Over time, even the most unsightly, ugly scars tend to improve. I have been amazed by the remarkable healing properties of time. The body constantly remodels and repairs wounds and scars. What a scar looks like when it is fresh is rarely what it will wind up looking like when it is fully "mature." Over the years, I have seen many horrible looking scars, some of which I was sure would need eventual revision. The incredible thing is that the longer the patient waited to revise the scars, the better the scar looked (in most cases). A great number of my patients were eventually so satisfied by the appearance of the "mature" scar that they opted to do no revision whatsoever. There are instances, of course, where it is impractical to wait a prolonged period of time, such as a disfiguiring scar on the face. In those cases, I recommend waiting at least 4-6 months to see how the scar improves on its own before considering revision. Laser scar revision is a very powerful tool. I usually use a carbon dioxide laser for scar revision. This procedure can produce wonderful results, but it requires time for the skin to heal after revision, and of course there are real risks/complications that must be addressed before considering this treatment.