Treatment of hypertrophic and keloid scars with ultrapulsed fractional CO₂ laser – scars over 4 cm or multiple lesions

Hypertrophic and keloid scars appear as a result of excessive skin healing process, characterized by increased collagen production. These can have a thickened, raised, reddish or itchy appearance, sometimes associated with aesthetic or functional discomfort.

Fractional ultrapulsed CO₂ laser treatment is a modern method used for remodeling of scar tissue and stimulation of skin regeneration. Laser energy creates controlled microcolumns at the skin level, which stimulate production of new collagen and reorganization of existing collagen fibers, contributing to improvement of skin structure.

The procedure is used especially for scars larger than 4 cm or for multiple scars, contributing to:

• reduction of scar thickness and rigidity
• improvement of skin texture and elasticity
• evening out of scar color
• reduction of the raised appearance of scar tissue

Treatment is personalized according to scar size, age and type, and for optimal results, multiple treatment sessions may be recommended, performed at intervals determined by the physician.

The procedure is minimally invasive, and the duration of a session varies depending on treated area and number of scars.

After treatment, the area may present redness, mild inflammation or sensation of local warmth, which usually subsides within a few days.

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