for it to mature.
In summary, while laser treatment can significantly improve the appearance of scars, it is typically best to wait until the scar has matured to minimize the risk of complications. A thorough evaluation by a medical professional will provide you with personalized advice and a treatment plan tailored to your needs.
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