Laser Scar Revision

Laser scar revision can improve the appearance of scars by using controlled laser energy to remodel scar tissue and refine the surface of the skin as it heals. It does not offer complete removal, but it can make scars less noticeable by softening edges, improving skin texture and, where needed, addressing redness or pigment around a scar. Suitability depends on the type of scar, skin type, location of the scar, healing tendency, and whether your skin conditions are stable.

Many people arrive after trying scar removal cream or other superficial options. Some of these can support early wound healing, but established scars are structural. An initial consultation is the safest way to identify the type of scar and choose an appropriate treatment plan.

Medically reviewed by Dr Bela 2026

Laser scar revision in clinic

A medically governed scar management pathway using precision resurfacing plus vascular and pigment support where appropriate, designed to reduce the appearance of scars safely and realistically.

Defining scar revision: beyond superficial treatments

“Scar revision” means improving the structure and appearance of a scar rather than promising removal of the scar. The goal is to reduce the visibility of scars — for example:

  • flattening or softening fibrotic tissue
  • blending the scar into surrounding skin
  • improving skin texture where a scar catches the light
  • reducing redness (red scars) and, in selected cases, treating dark scar laser removal concerns caused by post-inflammatory hyperpigmentation

A single scar can behave very differently depending on its cause, age (an old scar versus a newer scar), and its location on the body. That is why a scar revision procedure is never “one size fits all”.

How laser energy remodels fibrotic scar tissue

Laser therapy works by delivering pulses of laser energy into scar tissue to trigger controlled micro-injury. This encourages remodelling during the natural healing process, including collagen production and reorganisation.

In practical terms, we use a laser to:

  • create controlled resurfacing in layers of skin (and sometimes deeper scar tissue)
  • stimulate collagen and collagen production over time
  • improve the appearance of the scar by reducing sharp edges and surface irregularity

This is why “laser scar removal before and after” images can look impressive in selected cases — but also why timing and number of sessions matter. Improvement is usually gradual, and wound healing biology sets the pace.

Precision resurfacing: targeting the depth of the scar

For many scars, laser resurfacing is the core tool. The approach is chosen based on the type of scar:

  • Atrophic scars (depressed scars): resurfacing can soften edges and improve skin texture. Some atrophic patterns need combination techniques to lift tethering.
  • Hypertrophic scars (raised, thickened scars): in selected cases, laser can help remodel fibrotic tissue and reduce the appearance, but the risk–benefit profile must be assessed carefully.

We may use fractional technology to treat small zones while leaving surrounding skin intact. This can support controlled healing and reduce downtime for many patients compared with full-field resurfacing.

Where needed, we can integrate different laser technology within a single pathway:

  • Resurfacing to refine the surface of the skin and scar edges
  • Vascular laser support for persistent redness
  • Pigment support for uneven tone around scars

In selected cases, we can also combine two wavelengths577 nm (yellow vascular) and 2940 nm (Er:YAG resurfacing) — with medical scar therapies. This may include triamcinolone (a corticosteroid, often abbreviated to TAC) or 5‑fluorouracil (5‑FU), and in certain scars we can use the resurfacing step to help topical medication absorb more effectively into the scar (often called laser‑assisted drug delivery, LADD). The aim is a broader, more complete scar management plan — not “more lasers”, but the right combination for the right scar.

Common scar types treated: surgical, traumatic and injury

This page focuses on a wide range of scars where laser scar revision treatments may be helpful, including:

  • Surgical scar (including post-operative scars)
  • Traumatic scars (falls, cuts, injury)
  • Burn scars (selected cases)
  • Selected hypertrophic scars

Important note on keloid scarring

Keloid scarring behaves differently from most scars. Keloids can grow beyond the original wound and are more likely to recur, so they need a specialist assessment and a cautious plan. In many people, laser alone is not the right answer. Where treatment is appropriate, keloid management is usually a combination approach (for example medical injections to calm the scar, sometimes supported by carefully selected laser steps to address redness and texture). If you have a strong personal or family history of keloid scarring, we will prioritise safety and may advise against laser scar revision, or recommend alternative scar management options.

Am I a candidate for laser scar revision?

Laser scar revision is most suitable when:

  • the scar is stable (no active infection, no ongoing breakdown)
  • the scar type is treatable with the chosen laser treatment option
  • the location of the scar is compatible with aftercare and recovery time
  • your skin type and pigment risk have been assessed
  • you are comfortable with a course and realistic outcomes

You may not be suitable, or we may delay treatment, if:

  • the scar is still changing rapidly (early wound healing phase)
  • there is active dermatitis, infection, or unstable skin conditions
  • you cannot protect the area from UV exposure during the healing process
  • you are seeking complete removal or a guaranteed outcome

Our commitment to safety and clinical expertise

A scar revision laser treatment should be governed like a medical procedure. The effectiveness and safety depend on correct diagnosis, conservative treatment parameters by default, and excellent aftercare.

CQC regulation and doctor-led scar assessments

Your consultation and laser session are performed by our experienced laser specialists within a medically governed service. We use a structured assessment and clear escalation pathways for adverse events.

Specialist training in thermal tissue management

Scar tissue responds differently from normal skin. Training matters — not just for delivering the pulses of laser, but for recognising overtreatment risk and supporting the healing process.

Medical-grade technology (577 nm / 2940 nm)

We use medical-grade systems and select the type of laser based on scar type, depth and skin type. Where appropriate, this may include our 2940 nm Er:YAG resurfacing and 577 nm yellow vascular laser within a pathway, rather than implying one “best” device for every patient.

Skin type safety protocols and pigment protection

Skin type influences risk of post-inflammatory hyperpigmentation. We plan for pigment protection where appropriate, and we will be conservative if you have a history of pigment change.

Your treatment journey: restoring skin texture

  1. Initial consultation (20 minutes)
    We assess the type, appearance, and location of the scar (raised, depressed, red, or pigmented), as well as your skin type and healing tendency. We determine whether laser resurfacing or a different treatment option is more appropriate. You will leave with a clear plan including expected recovery time, number of sessions, and realistic outcomes.
  2. Treatment session (varies by area)
    Treatment time depends on scar size and depth. Some patients are treated for one scar; others have a comprehensive scar plan across a wider field.
  3. Number of sessions
    Most scars respond over multiple sessions. We will discuss the best option based on scar type, thickness and maturity. A wide range of scars can improve, but scars can vary and outcomes are never identical.

Post-treatment care: optimising the healing process

After laser scar treatment, the treated area is temporarily vulnerable. Aftercare supports wound healing and helps reduce the risk of pigment change.

Typical recovery time varies with treatment intensity:

  • redness and sensitivity early on
  • dryness or fine flaking as the surface settles
  • gradual improvement as collagen remodels over weeks to months

We provide tailored guidance for:

  • cleansing and moisturising
  • sun avoidance and SPF
  • activity modification where needed (especially for scars on legs)

Prices

Patients often search for laser scar removal near me, laser scar removal london, and laser treatment for scars price. Pricing depends on:

  • scar size and location
  • complexity (for example, complex scars or thicker hypertrophic scars)
  • whether resurfacing alone is enough or various treatment steps are needed
Course pricing
available when clinically appropriate

We will be transparent about costs and whether an effective treatment is realistic for your scar.

Our Team

Who will perform
my treatment?

Dr Bela
Medical director & Founder

Frequently asked questions

Lasers can improve scars, but they rarely remove them completely. The aim is to reduce the appearance of scars by improving scar tissue structure and the surface of the skin, often over multiple sessions.

There is no single best laser (or single best treatment) for every surgical scar. The appropriate approach depends on scar type (atrophic vs hypertrophic), maturity, location of the scar, and your skin type — and it is often multimodal. In selected cases we combine laser steps (for texture, redness or pigment) with medical scar treatments such as TAC (triamcinolone) or 5‑FU, and sometimes use laser‑assisted drug delivery (LADD) to help the right medication reach the scar tissue. The plan is tailored to the scar, not the other way round.

Yes, laser treatment for scars on legs can be suitable in selected cases. Legs can heal more slowly than the face, so recovery time and aftercare planning are particularly important.

Some scars are darker because of post-inflammatory hyperpigmentation. In selected cases, dark scar laser removal approaches can help, but pigment risk must be assessed and strict sun protection is essential.

Scar removal cream can support early scar care (hydration, silicone-based approaches, reducing irritation), but it cannot remodel established scar tissue on its own. It may be part of scar management, not the whole solution.

Cost depends on the scar size, complexity and number of sessions. We provide course pricing where appropriate after your initial consultation.

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