Why is scar type assessed before treatment?
Scars differ in depth, surface texture, tethering under the skin, and red or brown color changes. Treatment depth and method should be based on the main structure rather than applying the same laser in the same way.
Acne, surgical, and traumatic scars vary in shape, so a realistic plan focuses on improving visibility and texture rather than promising complete removal.
Which scars may be assessed for treatment?
The assessment distinguishes old acne scars, deep depressions, tethered scars, and scars remaining after surgery or trauma.
Depressed scar
The surface is lower than surrounding skin, creating a visible shadow.
Tethered scar
It is attached to tissue below and appears pulled with movement.
Raised scar
If the surface is raised, the assessment distinguishes a hypertrophic scar from a keloid.
Color change
Check whether red or brown marks are present with the structural scar.
How do fractional and pinhole modes differ?
Myongji Best Plastic Surgery Clinic applies fractional and pinhole modes of the 10,600 nm U-PULSE dual CO₂ laser according to scar structure and may consider a regenerative injection when appropriate.
| Method | The main goal | When it may be selected |
|---|---|---|
| Fractional mode | The main goalSupport skin remodeling and surface texture improvement | When it may be selectedTexture changes across a broader area |
| Pinhole mode | The main goalFocused energy delivery to deep tethered tissue | When it may be selectedDeep, localized scars |
| Regenerative injection | The main goalSupport the recovery process | When it may be selectedConsidered in combination according to scar condition |
| Other treatment | The main goalAddress separate concerns such as color or elevation | When it may be selectedSelected according to scar type |
How does scar laser treatment proceed?
After assessing depth, tethering, color, and skin thickness, the treatment mode and area are planned. The next interval and intensity are adjusted according to recovery.
- STEP 01
Assess scar structure
Distinguish depth, tethering, surface, and color changes.
- STEP 02
Plan the treatment area
Select where fractional and pinhole modes will be applied.
- STEP 03
Anesthesia and laser treatment
After anesthesia to reduce discomfort, treatment proceeds with the planned mode.
- STEP 04
Recovery care
Receive instructions for moisturization, sun protection, and wound care.
- STEP 05
Adjust the repeat-treatment plan
Assess remodeling and color changes before scheduling the next treatment.
How many treatments may be needed?
Scar treatment is often repeated with time for skin remodeling. The number of sessions varies with depth, area, age of the scar, and skin response.
Progress is assessed step by step by changes in texture, depth, and color rather than by promising completely unmarked skin.
What should I watch during recovery?
Redness, warmth, fine crusting, and temporary color changes may occur after laser treatment. Limit irritation and ultraviolet exposure while the skin barrier recovers.
Moisturizing and cleansing
Use the recommended recovery and moisturizing products and avoid rubbing while cleansing.
Sun protection
Use sunscreen outdoors and avoid strong sunlight.
Crust care
Do not pick crusts; allow them to shed naturally.
A sign that medical treatment is needed
Seek care if pain, swelling, or drainage worsens or if blisters or extensive color changes appear.
Recovery varies with skin type and treatment intensity, so follow your clinician's instructions.
What should I check before the cost and consultation?
The clinic's published non-covered fee schedule lists combined scar laser and regenerative PN injection treatment at KRW 100,000 per cm. Actual cost varies with area and number of sessions.
Treatment area
Confirm scar length and area and whether multiple sites will be treated.
Mode and combination treatment
Ask why fractional or pinhole mode and a regenerative injection are being combined.
Expected number of sessions
Confirm when response will be assessed and the interval before the next treatment.
Recovery schedule
Confirm when cleansing, makeup, and exercise may resume according to your schedule.
Non-covered fees may change, so check the latest published schedule and consultation estimate.
