Best Scar Treatment Options: What Dermatologists Recommend - Dermatology

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Scar treatment medication


Hello, doctor.
I would like to ask you which scar treatment medication is better.
Could you recommend one? Thank you.

Xiao Min, 10~19 year old female. Ask Date: 2002/07/18

Dr. Liao Wenyu reply Dermatology


Xiao Min: I'm sorry, there are many types of scars, and we need to accurately identify them before we can provide the appropriate treatment.

Reply Date: 2002/07/18

More Info


When it comes to scar treatment, dermatologists have a variety of recommendations based on the type of scar, its location, and the individual's skin type. Scars can result from various causes, including acne, injuries, surgeries, or other skin conditions. The best treatment options often depend on the scar's characteristics, such as its age, depth, and whether it is raised or indented.

1. Topical Treatments: Over-the-counter creams and gels can be effective for mild scars. Products containing ingredients like silicone, vitamin E, or hydroquinone are commonly recommended. Silicone gel sheets or silicone gel can help flatten and soften raised scars, while vitamin E is often touted for its skin-healing properties, although scientific evidence supporting its effectiveness is limited.

2. Chemical Peels: For superficial scars, chemical peels can help exfoliate the top layer of skin, promoting new skin growth and improving the appearance of scars. This method is particularly effective for acne scars and can be tailored to different skin types.

3. Microneedling: This procedure involves using fine needles to create micro-injuries in the skin, stimulating collagen production and improving the texture of scars. Microneedling is effective for both atrophic (depressed) scars and some hypertrophic (raised) scars.

4. Laser Therapy: Laser treatments are among the most effective options for scar reduction. Different types of lasers can target various scar types. For instance, ablative lasers remove the outer layer of skin, while non-ablative lasers stimulate collagen production without damaging the surface. Dermatologists often recommend laser therapy for deeper scars, including those from acne or surgical procedures.

5. Dermal Fillers: For indented scars, dermal fillers can be injected to raise the scar to the level of the surrounding skin. This is a temporary solution, as fillers typically last from several months to a couple of years, depending on the type used.

6. Surgical Options: In some cases, surgical intervention may be necessary, especially for severe scarring. Techniques such as scar revision surgery can remove the scar tissue and allow for a more aesthetically pleasing result. This option is usually considered when other treatments have not provided satisfactory results.

7. Steroid Injections: For raised scars, such as keloids or hypertrophic scars, corticosteroid injections can help flatten the scar and reduce inflammation. This treatment is often combined with other therapies for optimal results.

8. Lifestyle and Home Remedies: Maintaining a good skincare routine, including regular moisturizing and sun protection, can significantly impact scar healing. Sun exposure can darken scars, making them more noticeable, so using sunscreen is crucial.

In conclusion, the best scar treatment options vary widely based on individual circumstances. It is essential to consult with a dermatologist who can assess your specific situation and recommend a personalized treatment plan. They can help you understand the potential benefits and risks associated with each option, ensuring you choose the most effective approach for your skin type and scar characteristics. Remember, patience is key, as many treatments take time to show results, and multiple sessions may be required for optimal improvement.

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