How Much Does Laser Scar Removal Cost?

I need a laser scar removal. How much does it cost? Does this really work? How do I make a consultation? My scar is on my leg and on my knees. The keloid and the other scars became black and noticeable.

Doctor Answers 15

Scar revision may take many different treatments including laser to improve it

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the lower on the body a scar is, the more difficult it is to treat it without it looking worse from hyperpigmentation after the treatment. Some scars can be laser resurfaced but that might entail a gentle laser such as Clear and Brilliant or a more moderate laser such as Fraxel Dual. Other lasers such as PicoSure laser with focus lens array can be used. some scars have lost pigment and others are darker. some are raised and some are flat. there are different treatments for all these scars, but all procedures have risk of looking worse after the treatment on the legs.

Manhattan Dermatologic Surgeon
4.9 out of 5 stars 39 reviews

How Much Does Laser Scar Revision Cost

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Dear Flor

Smaller scars an inch or less generally cost $200-$300 depending upon the location and the complexity of the scar. Larger scars might cost closer to $800-$1000. Keloid scars are quite complex and require aggressive treatment and therefore cost around $1800.
The reason for the expense in treating scars relates to the cost of the laser that a surgeon might choose to use. New lasers cost from $150,000 to $200,000, and require a great deal of skill and training in order to be used safely and effectively. Sure, you can go one of the multitude of spas in a shopping mall and probably save some money, but do you really know who is on the other end of the laser and what training they have had? I perform all laser treatments personally and do not use laser techs, nurses, or any other physician extenders.
The Lumenis Ultrapulse Laser that I use I use is state of the art for laser scar removal, and gives incredible results in 1-2 treatments. I also often combine laser scar treatment with platelet rich plasma (PRP) applied topically right after the laser. PRP has been shown in the medical literature to improve healing and reduce downtime. 
Keloids can be treated with CO2 laser and steroid applied topically or a new procedure known as Cryoshape. 

Travis L. Shaw, MD
Richmond Facial Plastic Surgeon
4.8 out of 5 stars 22 reviews

Laser therapy can be used

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Thanks for your question and from the question, it seems that you have keloids on the lower legs and on
your knees. These need to be evaluated by a board-certified dermatologist or plastic surgeon to evaluate
the concern and to develop an appropriate treatment plan (plus cost) for you. And this is going to vary
based on what is done, how many treatments are needed, and how complicated the keloids are.
We commonly use intralesional steroids and silicone gel sheets to begin with when we treat keloids. Laser
therapy can also be used. The lasers that are useful include the pulsed dye lasers for the red and raised part, and the ablative fractional lasers as well. We have learned a lot about the ablative fractional lasers over the past several years and they have been useful for many with keloids and hypertrophic scars.
Consult the right doc and learn the options and costs and many of these lesions can be successfully
treated – but remember follow-up is important to help prevent recurrences of the lesions once they are
treated – some of the biggest concerns that we all have when treating keloids.

Michael Gold, MD
Nashville Dermatologic Surgeon
3.9 out of 5 stars 17 reviews

Scar removal laser cost in Los Angeles

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Laser scar removal defines a whole class of treatments that range in cost from a few hundred dollars each session to several thousand.  I would consult with a scar removal specialist to determine the right combination of lasers.

Our office uses several lasers and tech treatments to achieve results in scar revision, including sublative, ablative, fractional, non ablative, and RF.  Many of the scars we treat can initially be improved with twice daily application of Plato's Scar Serum, which is a silicone based polymer that can improve scars.

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
4.8 out of 5 stars 95 reviews

Scar Removal Laser and Cost

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Scars on the legs and knees are more difficult to treat.  It really depends on the cause and your skin type when deciding on the best treatment.  If the scar is red then you can use the V-Beam laser to treat it.  It will take at least three treatments to help reduce this redness.  If the scars are dark and raised then you may be better off using bleaching creams containing hydroquinones and peels.  There are other lasers that can be utilized for these types of scars. eMatrix, Fraxel, Pico, Clear and Brilliant, among other lasers. However, in general, these type of pigmented scars are best treated conservatively and often laser may not be the best choice. Please post photos of the scars for more advice and consult an expert in scar treatments.  Best, Dr. Green

Laser Scar Treatment

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Laser scar treatments can be very effective at reducing the appearance of the scars.  Sometimes you may need several treatments to make noticeable changes.  I would consult with a surgeon who has several options at their disposal including lasers, surgery, fillers, etc.

Cost for laser scar revision

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There are many different treatment options for various types of scars so the cost would depend on the type of scar, location, how large the scar is, and what treatments would be necessary.  Keloidal or hypertrophic (raised) scars are treated with intralesional injections with steroids or chemotherapy agents such as 5-FU (5-fluorouracil) or bleomycin, and also with certain lasers.  Other scars may benefit from resurfacing lasers such as CO2, Erbium, Fractionated CO2, or Fraxel treatments.  The overall price can range from $75 for one steroid injection to several thousand dollars if several lasers are used and if multiple treatments with multiple devices are required for large exstensive areas.  It is necessary to have a consultation with a knowledgeable board-certified dermatologist who specializes in treatment of scars.

M. Christine Lee, MD
Walnut Creek Dermatologic Surgeon

Lasers don't remove scars (in most cases).

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Especially with scars that are thick and raised (hypertrophic) or extend beyond the normal scar boundaries (keloids), scar "removal" is not always easy or even successful, regardless of surgeon or technique used, including laser. This is even more problematic for darker skin types, and also for the knee areas, which heal poorly in many individuals because of the constant motion of the knee joint.

Lasers do NOT provide any better excision technical advantage over a sharp surgical scalpel; in fact, lasers used to make incisions can actually create more scar tissue because of the "burn" (thermal injury from the intense laser energy) at the edges of the incision. Cold steel scalpels don't have this burn injury component. Excising keloids often lead to even larger keloids than the original!

Lasers used for resurfacing will still leave the keloid base and a new freshly wounded surface, which can heal as bad, or worse, than the original scar.

What you really need is a consultation with an experienced, board-certified (American Board of Plastic Surgery) plastic surgeon. If he or she is experienced in laser technology, then you can ask questions about this as well. Cost estimate will depend on the extent and size of the scarring, and the technique and time used; your consultation will answer this question as well. This could cost as much as several thousand dollars, or your consultant may recommend no surgery at all..

Richard H. Tholen, MD, FACS
Minneapolis Plastic Surgeon
4.9 out of 5 stars 263 reviews

Laser for scars

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Laser scar removal is a more complex problem than many people, both patients a physicians, realize. First there are a number of different lasers and their effect on scars is different. The degree of keloiding and the color of the patients skin must be dealt with on an individualized basis with kenalog and bleaching agents beyond the laser process. It also takes a number of treatments over time to get the best results. Get a consultation in person from a surgeon with extensive experience in the process.

Laser Scar Revision - depends on type and size of scar

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The price of laser scar revision depends on the size and type of scar.  To improve the appearance of a scar, lasers can be used to reduce both the redness and textural changes (atrophic/depressed scars or hypertrophic/raised scars).  If multiple lasers are needed and the scar is large, the cost of treatment is higher.  Laser scar revision can range from $250-$1200 and 3-6 treatments are typically required for significant improvement. - Dr. Keaney

Terrence Keaney, MD
Arlington Dermatologic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.