Scars / Keloids

Trauma and surgery may cause unsightly scars. In order to combat this the EA Clinic offer a number of different treatment options that may dramatically improve their appearance. Keloids are a more difficult problem but there are treatments that may keep them at bay or remove them permanently.



Scars can be functionally hindering, aesthetically displeasing or a reminder of a past event. Keloids on the other hand are a more difficult form of scarring and as such the management is slightly different. The real cause keloids is not known at this stage but is being researched and are more common in people who have darker skins but they can affect all people of all colours. There are studies indicating that there may be a genetic link. Various treatments are available, but here at EA Clinic we offer steroid injections, Ultrapulse CO2 lasering and surgical removal.

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Different scars require different treatments. A few common scars include:

Burn scars.
Keloid scars
Hypertrophic scars, unlike keloids, do not grow out of the boundaries of the scar area, but because of their thick, raised texture, can be unsightly.

Facial scars can be unattractive simply because of where they appear on the face, while others affect facial expressions.

All surgical possibilities will be discussed in the initial consultation along with risks involved for each type of scarring.

The goal of facial scar treatment is to disguise the scar, relocate it, or minimize its prominence.

Important factors to be discussed with your doctor include:

Skin type and color
Ethnic background
Individual healing rates

Different types of scars respond to different surgery techniques. A person considering facial scar revision must understand that there is no way to remove scars completely.

We usually advise against any scar revision in cases where the scar is less than a year old.

Because scars are highly individualistic and the patient’s attitude toward scars is so personal, maximum improvement in facial scars may require more than one procedure. More than one technique may be employed.

Following is a general description of the surgery. Remember, each patient’s individual needs and features are considered before surgery.

Laser resurfacing is method a doctor uses to make “rough or elevated” scars less prominent by removing part of the upper layers of skin with an abrading tool or laser light. Clearly, the scar will remain, but it will be smoother and less visible.

Keloid or hypertrophic scars are often treated first with injections of steroids to reduce size. If this is not satisfactory, the scars can be removed surgically, and the incisions closed with fine stitches, often resulting in less prominent scars.

The treatment option will be discussed with your doctor and depend on the scar location, size and characteristics. It will also depend on your reasons for having treatment in the first place, i.e. is your scar causing you distress because of its appearance.

We offer three main treatments:

Steroid treatment: An injectable steroid, Triamcinolone is used. It is a quick treatment usually of a 5-15 minutes duration once the diagnosis and treatment options have been discussed. We use small amounts of steroid injections on repeated occasions to reduce or flatten mature scars (Scars which are older than 12months), usually 4-6 weeks apart.

Surgical scar revision: This technique is used to reposition or reduce the size of the scar. The techniques we use include:
Excision and direct skin closure is the surgical removal of the scar out and closure of the skin with stitches to create a more cosmetically appealing scar. Excision and realignment is the surgical removal of the scar and a change of direction in order to make the scar lie in the body’s natural relaxed skin tension line. On occasion those with transverse self harm scars on the arm will opt for a long longitudinal scar which has different social connotations.

Laser skin resurfacing: The Erbium YAG and CO2 laser are effective in dealing with scars. They use heat to remove the very top layer of your skin and stimulate the growth of healthy new skin. There is some downtime with lasering. With a surgical scar revision you may need to rest for a day or two.

  1. Topical Steroid
  2. Silicone creams gels/strips
  3. Steroid injections
  4. Laser; Pulsed Dye laser CO2 Laser or ND YAG
  5. Cryotherapy
  6. Injected anti-cancer drugs (ie. 5-FU and Bleomycin)
  7. Surgery: Intralesional & extralesional excision. We prefer the intralesional approach to avoid damage and stimulation of healthy skin.
  8. Radiotherapy

There are many suppliers but the ones that we are familiar with are Triangle Surgical, and Delasco,

Avoid piercings, tattoos, unnecessary surgery and any injury to the skin


Scars or Keloids: Before
Scars or Keloids: After


  • 1. Effective
  • 2. Minimal Discomfort
  • 3. 30 – 90 mins
  • 4. Topical or Local Anaesthesia
  • 5. Day case