Recent and old scars

Immediately, provided the protocol is adapted to the stage of healing and the surgeon agrees.

At Skincare Agency, we have put in place a specific post-operative protocol, developed by Parvaneh Ayati, an osteopath specialising in the care of scars, fibrosis and adherences. The aim is to act early, but precisely, to support the tissues before tension, hardening or adherences settle in for good.

From the first days, where the post-operative state allows, the work can begin with gentle gestures: drainage, support of the swelling, improving the mobility of the tissues around the operated area, without ever forcing the scar or disturbing skin repair.

Then, as things evolve, the protocol is adjusted: tissue release, scar massage, work on fibrosis, softening of adherences, LED, Indiba or regenerative treatments can be brought in gradually according to the healing, the sensitivity, the inflammation and the quality of the tissues.

The point is simple: do not wait for the scar to become hard, adherent or painful before acting. Early, well conducted care often optimises recovery, improves the suppleness of the tissues and limits the settling of scar complications.

Always subject to the surgeon’s authorisation and to a personalised assessment.

Some situations carry temporary contraindications: skin still in an active inflammatory phase, certain medications, keloids that are still developing quickly. Strict keloids differ from hypertrophic scars and call for a specific medical approach. At the initial consultation, our specialist assesses precisely what is treatable, at what rhythm, and gives an honest view of the expected results.

For superficial acne scars, the first improvements show from the second or third microneedling session. For deep scars or complex cases, a complete protocol of 5 to 8 sessions is the norm for a lasting result. A mid-course review allows adjustment if the skin responds differently from what was expected.

Microneedling causes a slight tingling sensation. Legato III and Skinage 1550 are carried out under topical anaesthetic cream. Manual drainage, Indiba radiofrequency and LED are close to painless. Laser Harmony generates slight heat and sometimes very mild tingling. The immediate after-effects, transient redness over 24 to 48h, in the great majority of cases have no impact on social life.

Yes, provided the right technologies are chosen and the protocols are set accordingly. Microneedling, Legato III, LED and PRX-T33 are compatible with every phototype, including the darkest skins. Laser Harmony XL is also suited to phototypes up to 4 thanks to Alma IPL technology. A prior medical consultation remains essential to make that choice safely.

Absolutely. Caesarean scars, post-surgical abdominal scars, burn scars on the torso or the limbs: all can be cared for with the same technologies, adapted to the body context. The location and the nature of the scar determine the protocol.

Yes. An older scar is more stable, which can slightly lengthen the protocol, but it remains fully accessible to dermal reshaping technologies. Skinage 1550, Legato III and Laser Harmony XL are designed precisely to act on scar tissue that has been established for a long time. Very satisfying results are regularly obtained on scars 5, 10 or even 15 years old.

A fibrosed scar and an adherent scar are often linked, but they are not exactly the same thing.

A fibrosed scar is one in which the tissue has hardened, thickened or stiffened. The skin can feel compact, less supple, sometimes sensitive or inflamed. Fibrosis corresponds to an excess or a disorganisation of scar tissue: the scar becomes denser, less elastic, sometimes raised or on the contrary retracted.

An adherent scar is one that has caught onto the deep planes: fascia, muscle, subcutaneous tissue. It no longer slides properly under the fingers. It can pull when you move, limit mobility, create a feeling of tension or traction at a distance. Adherence therefore concerns above all the mobility of the tissue, not only its hardness.

For each case, our expert osteopath Parvaneh Ayati will propose the appropriate protocol.