Scar revision is one of Dr Manoharan’s specialties. He finds it highly rewarding as a physician to be able to help people with their scars. He treats all types of scars from acne scars, to traumatic or post surgical scars and burns.
Scars can cause significant emotional and psychological impact on many people, may even cause problems with interpersonal relationships and also professionally for some people.
Fortunately these days, there are a number of treatments available to be able to significantly improve most scars.
To understand scar treatments, it’s important to understand different types of scars as this, alongside the patient’s skin type and downtime available will often dictate the treatments used.
Over the last decade Dr Manoharan has researched and developed patient treatment options for your scars.
When scars tether to the underlying tissue, they can be very difficult scars to treat. For most of these scars, a technique called subcision is utilised whereby under local anaesthetic blocks, these tethers are physically released by a special needle or a cannula. When Dr Manoharan does this, he injects PRP which is taken from the patient’s own plasma, or filler, into the area which will then fill in the void created when the scars are released. This also forms a framework for the collagen, elastin and extracellular matrix and these push the scarred area up.
He then often follows this up in the same sitting with his signature CO2 laser which is gold standard for scar treatment. He uses the Lumenis UltraPulse CO2 on a fully ablative and fractional mode, to treat scars both superficially and deeply, getting maximum impact and blending them with the surrounding skin.
The CO2 treatment does have some downtime, usually about a week, but the results are well worth the downtime.
For those who don’t have as much downtime, we use the RadioFrequency needling device. Tiny gold plated pins penetrate the skin down to 3.5mm, releasing radio frequency waves that then break the scar tissue down.
RF needling only requires a downtime of 24-72 hours, but may require more treatment sessions to reach the ideal outcome.
An alternative option is the fraxel laser, which can also provide improvements with low downtime.
There are also hypertrophic and keloid scars, which are thick, stubborn scars. These can be very challenging to treat. I often treat these with a combination of vascular and fractional laser, as well as injection of steroid and scar softening agents.
Scars that are very wide or deep may need surgical excision before laser treatment.
Scar treatments are often quite challenging, but for Dr Manoharan, it’s one of the most enjoyable parts of his work and really is a passion. Although it can have significant emotional impacts, please know that for most patients, we can provide significant improvements by combining cutting edge combination therapies, medications, surgery and laser.
Dr Shobhan Manoharan
Dr Shobhan Manoharan is one of Australia’s leading scar experts. He studied medicine at the University of Queensland, has worked in the United Kingdom and Australia, has extensive surgical experience and has sub-specialised in cosmetic and laser dermatology. He is passionate about research and treatments on scars and is one of just a few dermatologists in the world specialising in the management of complex scars. Read Bio
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