Scars are remodelled, not removed. The realistic aim is a scar that is flatter, paler, softer and less conspicuous — not absent.
Wound healing lays down collagen in a disorganised pattern. Over months it remodels, but the fibre orientation never returns to that of uninjured skin.
A hypertrophic scar stays within the original wound margins. A keloid extends beyond them. That difference determines treatment and the likelihood of recurrence, so it is established before anything is started.
Age of the scar, whether it is still maturing, hypertrophic versus keloid versus atrophic, tension across the site, and Fitzpatrick type.
Timing matters more than intensity. Early intervention on an immature scar and later resurfacing address different phases. Tension-bearing sites carry a higher recurrence risk.
A scar less than several months old is often still remodelling on its own, and intervening too early can be counterproductive.
Scars are remodelled, not removed. The realistic aim is a scar that is flatter, paler, softer and less conspicuous — not absent.
A hypertrophic scar stays within the original wound margins. A keloid extends beyond them. That difference determines treatment and the likelihood of recurrence, so it is established before anything is started.
Age of the scar, whether it is still maturing, hypertrophic versus keloid versus atrophic, tension across the site, and Fitzpatrick type.
A scar less than several months old is often still remodelling on its own, and intervening too early can be counterproductive.
Every assessment is carried out personally by Dr Sin Yong, Medical Director. 9 Scotts Road, #12-01 Pacific Plaza.
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