How to break up old scar tissue?

Author: Prof. Kennith Fahey  |  Last update: Wednesday, January 21, 2026

There are many types of therapies for scar tissue, but the standard treatment commonly involves exercise and massage — specifically, stretching and pulling the scar tissue to soften, align and elongate it.

Can old scar tissue be broken down?

Massage therapy can also help break up scar tissue and allow it to remodel. Scar-revision surgery: A range of surgical procedures can remove a scar, improve its appearance or transplant skin from another area (skin graft). This is an exchange of one type of scar for a different, more preferable scar.

How do you dissolve old scar tissue?

Here are a few options:
  1. Manual Therapy. Manual therapy – Applying the right force in the right direction can prevent tissue restriction. ...
  2. Topical Solutions. Topical solutions – Depending on the severity of the scar, it may respond positively to a topical solution. ...
  3. Laser Therapy. ...
  4. Surgery. ...
  5. Compression. ...
  6. Steroid Injection.

Is it ever too late to break up scar tissue?

It's never too late to do a scar massage, but you'll have better results if you start it two to three weeks after surgery. Scar massage may still be helpful if you're experiencing prolonged sensitivity or discomfort.

How do you break down hardened scar tissue?

Stretching and flexibility exercises are other common ways to help scar tissue repair. It can aid in the lengthening of wounded tissues as well as their general mobility. Your physical therapist is likely to include scar massage and stretches in your rehabilitation regimen if you've had an accident or surgery.

How To Break Up Painful Scar Tissue To Help Heal After A Knee Replacement

When is it too late to massage scar tissue?

You should carry on massaging your scars for at least three to six months after your surgery or injury. What happens if I do not do anything? Your scar could become hard and inflexible or adhesions may form. Scars that cross a joint could stop you being able to bend or straighten the joint (a contracture).

Does massaging scar tissue break it up?

Scar tissue may become hard and raised. Massage is a way of softening and flattening scars and reducing the adhesions between the different layers of the tissue, making the scar tissue more flexible. It can also help alleviate any itching and over-sensitivity of the scar.

Does heat help break up scar tissue?

Increased temperature is a common physiological effect that helps to break down scar tissue. Increased temperature involves both superficial and deep tissues increasing in temperature. Increasing temperature of tissues within the body helps to loosen scar tissue.

How do you break down scar tissue on your own?

Put the flat part of your fingers on the scar. Move the skin and tissue under the scar back and forth, holding for a few seconds. Make sure you press enough to feel the scar “move” under your fingertips. Move your fingers along to the next section of scar, and repeat until you've massaged all along the scar.

What kills scar tissue?

Laser surgery.

Most laser therapy for scars is done in conjunction with other treatments, including injections of steroids, use of special dressings, and the use of bandages. Multiple treatments may be required, regardless of the initial type of therapy. Pulse dye laser is a good choice to use for keloids.

What breaks down scar tissue internally?

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.

Does vibration break up scar tissue?

Another great treatment that we have is rapid release technologies vibration therapy. What this does, this vibrates at certain frequency, and helps break up scar tissue adhesions.

How do you soften old scar tissue?

Do
  1. massage your scar with a water-based cream (such as aqueous cream or E45 cream) a few times a day for up to 10 minutes each time – only massage your scar if the wound is fully healed.
  2. try to keep your scar covered when you're in the sun for at least 1 year – wear clothing that covers it, or put a dressing over it.

What vitamin is good for scars?

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.

Is neosporin good for scars?

Application of a triple antibiotic ointment (such as over-the-counter Bacitracin, Neosporin or Polysporin) three times a day to the wound for a full three weeks helps prevent infection and creates a better foundation for improved long-term scar appearance.

How do you dissolve scar tissue naturally?

Lemon/Lime Juice: Place lemon or lime juice on the scar with a cloth. Let this sit for a few minutes on the skin before washing it off. The acidic qualities of the juice help remove dead skin cells along the scar and can lessen the redness or appearance of scars.

When is it too late to massage a scar tissue C-section?

At about 12 to 18 months, a surgical scar is considered fully mature. After that, C-section scar massage won't provide the same healing benefits.

Does anything break up scar tissue?

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.

What is considered an older scar?

Immediately following wound healing, a scar is usually red in appearance and is referred to as an 'immature' scar. Between 3 months and 2 years the scar should become paler, flatter and softer and can then be referred to as a 'mature' scar.

Is heat good for scar tissue?

Heat can reduce pain and improve elasticity of collagen fibers making scar tissue easier to mobilize. Paraffin combines the element of heat and skin lubrication, which are both useful for mobilization. Hot packs: The use of a heat pack on the scarred area can help increase the overall blood flow.

What is the best oil for scars?

Some people use certain essential oils — such as Helichrysum, lavender, or tea tree oils — on the skin to promote wound healing and reduce the appearance of scars.

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