Laser therapy
There are two types of laser therapies for treating scar tissue: ablative and nonablative. A doctor will use ablative laser therapy to flatten scar tissue. Nonablative laser therapy can disrupt the blood supply in the scar tissue, which will eventually kill off the abnormal tissue.
Laser surgery.
Scars may be treated with a variety of different lasers, depending on the underlying cause of the scar. Lasers may be used to smooth a scar, remove the abnormal color of a scar, or flatten a scar.
Pulsed Dye Laser Therapy
The energy from the laser causes the blood vessels in scar tissue to shrink and eventually dissolve. It also causes a scar to lighten because the blood vessels are what cause redness and discoloration in a scar.
Massage. Deep tissue massage and cross-friction massage are two manual therapies that improve mobility, promote healing, break up existing scar tissue, and help prevent it from forming. Scar tissue massage also helps with those aches and pains that develop when tight areas and adhesions impede healthy movement.
For best results, you should perform scar massage for at least 10 minutes, twice a day, for six months. You should only stop sooner than that if the scar starts showing signs of infection or you experience intolerable discomfort.
Cocoa butter cream and Vaseline are most often used to help reduce the appearance of scars. Applying the ointment daily will help heal scars but will not make them invisible. Another tip for caring for your scars includes surgery. Surgery will not eliminate the scar but can change its shape or make it less noticeable.
Scar Process
It will take six to 18 months for the scar to have its final appearance. Your scar should gradually soften and fade over these six to 18 months, but will look pink initially (photo B). Some scars never fade. If your scar stays pink after 12 to 18 months please call to discuss options.
Customers find that the medication provides pain relief and helps with scar closure. They say it works well, is a good value for money, and provides antibacterial protection. Many customers mention that it's the best product for cuts and wounds, as it eases pain and redness and helps heal faster.
Anecdotal reports claim that vitamin E speeds wound healing and improves the cosmetic outcome of burns and other wounds. Many lay people use vitamin E on a regular basis to improve the outcome of scars and several physicians recommend topical vitamin E after skin surgery or resurfacing.
Silicone gels and sheets, which experts say have the best evidence of reducing the appearance of scars, form a seal over the skin to maintain skin hydration and protect it from the environment.
Some people experience scar tissue pain due to fibrosis, which occurs when the body grows excessive scar tissue. Fibrosis causes adhesions that may lead to ongoing pain, inflammation, and loss of function of the tissue or joint.
For non-raised scars, surgery may be an option used to alter a scar's shape to make it less noticeable. Dermabrasion, microneedling, and laser resurfacing can help to make scars 'blend in'. Lastly, fillers can be effective to help raise sunken scars. These treatments are only temporary and would need to be repeated.
The good news is, both types of scars can be treated with Kenalog Scar Treatment (triamcinolone acetonide), a specially formulated anti-inflammatory injection that reduces inflammation of raised scars. The medication causes the scar to shrink and flatten and, in some cases, even lightens darker scar tissue.
Brown has reviewed at least three controlled studies showing no proven benefit when Mederma is used for scar treatment. You would see more benefit from applying lotion or Vaseline to a scar – three times per day for 8 weeks – than you would following the same regimen with Mederma.
Cross friction or transverse friction massage is an excellent scar massage technique. This treatment entails massaging the scar line with one or two fingers. This approach aids in the scar's remodeling. It also guarantees that the scar's collagen strands are properly positioned.
Why internal scars won't stop growing. Normal scar tissue forms to heal an internal wound and quietly retreats when the job is done. But in many common diseases — kidney, liver and lung fibrosis — the scar tissue goes rogue and strangles vital organs. These diseases are largely untreatable and ultimately fatal.
Physical therapy can be a viable option for scar tissue treatment and associated pain. Physical therapists use a combination of active and passive motion to break down and retrain scar tissue. Active motion refers to a patient moving the affected area under his or her own power.