What changes between an indented scar, an active scar and skin still remodeling
Scars are not all treated with the same technology. Depth, color, age, location and skin response influence what can be improved and how gradual the process may be.
Treatment options for scars
The right option depends on what predominates in the concern, the skin or tissue quality, and the patient's expectations.
Why do scars remain, and what can be improved
- Indented scars: loss of support or collagen can create shadows and uneven texture.
- Red or pigmented marks: color may be the main visible issue.
- Raised or active scars: these require particular caution and may need medical evaluation before aesthetic procedures.
Can scars change over time
Some scars soften with time; others remain visible because of texture, pigment or depth. The goal is usually improvement, not making the skin as if nothing ever happened.
What types of scars can appear
- Indented scars: depressed areas or texture irregularity.
- Pigmented or red marks: color changes after inflammation or injury.
- Raised scars: thicker marks that need careful assessment.
What kind of improvement can be expected
Improvement is usually progressive and depends on scar type. The aim is smoother texture, less visible contrast and better skin quality.
What results can be expected
Improvement in texture, depth and color is achievable in most types of scars with the right approach. Atrophic acne scars often respond well to CO2 or Erbium laser over multiple sessions. Complete disappearance is rarely possible, but significant visible improvement usually is.
Can scars get worse over time
Some scars stabilize once healing is complete; others change with age, sun exposure or hormonal shifts. Atrophic scars — particularly acne scars — tend to become more visible as the surrounding skin loses collagen. Keloids can continue to grow if not managed.
