Scar Treatment in Singapore
A scar is a permanent change in the structure of the skin. Treatment improves how it looks and feels. In most cases it does not erase it. What is realistic depends on the type of scar, how deep it sits, how old it is and where it is on the body.
Dr Ang Sue-May works out the scar type first. The treatment that lifts a sunken acne scar does nothing for a raised keloid, and can make it bigger.
Scar Types We Treat
Scars come in a small number of types, and the type decides everything that follows.
Sunken scars, including acne scarring
Where the skin lost tissue while healing. Ice pick, boxcar and rolling scars each need a different approach, usually combined across a course of treatment.
Keloid and hypertrophic scars
Raised scars where healing produced too much collagen. Keloids spread beyond the original wound and come back after surgery on its own. Hypertrophic scars stay inside the wound and often flatten over a year or two.
Surgical and injury scars
Scars from operations, cuts and burns. Treatment ranges from silicone and injections to surgical revision, depending on how wide the scar is, how much tension it sits under, and how old it is.
Dark and red marks
Marks left behind after inflammation. These are not scars. The skin texture is normal, and most fade on their own with time and sun protection.
How Scars Are Treated
Subcision releases the fibrous bands tethering a rolling scar to the tissue underneath.
Fractional CO2 laser resurfaces sunken scarring and prompts collagen regeneration deeper in the skin.
Radiofrequency microneedling improves texture with less recovery time than resurfacing.
Injections into the scar flatten raised keloid and hypertrophic scars, and are usually combined with surgery to cut the chance of it returning.
Surgical revision reopens a wide or tethered scar and closes it under less tension so it heals better.
Silicone sheets and pressure help scars settle in the months after surgery or injury.
What to Expect at Skincodes
Dr Ang assesses the type, depth and age of the scar, then plans the sequence. Most scars need a combination rather than one treatment, spread over several sessions with recovery time in between.
Collagen rebuilds slowly. Improvement shows over months, not weeks, and the real result is judged well after the last session. Older scars respond more slowly than recent ones, which is why it is worth being seen early after surgery or an injury.
Common Questions About Scar Treatment
Can a scar be removed completely?
Rarely. Treatment improves the colour, the height, the width and the texture, and a well-treated scar can become hard to spot. Complete removal is not a realistic goal for most scars.
Is my scar too old to treat?
Older scars still respond, just more slowly. Scars treated within the first year usually improve faster because the collagen is still remodelling. There is no point at which treatment stops being worth trying.
Will my keloid come back after surgery?
If it is only cut out, often yes. Combining surgery with follow-up treatment such as injections or pressure therapy brings that down considerably.
What is the difference between a keloid and a hypertrophic scar?
A hypertrophic scar stays within the edges of the original wound and often flattens over one to two years. A keloid grows past the wound edge, does not settle on its own, and is more likely to return after treatment.
Are dark marks after acne the same as acne scars?
No. Dark marks are pigment sitting in skin that has normal texture, and most fade over months. Acne scars are changes in the structure of the skin and do not fade on their own. Run a finger over the area. If it feels smooth, it is a mark.
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