Surgical Scar Revision — Advanced Laser Treatment for Texture, Pigment & Smoothness

Surgical scars can be dramatically improved using modern laser technology, even within the first few weeks of healing. At Onassis Skin Health, we use a combination of fractional erbium, TRL fully ablative erbium, ProFractional, BBL, and Tribrid™ to address pigmentation, texture irregularities, and structural distortion in scar tissue. Our approach is designed to smooth, lighten, and blend surgical scars while enhancing collagen remodeling in the earliest phases of healing.

Depending on the procedure and how well the incision has healed, scars can often be treated as early as 4–6 weeks post-surgery, which can significantly improve long-term results.

How Surgical Scars Form — And Why Lasers Work

When the skin heals after surgery, the body rapidly produces collagen to close the wound. This collagen often forms in ways that make the scar:

• Thick or raised
• Indented or tethered
• Uneven in tone (darker, lighter, or red)
• Textured or firm

Laser therapy is uniquely effective because it can precisely target the elements that make a scar visible:

• Texture irregularities
• Excess pigment or redness
• Scar thickness and stiffness
• Blended transitions into the surrounding skin

Early laser intervention — especially between 4–6 weeks post-op — helps influence collagen remodeling before the scar fully matures.

Laser Technologies Used for Surgical Scar Revision

1. Fractional Erbium (ProFractional™)

ProFractional creates microscopic channels in the scar to stimulate new collagen growth and smooth irregularities. Ideal for:

• Indented scars
• Rolling or tethered scars
• Irregular, uneven texture
• Thickened scar borders

2. Fully Ablative Erbium (TRL — Tunable Resurfacing Laser)

TRL precisely vaporizes the surface of the scar to soften raised tissue, blend borders, and correct deeply etched lines. Perfect for:

• Raised or firm scars
• Dense surgical lines
• Deep texture irregularities
• Pigmented or hardened edges

3. BBL (BroadBand Light) for Pigment + Redness

BBL targets redness and abnormal pigment within the scar, improving:

• Hyperpigmented scars
• Hypopigmented scars
• Red or vascular scars

4. Tribrid™ — Multi-Layer Scar Remodeling

Tribrid uses three synergistic wavelengths to remodel scars at multiple depths, improving:

• Surface texture
• Mid-layer collagen
• Deep structural irregularities

What Surgical Scars Can Be Improved?

Laser scar revision can dramatically improve nearly all types of surgical scars, including:

• Facelift, necklift, blepharoplasty, and browlift scars
• C-section and tummy tuck scars
• Breast augmentation or lift scars
• Liposuction entry points
• Orthopedic or trauma surgical scars
• Mohs surgery scars
• Any scar that is raised, indented, uneven, or discolored

Even scars that are decades old can improve significantly — but the best results often come from starting early, ideally 4–6 weeks after surgery.

Combination Scar Therapy for Best Results

Scar revision is most effective when layered with multiple modalities. Matthew often combines:

• Fractional erbium for collagen stimulation
• Fully ablative TRL for smoothing raised areas
• BBL for redness and pigment correction
• Tribrid™ for multi-depth tightening and remodeling
• Microneedling for collagen induction
• Subcision for tethered, indented scars
• Growth factor serums for enhanced healing

This layered approach addresses every dimension of the scar — pigment, texture, depth, and structure.

How Matthew Customizes Each Scar Treatment

Every surgical scar is unique, so Matthew evaluates:

• Scar age and maturity
• Depth and thickness
• Whether it is raised, indented, or discolored
• Healing status (to determine if 4–6 week early treatment is appropriate)
• Your skin type and healing patterns
• Your desired downtime and level of correction

This allows him to create a personalized, highly effective resurfacing strategy.

What to Expect During Your Scar Revision Appointment

• Topical numbing or nerve blocks for comfort
• Fractional or ablative laser passes across the scar
• Blending of surrounding skin for seamless results
• Cooling and barrier repair post-laser
• Onassis-exclusive aftercare protocol

Downtime varies by modality:

• BBL: Minimal to none
• Fractional erbium: 2–4 days
• Fully ablative erbium: 5–7+ days

Results begin to improve by week 2 and continue refining over 3–6 months as collagen remodels.

Who Is a Candidate?

Most patients with surgical scars — new or old — are excellent candidates for laser revision. This includes:

• Scars that are 4–6 weeks post-surgery (ideal early stage)
• Fully healed scars that are months or years old
• Scars with texture irregularities
• Scars with dark, light, or red pigment changes
• Raised, thick, or indented scars
• Scars that are tight, uncomfortable, or tethered

Treating scars early — when appropriate — gives the best chance of preventing long-term firmness, discoloration, and contour irregularities.

Why Patients Choose Matthew Onassis, DNP

Matthew is internationally recognized for his expertise in laser resurfacing, structural scar correction, and multi-modality tissue remodeling. His approach blends:

• Advanced laser engineering with layered treatment plans
• Global training in Korea, Europe, and the Middle East
• Customized erbium and light-based protocols
• A luxury, results-driven experience

Whether your scar is new, old, raised, indented, or discolored, Matthew designs a plan that transforms it into softer, smoother, more seamless skin.