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
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. 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. These are often treated 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.
Traumatic scarring results from a significant, and often sudden, injury to the skin. The sources of the injury can include thermal burns, chemical burns, sharp objects that penetrate the skin and friction or scraping.
Due to the nature of the injury, traumatic scars can occur in visible areas and often are repaired without immediate priority given to the longer-term aesthetics. In traumatic scarring cases, Dr Manoharan sees a range of conditions from patients with subtle visible scarring to severe skin distortions that can restrict movement.
Dr. Manoharan sees many patients where traumatic scarring has affected them physically, socially and psychologically, and works with them closely to produce real results and improve their outlook going forward.
Types Of Traumatic Scars
Atrophic scars appear indented and are thinner than the surrounding skin. These scars are often treated using ablative and fractionated laser treatment.
Hypertrophic scars are raised scars that arise due to excessive tissue growth. Hypertrophic tissue can also experience tightening (contractures) which can prevent normal movement.
Keloid scarring results in a raised scar that tends to overgrow the boundaries of the initial wound as a result of excessive tissue growth.
Burn scars can arise from traumatic situations, and Dr Manoharan sees many patients whose scarring has a real impact on their daily life and self-esteem. Burn scars can be as a result of chemicals, sun exposure, radiation, heat or electricity. The harshness of the irritant and the length of time it’s in contact with the skin will determine the size and severity of the scar. Acute burn care, administered immediately after the event, also determines the way the scar will develop.
Dr Manoharan often sees burn scars with contractures, where the skin has tightened and can prevent normal movement. He takes pride in creating personalised treatment plans with his patients, and in treating burns with the Lumenis CO2 laser which provides outstanding scar revision for burns patients.
Find Out More About Treating Acne Scars – With Dr Manoharan
Learn about our Scar Removal Treatments (Scar Revision) treatments
Do you have a question about Scar Removal Treatments (Scar Revision)?
Please call the clinic on 07 3160 3330 or use the from below and we will respond to you via email.