Surgical Scar on Arm - Most Effective Procedure and Cost?

The scar is a fine hypopigmented linear scar.  I would recommend z plasty to break up the scar, followed by fractional co2 laser resurfacing.

Thanks for the expert photo of the scar area. My recommendation is to leave the scar alone. We can not improve on that scar and the risk/benefit ratio of achieving any improvement is very LOW! Sorry from MIAMI 

In many cases, scar revision of surgical scars may make a scar more noticeable. So, I would discourage you from undergoing any scar revision. You should rely on a plastic surgeon to give you a realistic understanding of the result of any scar revision before proceeding with that.

Erik, I'm sorry this scar bothers you so greatly.  I certainly understand its relationship to a past trauma, but it's actually not a bad scar at this point. I know you hate the scar, but it is thin, flat, pale, and appears soft.  The scar is also in an area that is difficult to revise--there's just not that much extra skin to work with on the forearm.  Honestly, my best advice is to learn to accept that scar as part of who you are at this point.  I think any intervention could potentially make the scarring worse.  Good luck!

Scars can be an unpleasant reminder of past traumas or dreadful events.

That association can be a strong motivation for scar revision.

Unfortunately, scar revision techniques are limited: the scar in your photograph appears to be about as good as could be achieved.  I would probably not advise any further procedures, as you run the risk of making the scar worse, rather than better.

You could try a test spot with a laser treatment to see if that could be beneficial, but I think you are not likely to make the scar any better.