Scar Revision

Scars. Everything you need to know

Scars
Treatments

Understanding Scars

A scar forms when the deeper layers of your skin are injured and the body produces collagen to heal the wound. While this process repairs the damage, it often leaves an area of skin that looks or feels different from the surrounding tissue. Scars can result from acne, surgery, burns, cuts, or other trauma.

Although scars are permanent, the right treatment plan can significantly improve their appearance, texture and overall comfort.

 

Types of Scars

Scars vary widely in their appearance and behaviour. Understanding the type of scar is important in determining the most effective treatment approach.

 

Acne Scars
Acne scars can develop after moderate to severe breakouts, especially if the skin becomes inflamed or damaged. They may appear as indented (atrophic) scars, raised (hypertrophic) scars, or post-inflammatory pigmentation. Treatments focus on improving skin texture and tone through collagen stimulation, resurfacing, and targeted skincare.

Find our more about: Acne Scars

 

Atrophic or Depressed Scars
These scars sit below the surface of the skin and often appear as small indentations or uneven texture. They are most commonly caused by inflammatory acne, chickenpox or other deep skin injury. Treatments aim to rebuild collagen and smooth the skin’s surface.

 

Hypertrophic Scars
These are raised, firm scars that remain within the boundary of the original wound. They often appear red or pink and may feel tight or itchy. Treatments can help flatten these scars and reduce redness or discomfort.

 

Keloid Scars
Keloids are thicker, raised scars that grow beyond the original wound. They can develop months after the initial injury and are more common in darker skin types. Because they have a higher risk of recurrence, treatment often requires a careful, staged approach.

Find out more about: Keloid Scar Treatments

 

Surgical or Linear Scars
These occur after incisions or excisions, such as from surgery or mole removal. Depending on how the wound heals, these scars can be flat, raised or slightly indented. Treatments can help soften and blend these scars with the surrounding skin.

 

Contracture Scars
Often caused by burns or deep wounds, these scars tighten as they heal and can restrict movement. Management may include laser therapy or, in some cases, surgical revision.

 

Stretch Marks (Striae)
Although technically a form of scarring, stretch marks develop differently,  when the skin stretches faster than collagen and elastin can adapt. They often appear as red or white streaks on the abdomen, thighs, hips or breasts. Treatments that rebuild collagen, such as fractional laser and microneedling, can help improve their texture and appearance. 

Find out more about: Stretch Marks

 

surgical scars
acne scars
keloid scar
Scar Treatment

Why Scars Form and Persist

Several factors influence how visible or prominent a scar becomes, including:

  • The depth and severity of the original injury

  • Skin type and tone

  • Location of the scar (areas under tension or movement tend to thicken)

  • Delayed healing or infection

  • Genetic tendency towards overactive scarring

Proper wound care and early intervention can greatly reduce the likelihood of scarring.

Treatments

Effective scar treatment begins with a thorough understanding of the scar’s type, underlying cause, and how the individual’s skin is likely to respond. During an initial consultation, dermatologists who consult at Northside Dermatology conduct a detailed assessment to inform a personalised treatment approach.

Treatment plans may involve a combination of advanced techniques selected to address texture, pigmentation, and overall appearance. The approach is tailored to the specific needs of each patient to support the best possible outcomes.

Learn more about the available scar treatment options below.

Subcision Treatment
Subcision is a surgical technique used to release fibrous scar tissue that pulls the skin down, creating a depressed acne scar. A dermatologist inserts a fine needle beneath the scar to break up these fibres, allowing the skin to lift and smooth over time.
Best for: Rolling or tethered scars
Down time: 3–5 days (mild swelling/bruising)
Comments: Often combined with laser or filler for enhanced results
Learn More
TCA Cross Section
TCA CROSS stands for ‘TriChloroacetic Acid Chemical Reconstruction Of Skin Scars’. During the procedure, a specialist dermatologist applies a small amount of high-concentration TCA directly to the scar.
Best for: Deep ice pick scars
Down time: 3-7 days
Comments: For optimal results, most patients need two to four procedures.
Learn More
CO2 Laser
Fractional CO2 laser works by creating controlled micro-injuries in the skin, stimulating natural healing and collagen production. This smooths out irregular skin texture and softens the appearance of scars over a course of treatments.
Best for: Boxcar scars, mixed acne scarring
Down time: 5–10 days (redness, peeling)
Comments: Strong results after a series of treatments; requires sun protection post-treatment
Learn More
Nanofractional Laser
Nanofractional radiofrequency laser delivers precise energy deep into the skin to resurface scarred areas and promote collagen remodelling. Unlike CO2, it has a shorter recovery time and is suitable for a wider range of skin tones.
Best for: Mild to moderate acne scars, all skin types
Down time: 1–3 days (redness, mild swelling)
Comments: Usually requires multiple sessions; gradual improvement seen over weeks
Learn More
Dr Wenyuan Liu, Dermatologist

Personalised Scar Treatment Plans

Northside Dermatology provides access to evidence-based treatments for a range of scarring concerns, including acne scars, surgical scars, injury-related scarring, and pigmentation changes. The clinic is equipped with advanced dermatological technologies to support consulting practitioners in delivering safe, individualised care.

Dr Wenyuan Liu, a dermatologist who consults at Northside Dermatology and has extensive experience in scar management, offers personalised treatment planning based on the individual’s skin type, scar characteristics, and treatment goals. Depending on clinical assessment, recommended options may include laser therapy, medical-grade skincare, microneedling, injectables, or a combination of approaches.

To explore appropriate options, patients are encouraged to arrange a consultation for a thorough assessment with a consulting dermatologist.

 
 
Book your consult now

Frequently asked questions

Can a scar be completely removed?

While no treatment can fully erase a scar and restore the skin to its exact pre-injury state, a specialist dermatologist can significantly improve its texture, colour, and overall appearance. Our goal is to make the scar as smooth and unnoticeable as possible, helping it blend better with the surrounding skin.

How long after an injury should I wait to seek scar treatment?

The sooner, the better. While we must wait until the wound is fully closed and healed, the first few months are a critical period when a scar is actively developing and remodelling. Early intervention (sometimes with simple at-home care advice and other times with professional treatments) can often prevent a scar from becoming severely raised or discoloured. We can treat older scars, but early advice from a specialist is highly recommended.

What are the most common treatments used for scars?

There is no single “best” treatment; successful scar revision nearly always involves a combination of modalities. Common treatments we use include:

  • Laser Therapy: To improve colour, flatten texture, and stimulate collagen.
  • Injections: Such as corticosteroids to flatten raised or hypertrophic scars.
  • Microneedling & RF Microneedling: To break down old scar tissue and stimulate fresh collagen.
  • Dermal Fillers: To raise depressed or indented scars (like some acne scars).

Your personalised plan will involve the best combination for your scar type.

What is the most important thing I can do at home to help my scar heal?

The two most crucial steps for new scars are sun protection and moisture/massage.

  1. Strict Sun Protection: UV exposure makes a new scar darker and more noticeable. Always cover the scar or use a high-SPF, broad-spectrum sunscreen (SPF 30+) daily.
  2. Gentle Massage and Hydration: Once the wound is fully healed, a gentle massage with a recommended moisturiser or silicone product helps soften the scar tissue and can encourage flexible collagen formation.
What is the best treatment for scars?

There isn’t one “best” treatment,  it depends on the type of scar, how long you’ve had it, and your skin type. At Northside Dermatology, your dermatologist will assess the scar and may recommend laser therapy, microneedling, chemical resurfacing, injections or a combination approach for optimal results.

 

How many treatments will I need?

Most scar treatments are performed as a course over several months. The number of sessions varies depending on the severity of the scar and how your skin responds, but gradual, staged treatments generally achieve the most natural improvement.

 

Is scar treatment painful?

Most treatments are well tolerated. For procedures such as laser or microneedling, we use topical anaesthetic creams to minimise discomfort. You may experience mild redness or swelling afterward, which typically settles within a few days.

 

Can raised scars like keloids be treated?

Yes, but they can be more challenging to manage and have a higher chance of recurrence. Treatments may include corticosteroid or injections, laser therapy, or silicone dressings. Your dermatologist will tailor a plan suited to your skin and scar type.

 

How long will it take to see results?

Most patients start to notice improvement after a few weeks, with continued progress over several months as new collagen forms and the scar remodels. Results continue to refine with each treatment session.

 

Melasma & Pigmentation Treatments

Get Your Tailored Scar Treatment

Northside Dermatology provides access to advanced, evidence-based technologies for the treatment of various types of scarring. Dermatologists who consult at the clinic can assess your skin and develop a personalised treatment plan based on your individual needs and goals.

Book Consultation Today

Two Melbourne Clinics

Northside Dermatology operates from modern facilities in Fitzroy North and Reservoir. Consulting dermatologists and doctors offer a range of medical and aesthetic skin treatments, supported by a team of cosmetic nurses and dermal therapists.

View Locations