Non ablative lasers for scars?

Question

I had surgery in December 2021 and I now have two scars that healed well BUT their upper border is thick and raised. I have two questions: - can the border flatten in the future? Even if it takes years to happen? - I read about non ablative lasers (1565 nm) for scars like mine and I found promising scientific articles. Could this be useful?

Nelson Lee Novick, MD · Answer

At least from the descripiton provided, it sounds like a hypertrophic scar. Instead of chasing after expensive, here-today-gone tomorrow "bells and whistles" light and energy-based gizmos, you might wish to consult with a board certified cosmetic dermatologist about the use of a simple intralesional injection of an appropriate anti-inflammatory medication, which has been used successfully and safely for decades to shrink and flatten hypertrophic scars and takes less than a couple of minutes to perform with little to no significant downtime.  Best of luckl

Jeff Rapaport, MD · Answer

Studies have shown that the 1565 laser is as effective as fractional ablative CO2 in treating scars with less downtime. You may want to try intralesional steroids with 5 FU prior to laser surgery as it may be helpful. Find a scar expert.
Jeff Rapaport MD FAAD 
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Non ablative lasers for scars?

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Non ablative lasers for scars?

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