Treatment: Scar Revision

Scar revision is a term for a range of treatments that are used to make a scar less noticeable on your skin.

To book offline, call our Skin Health and Allergy centre directly on: 020 3653 2007

Enquiries: bookings.skinhealthallergy@onewelbeck.com

Why you might need?

Scars develop when multiple layers of skin have been injured, for example by surgery, acne or an accident. The skin has ‘relaxed tension lines’ which develop as a result of underlying muscle activity, and when a cut or injury runs across these lines, the wound will be distorted whenever the underlying muscle moves. Muscle activity can have more negative effects on scar formation when the scar runs at an angle in relation to the relaxed tension lines. Conversely, if a cut is in line with the relaxed skin tension lines, it is known as favourable and will tend to heal more successfully from a cosmetic perspective.


Scar revision is a term for a range of treatments that are used to make a scar less noticeable on your skin. It is possible to surgically alter a scar to make it less visible and/or move it to a less obvious location.

Treatment Info

The best way to treat a scar is to prevent it from forming in the first place.

One effective method for reducing scar formation is to inject the muscles surrounding the wound with botulinum toxin (botox), which paralyses the muscles for approximately 2 months allowing the wound to heal without being disturbed by movement of the muscles.

If you are prone to forming particularly wide scars, known as hypertrophic scars, then it may be beneficial to inject a steroid into the scar during the first few weeks of healing, followed by repeated injections every 1-2 weeks.

If the scar already exists, the following options can be considered:

  • Polishing with a laser or diamond burr – this is particularly useful for uneven or elevated scars.
  • Excision of wide scars in order to replace them with finer scars.
  • Straight scars may be cut at a number of angles according to the ‘broken line’ technique, when creating a new scar, as irregular scars are less visible
  • Very wide scars, e.g. burns, can be removed in pieces using serial excisions and possibly combined with skin expansion, where a balloon is temporarily inserted into the adjacent skin to stretch it such that there is then enough skin to cover the previous scar.
  • Advanced surgical techniques including various flaps, may be used for more complex and larger scars.

Treatment Recovery

After a scar revision procedure, the wound will be covered with an air- and water-tight dressing (occlusive dressing) or an ointment to keep it moist and any stitches or sutures will usually be removed within 5-7 days. Sun exposure to the wound should be strictly limited for at least 6 months.


Your surgeon will schedule regular follow up appointments to check on the healing process and ascertain whether any additional treatments are required.

Treatment Programme
Scar Revision

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Health Insurance

This service or treatment is generally covered by most health insurance policies. You are responsible for checking your insurance policy cover, and you may need a referral letter. Check which insurance companies are covered.

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Self-Pay Available

This treatment is available for self-paying users. If you would like to see more information on pricing visit our pricing and payments page.

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Consultation Required

For this treatment you will need to have a 1-to-1 consultation at OneWelbeck first. To book in with our team of expert clinicians or to find out more about the process contact the relevant centre team.

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Next Day Availability

We usually have next day availability for this service, please call us to check availability.

Scar Revision Specialists

All our private ENT specialists at OneWelbeck in London are leaders in their sub-specialties, providing the highest quality treatment to ensure you receive the best available care. Click on the profiles below to see which of our consultants specialise in Scar Revision.