Scar Revision

Scars can form following surgery, trauma, burns or medical procedures. While scarring is a normal part of the healing process, some scars may heal in a way that results in raised, thickened, indented, pigmented or texturally irregular tissue, which may cause functional concerns or remain visually prominent over time.

Scar revision using the Alma Hybrid laser focuses on improving scar texture, thickness, colour and integration with surrounding skin, while stimulating new collagen formation within both the scar and adjacent tissue to support gradual remodelling and improved skin quality.

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How Laser Scar Revision Works

The Alma Hybrid platform combines ablative fractional CO₂ and non-ablative 1570 nm laser energy, allowing treatment to be tailored to the depth, density and nature of the scar.

Laser scar revision works by:

• Creating controlled micro-injury within scar tissue
• Stimulating collagen remodelling and tissue reorganisation
• Improving skin texture and pliability
• Reducing thickness, firmness or tethering
• Encouraging better blending between scar and surrounding skin

Settings can be adjusted depending on whether the goal is surface refinement, deeper structural remodelling, or a staged combination approach.

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Scar Types Commonly Treated

Laser scar revision may be relevant for the assessment and management of:

• Surgical scars
• Traumatic scars
• Post-procedural scars
• Burn scars
• Hypertrophic scars
• Atrophic (indented) scars
• Pigmented or discoloured scars

The response of a scar to laser treatment depends on factors such as scar age, location, depth, skin type, tension lines and individual healing characteristics.

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What to Expect During Treatment

Prior to treatment, topical anaesthetic or local numbing may be used depending on scar size and treatment depth.

Laser energy is delivered in a controlled, fractional pattern across the scar and, where appropriate, into surrounding tissue to assist blending. Treatment duration varies depending on scar size, number and complexity.

Most scar revision sessions are completed within 15–45 minutes.

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Downtime & Recovery

Downtime varies depending on treatment intensity and scar characteristics. Patients may experience:

• Redness and swelling
• Temporary darkening or lightening of the treated area
• Mild crusting or flaking
• Sensitivity during healing

Recovery may range from a few days to one week, depending on treatment depth. Collagen remodelling continues for weeks to months following treatment.

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Results & Treatment Course

Scar revision is typically a progressive process. Improvements may include:

• Softer scar texture
• Reduced thickness or elevation
• Improved contour and pliability
• More even colour and tone
• Better integration with surrounding skin

Most scars require a series of treatments spaced appropriately to achieve optimal improvement. Complete scar removal is not possible, and outcomes vary between individuals.

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Safety & Suitability

Alma Hybrid laser resurfacing is a medical procedure and carries risks, including but not limited to:

• Prolonged redness
• Pigmentary changes
• Infection
• Scarring (rare)
• Delayed healing
• Reactivation of herpes simplex in susceptible individuals

Patients with the following require special consideration and may not be suitable:

• Active skin infections
• Certain pigmentary disorders
• Recent isotretinoin use
• History of abnormal scarring
• Poor wound healing disorders

Alma Hybrid treatments with Dr Brandon are delivered within a doctor-led, anatomy-driven and conservative framework, prioritising:

• Skin health over trends
• Biological response over surface change
• Long-term skin integrity over short-term cosmetic effect
• Individualised treatment planning over protocols