Chemical reconstruction of skin scarring (CROSS) utilizes a high concentration of chemical, usually phenol,to create localized inflammation that destroys scar tissue and stimulates collagen production, lifting scars to the level of healthy skin. CROSS targets only the scar, leaving healthy surrounding tissue unaffected. Post-procedure, patients should avoid sun exposure and follow post-treatment care. While rare, side effects include temporary skin pigmentation changes or deepening of scars, but these risks are minimized with careful application by our expert providers at the Scar Healing Institute..

Poly-L-lactic acid (PLLA), more commonly known by the brand name Sculptra®, is an injectable compound that boosts collagen production, effectively treating skin that has lost collagen due to aging, acne, or scarring. Especially in areas with atrophic scarring, PLLA helps to restore volume, elasticity, and smoothness to the skin. Side effects like bruising and swelling typically resolve within a week.

Subcision inserts a hypodermic needle or cannula under the skin to break the fibrous bands that tether scars to deeper layers. The technique can target superficial, mid, or deep layers of the skin, depending on the severity of the scarring. During the procedure, local anesthesia and tumescent fluid are used to numb the area and reduce bleeding. Subcision stimulates collagen production, helping scars lift to the level of normal skin. A more advanced form, using tools like the Hazany Liberator, is used for deeper scars. Recovery typically involves swelling, soreness, and scabbing, with full healing in 1-2 weeks, but visible results may take months.

Laser treatment uses high-energy beams to promote collagen production and remove dead skin, aiding in scar improvement. At our clinic, we offer Er:YAG, Nd:YAG, CO2, and Fotona4D lasers to target all different aspects of scars. Our ablative lasers can remodel the skin’s top layers, greatly improving texture, while our non-ablative lasers can target redness and pigmentation. Laser therapy is typically most effective for non-atrophic scars, like hypertrophic scars, but is generally used as a final step after treatments like subcision. Occasionally, multiple sessions spaced 4-6 weeks apart may be needed to see maximal results.

Anti-inflammatory peptide injections are a non-invasive treatment used to reduce redness and swelling in active acne, hypertrophic, and keloid scars. Peptides work by suppressing the body’s inflammatory response, often in combination with steroids, which helps flatten raised acne or scar lesions within hours. These injections are particularly effective for severe acne, especially cystic or nodular types, and for chronic scar inflammation. They are quick, requiring no anesthetic or downtime, and are often used as a first-line treatment before more invasive procedures.The number of injections needed depends on the frequency and severity of acne or scarring.

Microneedling is a minimally invasive procedure at Scar Healing Institute that uses a collection of thin needles for incision into the skin. This can also be done with an exfoliating acid to strengthen the effects. Microneedling can help reduce the appearance of skin concerns such as acne scars, stretch marks or wrinkles. Most people get microneedling for cosmetic purposes, but it can also help with some medical conditions.

Surgical scar removal is a procedure that excises large scars to reduce prominence and visibility. Under local anesthesia, the scar is cut out with a scalpel, and small scars are closed with sutures, while larger scars may require skin grafts. This method is typically considered when other less invasive treatments, like steroid injections, have been ineffective, especially for hypertrophic or keloid scars. While it carries low risks such as infection, slow healing, and scar recurrence, these are minimized with proper care and post-surgery antibiotics. Healing may take several months, with the scar gradually blending into surrounding skin, though some redness may persist for up to a year.