Scar Removal Treatment in Singapore

Restore your skin with SAFE AND EFFECTIVE CUSTOMISED TREATMENTS

Effective scar removal depends on your scar type, skin type and depth of your scars.

scar removal treatment
Mixed atrophic scarring

Table of Contents

What Causes Scars?

Skin scarring is the natural result of the body’s wound healing process after the skin has been injured. Skin injury may follow trauma, surgery, burns or an inflammatory process such as acne. Scars may involve multiple layers of the skin. Unlike the original tissue, scars have a different texture and quality. Moreover, scars differ in colour, depth, thickness and sensory symptoms.

Our Approach

Scar Removal Treatments

Having treated scars over 15 years, we understand that scars can significantly impact an individual’s confidence and quality of life. Our comprehensive scar removal treatments are designed to address various types of scars, including acne scars, surgical scars, keloid scars, and traumatic scars. Utilizing the latest advancements in dermatological technology and techniques, we offer tailored treatment plans to achieve the best possible outcomes for our patients.

Wound healing process

phases of wound healing

Wound healing is a a intricate process that involves the co-ordination, interaction and proliferation of various cells over time. While wound healing follows an orderly sequence of events, an abnormality in some of these processes can lead to scarring.  The normal phases of wound healing is characterised by:

  1. Haemostais (immediate): Stops initial blood loss.
  2. Inflammation (first 72hrs): Remove debris and early recruitment of cells for wound healing to take place.
  3. Proliferation (72hrs to 14 days): Healing through collagen synthesis, blood vessel renewal and repair of skin.
  4. Remodeling and Scar Maturation (may lasts for years): The underlying skin is reorganised, wound contracts and final scar is formed.

What can affect the wound healing process?

There are several factors that can lead to unfavourable healing, abnormal scar formation and non-healing of wounds. Some of these common factors include:

  • Age: Older individuals have lesser robust healing capacity, less collagen turnover, remodeling and poorer wound strength.
  • Medical conditions: Diabetes, Uncontrolled hypertension, Malnutrition and autoimmune diseases can affect your healing and types of scar formed.
  • Medications:  Steroids, anti-inflammatory medications, and chemotherapeutic drugs.
  • Smoking: Reduces blood flow to the skin
  • Infection: Can impair healing and causes chronic wounds if not adequately treated.

What are the types of scars?

hypertrophic scar treatment singapore

Hypertrophic scars

Hypertrophic scars are bulky scars that are due to excessive collagen synthesis. They are common after skin injury or surgery. They tend to stay within the boundaries of the original wound, look red and feel painful or itchy. Many scars may undergo a hypertrophic stage for a couple of months before settling down to their final scar type.

jawline keloid

Keloid scars

Keloid scars are at the end of the spectrum of bulky scarring due to excessive collagen production. They often extend beyond the confines of the initial injury and do not usually recover without treatment. Keloid scars often form as a result of injury, surgery, burns and acne. Patients often find these scars disfiguring, painful and itchy.

chickenpox scars

Atrophic scars

Atrophic scars are common after acne, chickenpox, infection or trauma. They are most commonly found on the forehead, temples and cheeks. Generally, they are often sunken-in and appearer white or red in colour (especially in early stages of scarring). While they do no cause physical itch or pain, many patients find that atrophic scars makes them to feel more self-conscious and reduces self-esteem. 

deep acne scars treatment

Acne scars

Acne is a common condition that is frequently associated with scarring. While 10-20% of acne scarring is keloidal in nature, 80-90% are due to atrophic scarring which can be classified as:

  • Ice pick scars
  • Boxcar scars
  • Rolling scars

Atrophic acne scars are commonly found on the forehead, temples, cheek and nose. Acne keloid scars are often located on the jawline, chest, shoulders and back. 

surgical scar

Surgical scar

Surgical scars can vary significantly in appearance based on the type of surgery, the location of the incision, the individual’s skin type, and the healing process. Common types of surgical scars include:

  • Linear scars: Most common surgical scar, appears red initially then white as scar matures.
  • Hypertrophic scars
  • Keloids scars
  • Atrophic scars
  • Contracture scars: These scars cause the skin to tighten and contract, potentially restricting movement.
post inflammatory hyperpigmentation

Hyperpigmented scar

Hyperpigmented scars or Post-inflammatory hyperpigmentation (PIH) are characterized by an excess of melanin production in the skin, resulting in a darker color compared to the surrounding area. More often seen in patients with darker skin, they commonly occur after acne, burns, laser, or other skin injuries. Lasting for years, these scars result from inflammation triggering excess melanin production during the healing process.

post inflammatory erythema

Red scars

Red scars, also known as erythematous scars, are scars that appear red or pink in color. These scars are a common part of the healing process and can be seen in various stages of scar maturation. They are common in the early stages of healing, but can also be seen with hypertrophic and keloids scars. Post-inflammatory erythema (PIE) is often associated with acne and can certainly co-exisit with atrophic acne scars.

stretch marks

Stretch marks

Stretch marks, or striae, are a form of scarring on the skin characterized by long, narrow streaks, stripes, or lines. They occur when the skin is stretched rapidly due to various factors. such as rapid weight gain during puberty, pregnancy, bodybuilding. The 2 main types of stretch marks are:

  • Striae rubra: early red stretch marks
  • Striae alba: mature white streaks of scar
burn scars

Burn scars

Burn scars are a significant concern for individuals who have experienced burn injuries, impacting both physical appearance and emotional well-being. These scars result from damage to the skin’s deeper layers, often leading to permanent alterations in skin texture, color, and elasticity. The severity and type of burn—whether first, second, or third-degree—play a crucial role in determining the extent of scarring.

 

traumatic scars

Traumatic scars

Traumatic scars are a common consequence of injuries such as accidents, surgeries, or other physical traumas. These scars can significantly affect an individual’s appearance and self-esteem, often leading to emotional distress and a decreased quality of life. Traumatic scars can vary widely in their presentation, ranging from hypertrophic scars and keloids to atrophic scars and contractures, each requiring specific management strategies.

Diagnostic Assessment: Evaluating scar quality

scar removal evaluation with dermatologist

Evaluating the characteristics of your scar provides vital information regarding the different components within your scar tissue which will guide your scar removal treatment. We will explore your main concerns with regards to your scar that assesses the following:

  • Visual Characteristics: This refers to the colour of your scar compared to normal skin e.g. shiny, hyperpigmentation, redness (erythema). 
  • Textural Characteristics: This refers to how the skin feels to touch compared to normal skin e.g. hard, raised, sunken, irregular.
  • Sensory Characteristics: This refers to whether the scar is giving off symptoms such as a pain, itching, shooting, tightness, burning, numbness or pins and needles.

Scar removal treatments

Our experienced medical professionals conduct thorough consultations to assess each patient’s skin type, scar characteristics, and treatment goals. We then develop a personalized treatment plan to ensure optimal results. We are committed to providing compassionate care and helping our patients achieve clearer, smoother, and more confident skin.

Prevention

Simple measures can aid scar maturation, reduce hyperpigmentation, provide wound support and scar hydration. These may include:

  • Moisturisation
  • Sun protection
  • Micro-pore tape
  • Silicone based cream/sheets/gel

Scar removal treatment options

Our scar removal treatments include:

  1. Laser Therapy: Using cutting-edge laser technology, we target scar tissue to promote collagen production and skin regeneration. This non-invasive treatment is effective for reducing the appearance of both old and new scars, delivering smoother and more uniform skin texture. Pico-second laser technology is able to manage hyperpigmented scars, resurface acne scars and improve skin texture. The ADAVTx laser is sophisticated dermatolgical laser that is FDA-approved to treat scars, redness, and atrophic acne scars.

  2. Microneedling: By creating controlled micro-injuries on the skin’s surface, microneedling stimulates the body’s natural healing process, enhancing collagen and elastin production. This treatment is particularly beneficial for acne scars and can significantly improve skin tone and texture. The Genius and INFINI fractional RF microneedling systems are clinically effective and safe for scar resurfacing, stretch marks and rejuvenating your skin.

  3. Subcision: Subcision is a minimally invasive surgical procedure used to treat depressed scars, such as those caused by acne or other injuries. This technique is particularly effective for rolling scars, which are characterized by their wave-like appearance on the skin’s surface.

  4. Steroid Injections: For hypertrophic and keloid scars, steroid injections can reduce inflammation and flatten raised scar tissue. This treatment is effective in softening and minimizing the size of prominent scars.

  5. Dermal Fillers: To address pitted or depressed scars, dermal fillers can be used to elevate the skin’s surface, creating a smoother and more even appearance. Apart from volume enhancement, some fillers can induce new collagen.  This technique provides immediate results and enhances the skin’s overall aesthetic.

  6. Rejuran S: Rejuran S is a specialised minimally invasive treatment for depressed and atrophic scars. Containing polynucleotides, it enhances the skin’s natural regenerative processes, reduces inflammation and promotes synthesis of new collagen fibres.

Our Scar removal experience

Our Approach:

  1. Personalized Consultation: Every patient’s scar is unique, which is why we begin with a thorough consultation to assess the scar’s type, size, location, and skin type. This allows us to create a customized treatment plan that is most effective for each individual.

  2. Cutting-Edge Technology: We employ state-of-the-art technologies, such as laser therapy, microneedling, and laser-assisted drug delivery, to promote skin regeneration and improve scar appearance. These non-invasive procedures are designed to minimize discomfort and downtime, providing our patients with a smoother and more even skin texture.

  3. Combination Treatments: Often, the most effective scar removal results are achieved through a combination of treatments. We may recommend a blend of laser therapy, chemical peels, and topical treatments to address the scar from multiple angles, enhancing the overall efficacy.

  4. Expertise and Experience: Our team of experience doctors have extensive experience in scar management. We stay updated with the latest research and advancements in the field to ensure our patients receive the highest standard of care.

  5. Patient Education and Support: We believe in empowering our patients with knowledge about their treatments. We provide detailed information about the procedures, expected outcomes, and post-treatment care to ensure patients are well-informed and comfortable throughout their journey.

Frequently Asked Questions

The time frame for visible results varies depending on the treatment and the scar’s nature:

  • Laser Therapy: Several sessions over weeks or months, with gradual improvement.
  • Microneedling: Typically requires multiple sessions, with noticeable improvement after a few months.
  • Subcision: May see results after a few treatments, spaced weeks apart.
  • Steroid Injections: Can see changes within weeks, but multiple treatments might be necessary.
  • Topical Treatments: Requires consistent use over several months for best results.

Pain levels vary depending on the treatment:

  • Laser Therapy: Mild discomfort during the procedure, often described as a snapping sensation.
  • Microneedling: Mild to moderate discomfort, typically managed with topical anesthetics.
  • Subcision: Minimal to no pain as the procedure is done under local anaesthesia.
  • Steroid Injections: Mild discomfort at the injection site.
  • Topical Treatments: Generally painless, though some products may cause mild irritation initially.

Possible side effects vary by treatment:

  • Laser Therapy: Redness, swelling, and temporary changes in skin color.
  • Microneedling: Redness, swelling, and potential for minor bleeding or bruising.
  • Subcision: Redness, bruising, swelling are common, but fade within 1-2 weeks. This is lesser with the blunt-cannula approach.
  • Steroid Injections: Thinning of the skin, lightening of the treated area, or the formation of small blood vessels.
  • Topical Treatments: Irritation, redness, or allergic reactions in some individuals.

Consultation with a experienced doctor is essential. They will evaluate your scar type, skin type, medical history, and personal goals to recommend the most suitable treatment plan.

Yes, but treatment approaches may vary:

  • Lighter Skin Tones: Generally more options are available, and response to treatments like laser therapy can be more predictable.
  • Darker Skin Tones: Greater risk of hyperpigmentation or hypopigmentation, so treatments need to be chosen carefully. Some treatments, like certain types of lasers, are specifically designed to be safe and effective for darker skin tones.

Costs vary widely based on the type of treatment, number of sessions required, and the provider’s expertise and scarring severity. It’s best to consult with your doctor for a detailed cost estimate based on your specific needs.

While treatments can significantly improve the appearance of scars, they may not completely eliminate them. The goal is to make the scar less noticeable and improve the overall texture and color of the skin.

Dr Moses Ng dermatologist

Scar removal treatment

Our scar removal treatments have helped numerous patients achieve noticeable improvements, restoring their skin’s natural beauty and boosting their confidence. We are committed to providing compassionate care and helping our patients achieve clearer, smoother, and more confident skin.

Schedule a consultation for scar removal treatment in singapore

At APAX Medical & Aesthetics Clinic, we offer a range of advanced scar removal treatments tailored to your individual needs. Our experienced team is dedicated to helping you achieve the best possible results, improving both the appearance of your skin and your confidence. Contact us today to schedule a consultation and learn more about your treatment options.

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