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Scars & Stretch Marks

Professional results

Scars and stretch marks can have a significant impact on your self-esteem and confidence. Yet many scars can be treated and improved considerably with the right approach and expertise.

There are different types of scars and stretch marks, and they should not be treated in the same way. Dr Nicole assesses the nature, types and severity of scars and stretch marks, identifies the root cause of the problem before recommending the most appropriate course of action. The aims of treatment are to improve and prevent further scars and stretch marks. As a Dermatologist, Dr Nicole aims to provide her professional advice to help target your scars and stretch marks in the most appropriate way. Your treatment will be tailored to you and discussed in detail before being carried out.

  • Delivered by a Consultant Dermatologist who is also an aesthetic trainer
  • Experience in providing hundreds of aesthetic treatments
  • Full assessment of the nature, types and severity of scars and stretch marks
  • Wide range of treatment options for scars and stretch marks, including triamcinolone injections, chemical peels, micro-needling, lasers and/or radiofrequency (RF) treatments.
  • Free consultation and comprehensive aftercare programme

Types of scars and treatment

Dr Nicole’s first step in developing a bespoke treatment programme is to assess the type of scarring during your in-depth consultation. She can then look in more detail at the severity of the scarring and discuss the different treatment options.

Keloid/hypertrophic scars – these scars occur when too much collagen is produced at the site of a wound causing the scar to continue growing (after the wound has healed). Keloid scars are often raised, itchy, painful, hairless and shiny. They are usually found on ear lobes, shoulders, upper arms and on the upper back and breastbone. Hypertrophic scars occur for the same reasons as keloid scars, but they do not continue to grow beyond the wound area (as keloid scars do). They are red and raised, and may become less thick in time.

Treatment – Dr Nicole can treat both types of scar with triamcinolone injections. These are a type of corticosteroid injection that softens, flattens the scar and reduce itching. The amount of injections and length of treatment depends on the nature of the scarring. Dr Nicole will discuss this in detail during your consultation.
Atrophic or pitted scars and stretch marks – Atrophic and pitted scars are usually caused by skin conditions such as acne and chickenpox. The scars have a sunken or pitted appearance.

Stretch marks show as narrow streaks on the surface of the skin. They are often red or purple gradually fading to a silvery colour. They occur when the skin is stretched by weight gain or during pregnancy.

Treatment – Dr Nicole uses micro-needling and chemical peels to effectively target these types of scarring. Micro-needling is a rejuvenation treatment that works by stimulating the skin to produce new collagen and elastin. This production enables the skin to regenerate and repair naturally to help heal scarring. Chemical peels work by removing damaged outer layers of skin to reveal smoother, younger-looking skin beneath. They improve skin texture and reduce scarring. Laser treatments or radiofrequency treatments are sometimes more effective for this type of scarring. If appropriate, Dr Nicole can discuss lasers or radiofrequency treatments with you, and carry out these treatments accordingly. Generally speaking, a course of treatments (about 3-6 sessions, sometimes more) for micro-needling, chemical peels and lasers are needed for best results.

About Dr Nicole

Find Out More About Your Experienced Consultant Dermatologist

Frequently Asked Questions

About Scar and Stretch Mark Treatments at Dr Nicole Dermatology
    • What are triamcinolone injections?

      They are a type of corticosteroid injection that can be effective in reducing keloid and hypertrophic scars. Multiple small injections are made into the scar with a fine needle to soften and flatten the scar, and this can also reduce itching. Injections are usually given several times at specific intervals, but Dr Nicole will advise on this during your free consultation. The treatment cannot completely remove scars but improvement can be significant.

    • What is micro-needling?

      Micro-needling is a rejuvenation treatment that uses many microneedles to create tiny punctures in the skin. This promotes a wound-healing response within the body which renews skin cells. As the skin repairs, collagen and elastin production is triggered. This causes the skin to remodel which can improve the appearance and texture of scars..

    • What are chemical peels?

      Chemical peels work by removing a layer of dead skin cells from the surface and encouraging a new layer of skin to grow. This process helps reveal a new layer of skin and this can improve the texture and appearance of mild scars.

    • What results can I expect?

      It depends on the severity and type of the scarring. In general, for best results, a course of treatments is generally required.

      Triamcinolone injections work over weeks and months rather than instantly.

      With micro-needling treatment, it can take a few weeks before visible signs of rejuvenation and repair are seen. The process then continues over the following months.

      Many clients see some results right away with chemical peels although results can take time to maximise.

      All results will depend on your individual requirements and will be discussed fully during the consultation. In general, scar treatments aim to improve the appearance and texture of scars, but cannot completely remove them.

    • Are the treatments pain free?

      Discomfort is usually minor, but this can vary from person to person. You may experience a tingling, sensitive sensation during micro-needling but we do apply a topical anaesthetic (numbing cream) to make the treatment as comfortable as possible.

    • What about aftercare?

      We are committed to providing the very best aftercare for great results. We will go through everything in detail before your treatment but you can rest assured that redness, tightness and sensitivity will usually subside soon after the treatment. Detailed information on aftercare will be given at the consultation.

    • Is micro-needling safe?

      Micro-needling is a safe procedure with low risks. Infection and scarring are rare. A full discussion of the potential risks will be carried out at consultation, before any procedure is undertaken.

1 Consultation

Your free consultation gives you the perfect opportunity to ask any questions you might have. We will assess your skin, talk you through your scar type(s) and treatment options based on your scars and/or stretch marks, and discuss your aims to develop a treatment plan that is most appropriate for you. Full information on what the procedure involves, risks and aftercare instructions will be given.

2 The Treatment

Your treatment duration will vary, but your full appointment will generally last between 30 and 60 minutes. For micro-needling treatment, we can offer a topical anaesthetic (numbing cream) to make the procedure as comfortable as possible.

3 Aftercare

If you have had micro-needling, chemical peel, laser or radiofrequency treatments, avoid sun beds, sun exposure and alcohol-based toners until any redness or swelling subsides. A follow-up appointment to assess your results can be offered after your first treatment. Alternatively, a telephone follow-up consultation can be arranged at your convenience