Damage to the deeper layer of our skin (dermis) is responsible for visible scarring. Damage to our epidermis, or the superficial layer of skin, will not always result in scars, but when there is skin damage, tissue break or a change to the architecture of the regular surface feature, a scar may be created.

Generally patients request a scar removal treatment when the scar is aesthetically undesirable. However, in some cases, patients ask for a scar removal procedure when the healing process results in keloids. Keloids are unsightly, itchy, red, thick, knobby bumps which continue to enlarge and create larger margins of the original wounds.

Scar removal is the treatment by which dermatologists can reduce or remove scars. The process may include injecting steroids directly into the fibrous scar tissue. Some thicker scars can be sanded and flattened by dermabrasion.

Depressed scars are elevated with the help of various treatments such as cosmetic skin fillers. Depending on your scar type and if you require facial scar treatment, a form of laser treatment may be necessary.


Scar revision usually consists of surgical treatments such as excision of a scar, skin grafting, flap reconstructive surgery or laser scar resurfacing. There are also special techniques used to address acne scarring such as subcision and punch elevation.

Scar removal is a less invasive option for patients and includes treatments such as microdermabrasion, a microlaser peel, microlipoinjection, dermal fillers, and chemical peeling.


For many patients, having their scars less visible is the highlight of the treatment. Where scars are restricting physical movement or causing pain, scar removal can help reduce discomfort.

One of the most significant benefits of scar removal treatments is that they are non-invasive in nature.

Chemical peeling, microdermabrasion, dermal fillers, and microlipoinjections are all examples of scar removal procedures which do not require undergoing surgery and have minimal downtime post-treatment. In contrast, scar revision procedures such as reconstructive surgery can take several operations and require longer recovery periods.


Scar removal treatment is effective for many different types of scars including:

Hypertrophic scars: These are scars which rise above the skin and are visually red. Steroid injections can effectively treat these scars. In some cases, microdermabrasion and laser surgery may be required.

Keloids: These type of scars jut out from the skin. Keloids which are more prominent in size generally need surgery to be removed entirely. However smaller keloids can be treated with the help of steroid injections or laser surgery.

Depressed scars: Depressed scar treatment depends on how shallow or deep the scar is. These scars appear when the skin ceases to regrow healthy tissue. Procedures which respond well to depressed scars are laser resurfacing, chemical peeling, skin needling, microdermabrasion, laser resurfacing, punch excision and elevation and cosmetic fillers.

what are the risks of SCAR REMOVAL?

Since scar removal treatments are non-invasive and non-surgical in nature, they are generally well tolerated with minimal down time. Most procedures take anywhere between 15-90 minutes with minimal recovery time post-treatment. All treatments can have complications though, including alteration in pigmentation, persistent redness, further scarring, infection and recurrence of scarring.

Microlipoinjection is considered a natural scar treatment because one’s fat is extracted from the body and reinjected into the scar area. This means there is no chance of allergic reactions.

Moreover, Dr Hills has extensive experience in scar treatment.


The procedures can vary depending on the treatment your dermatologist has suggested for you.

Since the scar treatment is non-invasive, depending on the treatment, they require no or minimal pain medication or sedation.

Treatments and procedures

Microdermabrasion – Using the machine the surface of your skin is cleansed and the blocked pores are emptied with a vacuuming action. The device then cleanses the skin and puts a layer of corundum crystals on the skin which helps in removing the dead skin cells. The dead skin cells and the crystals are then suctioned up and discarded in a waste container, giving you a more even tone and texture.

Microneedling – For your comfort, at Aesthetix, we apply a layer of topical anaesthetic to the skin which is left on the surface of your skin 30 minutes before the scar removal procedure. Depending on your needs the skin needling device is then moved over your skin in a specific pattern. During the process, you will feel a prickling sensation as the roller moves over the surface. However, the procedure is not uncomfortable after the targeted area has been treated.

Microlipoinjection – This procedure requires you to have a local or general anaesthetic depending on the area to be treated. The fat from your donor site is extracted via an incision. Once removed and separated from other fluids, the fat is then injected into your recipient site.

Cosmetic fillers – Hyaluronic acid (HA) is a smooth injectable gel made from natural sugar complex found in living cells, including human skin. The dermatologist injects this natural gel into the affected area. HA helps to keep the skin hydrated and gives it a visibly structured appearance by combining with collagen and elastin in your skin.

Chemical peeling – The skin is cleansed by the dermatologist before the procedure to remove any oils or grease on the surface. Once the peel solution is applied to your skin, you may feel a stinging or burning sensation for 5-10 minutes. However, there is no discomfort for the rest of the procedure.


Depending on the procedure you have undergone, in some cases, there may be some skin pigmentation alteration, discomfort around the procedure site, redness and swelling, bruising, increased circulation and exfoliation of the skin.

However, it is vital for you to take care of your skin after the procedure as directed by our staff. Do not rub your skin and always use creams and sun protection as prescribed by your doctor.


Everyone’s programme is tailored to suit their individual needs. In some cases, just one procedure is enough to deliver the desired results.

However, in some cases, multiple procedures may be required. For example, In case of microlipoinjection, the improvements are long-lasting. Some follow up injections may be necessary.


Before the procedure, it is essential to let your dermatologist know if you are taking any medications regularly, particularly any blood thinners and any current illness or allergies you may have. You should also provide details of your daily skin care regime.

If you are undergoing skin needling, it is crucial to let the dermatologists know of any history of cold sores. In the case of microlipoinjection, no smoking or alcohol one week before the procedure.

It is also important to be comfortable with your dermatologist and make sure you feel informed about your procedure. Read about your dermatologist and their qualifications thoroughly. You can read more about Dr Russell Hills and his qualifications and experience.

Make sure you meet with the dermatologist before your procedure date and ask any questions you may have.

Most of all, even though there is minimal time taken off after the procedure, it is essential to arrange for someone to be at home for the first 24 hours post-treatment for your comfort.


For a no-obligation discussion on how our scar removal treatments might assist you, please contact us on 07 3720 8788 or make an enquiry online. We look forward to speaking with you.

Dr Russell HillsDr Russell Hills is an experienced cosmetic dermatologist based in Brisbane, Australia and is a member of the Academy of Facial Plastic Surgery. Dr Hills also has extensive experience in MOHS surgery for skin cancer removal, and is the principal surgeon at Aesthetix.

Dr Hills regularly lectures on cosmetic surgery and skin cancer removal, and has numerous publications on these topics. He is a member of a number of Australian and American medical associations, and attends local and international conferences to stay up-to-date with the latest approaches in cosmetic medicine.

Cosmetic Medicine Brisbane


Adherence to the information on this site will not ensure successful treatment in every situation and will not ensure specific results in the individual patient. Although complications may be rare, there are certain inherent risks connected with surgical procedures that should be discussed with the dermatologist. This Website contains very general information and any procedures mentioned in it should be discussed in detail with your dermatologist at the time of consultation.