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01 — Aesthetic Medicine


Scar Treatments

Scars come in two opposite kinds, and they need opposite treatments. We use seven tools between them, matched to what your scar actually is — all of it doctor-led.

Two scar types

Depressed & raised

Tools

Seven, combined

Performed by

Our doctors

CO₂ from

€190

Overview


Two kinds of scar, two opposite problems.

Almost every conversation about scars goes wrong at the start, because people say “scar” as though it were one thing. It is two, and they are opposites.

Depressed scars — too little

The skin has sunk. Usually three things at once: fibrous strands underneath pulling it down like a tent peg, volume that has gone, and texture on the surface that has changed. Typical of acne, chickenpox and some surgical scars. The job is to release, rebuild and resurface.

Raised scars — too much

The opposite: the body overproduced collagen while healing and the scar sits proud of the skin — hypertrophic, or a keloid if it has grown beyond the original wound. Common on the chest, shoulders and ears, and more common in some skin types than others. The job is to calm it down and flatten it.

Treating one as though it were the other does nothing at best. Which is why the first appointment is an assessment, and why it is free.

Scar assessment consultation at Vogue Clinic

Depressed scars


Release, rebuild, resurface.

For a sunken scar the sequence matters more than any single treatment. Resurfacing alone smooths the top but leaves the tether, so the scar gets pulled back down. Filling alone puts volume into a space that is still anchored. Releasing alone leaves an open space that can simply re-tether as it heals.

So we work in three stages, and not every scar needs all of them:

Method


Subcision — releasing the tether.

The step most clinics skip, and often the one that makes the difference. A fine needle or cannula is passed beneath the scar to cut the fibrous bands anchoring it to the deeper tissue. Once released, the scar can lift instead of being held down.

  • Best for — rolling and tethered scars, the kind that look worse in side lighting
  • Performed by — our doctors, under local anaesthetic
  • What to expect — bruising is normal and expected for several days
  • Usually followed by — something to fill the released space, so it does not simply re-tether

We use subcision for cellulite dimpling too — the same mechanical problem in a different place. See Cellulite Treatments.

Method


Rebuilding the volume — PLLA and hyaluronic acid.

Once a scar is released there is a space, and something has to fill it. We have two ways of doing that and they are genuinely different — your doctor picks according to your scar and your timeframe.

Poly-L-lactic acid (PLLA)

A biostimulator rather than a filler. It does not fill the scar — it prompts your own skin to build new collagen there, gradually, over the following months. The volume that returns is yours.

  • Best for — depressed scars where you want a lasting result and can wait for it
  • Timing — typically straight after subcision, so the released space fills as it heals
  • Results — build across months. That is the mechanism, not a delay.

Hyaluronic acid

Immediate volume, placed directly under the scar. You see the result the same day, and it lasts months rather than years.

  • Best for — an immediate lift, a single stubborn scar, or an event you have in the diary
  • Also useful — as a preview: it shows you what the volume would look like before you commit to the slower route
  • Honestly — it is temporary, and we will say so rather than let you assume otherwise

See Collagen Stimulators and Dermal Fillers.

Method


Repair and quality — polynucleotides.

Volume is not the whole story. Scar tissue is different tissue — poorer quality, less elastic, worse blood supply than the skin around it. This works on that rather than on shape.

Polynucleotides (PDRN)

Purified DNA fragments that stimulate fibroblasts — the cells that build and organise collagen. They improve the quality and elasticity of the tissue itself rather than adding to it.

  • Best for — scar quality, texture and elasticity; skin that heals badly
  • Often combined — with subcision or laser, to improve how the area heals afterwards

See Polynucleotides.

Method


CO₂ fractional laser — resurfacing the texture.

Our most powerful device, and where it makes the biggest difference of anything we do. It removes microscopic columns of damaged skin and leaves healthy tissue between them, so the area heals fast and rebuilds with new collagen — softening scar edges and evening out the texture on top.

  • Best for — surface texture, scar edges and overall skin quality across the area
  • Usually last — once the shape underneath has settled
  • Performed by — our doctors
  • Downtime — real: several days of redness and peeling. We will not pretend otherwise.
  • From €190

Raised scars


Raised scars — calming it down.

A hypertrophic scar or a keloid is not a scar that needs filling. It is a scar where the body did too much: it kept producing collagen after the wound had closed, and the result sits raised, often red, sometimes itchy or uncomfortable.

Intralesional corticosteroid injections

The mainstay for raised scars, and a genuinely medical treatment rather than a cosmetic one. A corticosteroid is injected directly into the scar to reduce the inflammation and slow the collagen overproduction that is keeping it raised. The scar softens and flattens over a series of sessions spaced weeks apart.

  • Best for — hypertrophic scars and keloids, particularly on the chest, shoulders and ears
  • Also helps — the itching and discomfort, which patients often mind more than the appearance
  • Course — a series of injections spaced several weeks apart, reviewed as you go
  • Prescription medicine — prescribed and administered by our doctors, never by a therapist

Where a raised scar has settled but the texture still bothers you, CO₂ laser may follow. Keloids in particular need care — they can be provoked by the wrong treatment, which is exactly why this is assessed by a doctor before anything is done.

Raised scar treatment at Vogue Clinic

Your plan


How we put it together.

Seven tools, and almost nobody needs all seven. What you need depends on which kind of scar you have, how old it is, how deep it goes and whether it is tethered.

A common sequence for tethered acne scarring

  • Subcision to free the scar
  • PLLA so the released space fills with your own collagen over the following months
  • Polynucleotides alongside, to improve how the tissue repairs
  • CO₂ laser at the end, once the shape underneath has settled

A common sequence for a raised scar

  • Corticosteroid injections, as a course spaced weeks apart, until it flattens and calms
  • CO₂ laser afterwards if texture is still an issue — and only if your doctor judges it safe

What this means for you

  • Your scars are assessed individually — type, depth, age, and whether tethered or raised
  • The plan is staged over months, because collagen works on its own timetable
  • You are told what each step is for before it happens
  • Prices are confirmed at consultation, once the plan is real. Your first consultation is free.

Being honest about results

Scars can usually be improved substantially. They cannot always be erased, and anyone promising you that is not being straight with you. Your doctor will tell you what is realistic for your specific scarring before you spend anything.

FAQ


Common questions.

What do you actually use for scars?
Six tools: subcision, poly-L-lactic acid, hyaluronic acid, polynucleotides (PDRN), intralesional corticosteroids and CO₂ laser — combined and sequenced according to what your scar is. Almost nobody needs all six.
My scar is raised, not sunken. Can you help?
Yes, and it is a different treatment entirely. Raised scars and keloids are treated with corticosteroid injections into the scar, as a course spaced weeks apart, to flatten and calm them.
What is subcision?
A fine needle or cannula is passed under the scar to cut the fibrous bands tethering it down, so it can lift. Done by a doctor under local anaesthetic; bruising afterwards is normal.
What is the difference between PLLA and hyaluronic acid for scars?
Hyaluronic acid gives immediate volume and lasts months. PLLA stimulates your own collagen and builds over months, but lasts longer. Your doctor will explain which suits your scar and your timeframe.
What are polynucleotides?
Purified DNA fragments that stimulate the cells which build collagen. They improve the quality and elasticity of the tissue rather than adding volume to it.
Why not just use the laser?
Because resurfacing smooths the surface but does not release a tether, replace lost volume or flatten a raised scar. If your scar is tethered, laser alone will disappoint you.
Can all scars be improved?
Most can be improved substantially. Complete removal is not always possible, and we will tell you honestly what to expect for your scarring.
I have keloids. Is treatment risky?
Keloids need care — the wrong treatment can provoke them. That is precisely why your scar is assessed by a doctor before anything is done.
How long does it take?
Months rather than weeks. Collagen rebuilds on its own timetable and corticosteroid courses are spaced weeks apart by design.
What does it cost?
CO₂ laser from €190. Everything else depends on your plan and is confirmed at your free consultation.

Products We Use

Which product your doctor chooses depends on your scar. We work with other certified products authorised in Spain that are not listed here — if you have a specific one in mind, just ask.

Poly-L-lactic acid — Sculptra®, Lanluma®
Hyaluronic acid — Juvéderm®, Restylane®, Belotero®
Polynucleotides — Plinest®, PhilArt®, Nucleofill®

The corticosteroid used for raised scars is a prescription medicine. Spanish law does not permit clinics to name prescription medicines in public advertising, so your doctor will tell you exactly which one they recommend, and why, at your consultation.

Related


Related treatments.

Next Step

Your first consultation is free.

Bring your scars to a doctor who will tell you which kind you have, what can honestly be improved, and what it would actually take.


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Av. España No. 2
29680 Estepona, Málaga

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