Scars
modern methods for an even complexion
Scars form after injuries, surgeries, acne, or burns and can not only affect the appearance of the skin but also cause functional impairments, such as tension or restricted mobility. Many affected individuals also find visible scars cosmetically distressing.
Thanks to modern medical procedures, there are now many ways to significantly improve scars and make the skin appear more even again.
Table of Contents
- What are scars?
- Types of scars & causes
- How do scars form?
- Diagnostics at the dermatologist
- Treatment options
- Modern laser and needling procedures
- Combination treatments
- Care & Aftercare
- FAQ
1. What are scars?
Scars are visible traces of the natural wound healing process. The skin forms replacement tissue that differs from healthy skin in structure, color, and elasticity.
Some scars remain flat and inconspicuous, others become thick, raised, sunken, or discolored.
2. Types of Scars & Causes
2. Types of Scars & Causes
- Laser therapy: reduces redness, refines the texture and smooths irregular skin surfaces.
- Microneedling: stimulates collagen and elastin production, improves skin regeneration and softens scars.
- Scar ointments or injections: help with fresh or raised scars to make the tissue more elastic.
- Surgical correction: for pronounced or functionally disruptive scars, to remove excess tissue and close the skin.
3. How do scars form?
3. How do scars form?
Scars form when the skin cannot completely close the wound with normal tissue. Causes:
- deep injuries
- severe inflammation (e.g. acne)
- Infections
- Tension on the wound
- genetic predisposition
The type of scar depends on the individual's healing behavior.
4. Diagnostics at the dermatologist
4. Diagnostics at the dermatologist
We assess scars according to:
- Type (atrophic, hypertrophic, keloid)
- Depth & Extent
- localization
- skin type
- Age of the scar
Based on these factors, we develop an individually tailored treatment concept.
5. Treatment options
5. Treatment options
5. Treatment options
The most effective scar therapy is often a combination of several procedures.
1. Laser treatments
(Fractional laser, vascular laser)
- smoothes the skin surface
- reduces pigment differences
- stimulates collagen production
- Ideal for acne scars and reddish scars
2. Microneedling / radio frequency needling
- promotes collagen formation
- Improves sunken scars
- refines the skin texture
3. PRP (autologous blood therapy)
- The body's own growth factors stimulate regeneration.
- ideal combination with laser / needling
4. Cortisone injections
- for hypertrophic scars & keloids
- reduce hardness & bulk
5. Surgical correction
- suitable for deeper scars
- Subcision: Detachment of the scar tissue, followed by laser or microneedling.
6. Modern Laser & Needling Procedures
Fractionated CO₂ or erbium laser
- precisely removed microtissue
- strong stimulation of collagen
- ideal for acne scars
- Cryotherapy (freezing)
- Cryotherapy is particularly suitable for treating hypertrophic scars and selected keloids. Through targeted freezing with liquid nitrogen, the hardened scar tissue is damaged in a controlled manner, allowing it to regenerate as flatter, softer, and more elastic.
- The method is often combined with cortisone injections or laser therapy to further increase its effectiveness. Redness, swelling, or scabs may occur temporarily after treatment; this is part of the natural healing process.
INFOBOX:
The best results are achieved with combination therapies, as different parts of the scar are treated simultaneously.
7. Combination treatments: why they are so effective
7. Combination treatments: why they are so effective
Scars usually consist of a mixture of:
- Discoloration
- Tissue loss
- hardened structures
Combinations such as laser + needling + PRP therefore lead to:
- smoother skin surface
- improved elasticity
- less visible depressions
- more natural skin tone
8. Care & Aftercare
8. Care & Aftercare
- Consistent sun protection (SPF 50) → prevents pigmentation disorders
- mild skincare without irritants
- regular moisturizing care
- No manipulation of the scars
- Adherence to the doctors' recommendations
The following can occur after laser or microneedling:
- Redness
- slight swelling
- crust formation
This is normal and will subside within a few days.
9. FAQ – Frequently Asked Patient Questions
9. FAQ – Frequently Asked Patient Questions
Are scars completely removable?
Scars are usually not completely healed, but with modern therapies they can be reduced depending on the type. significantly improved , flattened, brightened, or visually almost balanced.
Which scars respond best to laser treatment?
Atrophic acne scars and reddish, fresh scars.
How many treatments are necessary?
Usually 2-5 sessions spaced several weeks apart.
Can every scar be treated?
Yes, but with different methods depending on the type of scar.
Is the treatment painful?
Well tolerated with numbing cream.
Conclusion
Conclusion
Targeted scar treatment not only improves skin aesthetics but can also alleviate functional limitations. With modern methods such as lasers, microneedling, or surgical correction, scars can now be visibly and sustainably improved, resulting in a smoother, more harmonious complexion.

