A combined laser and surgical scar programme — built around your scar, not a generic protocol.
Scars from injury, surgery, burns or acne. The treatment plan is rarely one modality alone — and the better outcomes come from combining the right modalities at the right intervals.
Six categories — each with its own optimal approach.
Hypertrophic scars
Raised, red and itching scars that stay within the original wound footprint. Most respond to combined laser and steroid therapy without surgery.
Keloid scars
Raised scars that extend beyond the original wound, common on chest, shoulders, jawline and earlobes. Treated with surgical excision combined with adjuvant therapy to prevent recurrence.
Atrophic scars
Sunken, depressed scars from acne, chickenpox or surgery. Treated with subcision, microneedling, fractional CO₂ laser and selected fillers.
Contracture scars
Tight scars that restrict movement, especially after burns. Surgical release with Z-plasty, W-plasty or skin graft.
Widened surgical scars
Stretched scars from previous surgery (caesarean, abdominoplasty, breast). Re-excision with refined closure technique.
Pigmented & hypopigmented scars
Discoloured scars treated with Q-switched or fractional laser, and where appropriate, micropigmentation.
The toolkit we draw from.
Most plans use two or three of these in sequence — never one in isolation.
Fractional CO₂ laser
The workhorse for hypertrophic and post-burn scars. 3 — 5 sessions spaced six weeks apart soften texture and reduce redness.
Nd:YAG long-pulsed laser
For redness and superficial vascularity. Often combined with CO₂ in the same session for layered scars.
Surgical excision & revision
Z-plasty, W-plasty and serial excision. Used where the scar can be re-oriented or reduced surgically.
Intralesional steroid & 5-FU
Triamcinolone with or without 5-fluorouracil for hypertrophic and keloid scars, in 4 — 6 weekly sessions.
Microneedling with PRP
For atrophic acne scars. Three sessions spaced four weeks apart, often combined with subcision.
Micropigmentation
For mature pale scars affecting eyebrows, lip line, hairline. Performed by our paramedical pigment artist on referral.
One example, paraphrased with permission.
I came to Cairo expecting a hard sell. Instead I was treated with respect, given a written plan, and told what was realistic. The combined laser and surgical scar revision changed how I feel walking into a room.
Layla H. · Khartoum, Sudan · Scar revision (facial)
A typical six-month plan.
- Week 0Photographic mapping and written plan
- Week 2First fractional CO₂ session
- Week 8Second laser session ± intralesional steroid
- Week 16Third laser session, surgical revision considered
- Month 6Final review and maintenance plan
The questions patients ask first.
Bring photographs to your first consultation.
A scar plan is built around your scar — its age, depth, location and your skin's healing pattern.