Keloids grow beyond the original wound edges and often recur; hypertrophic scars stay within the wound and may soften over time. Both can be itchy, tender, or cosmetically noticeable.

We map your scar type, location, skin tone, and goals, then build a plan. Options may include intralesional corticosteroid injections (± 5-fluorouracil for resistant keloids), vascular/fractional lasers for redness/texture, RF fractional microneedling in selected cases, cryotherapy, silicone or pressure therapy, and surgical revision with adjuvant therapy when appropriate.

Most plans are staged. Injections are commonly every 4–6 weeks for 2–6 sessions; lasers are often 2–5 sessions spaced 4–8 weeks apart. Improvements build gradually over weeks to months—we review progress and adjust as needed.

Our goal is improvement and blending—to flatten or soften tissue, calm redness, and reduce symptoms—not a promise of “scar-free.” Keloids can regrow, so some patients benefit from maintenance touch-ups if changes reappear.

Yes. We customize settings to your complexion and can do a test spot first. Typical downtime: Laser/RF causes mild redness/heat for 1–3 days; injections may leave brief tenderness; HIFU has minimal downtime with possible 24–72h tenderness or swelling. Most people resume normal activities quickly.

Avoid sun/tanning for 2 weeks, pause retinoids/acids 3–5 days before treatment, and arrive with clean skin. Aftercare is simple: gentle cleanse, moisturize/barrier ointment, SPF, and no picking. Treatments are usually not covered by provincial insurance; we offer flexible payment options and can stage care to fit your budget.

Recurrence is possible, especially in keloids. We reduce risk with a phased plan—e.g., a series of injections/laser or cryotherapy, silicone gel/sheets at home, and occasional maintenance visits. We’ll also review triggers (friction, piercings, sun) and give you a simple after-care routine to help keep results stable.

Most patients describe mild discomfort. We use topical numbing, cooling, and when needed a small amount of local anesthetic for injections or cryotherapy. You may feel tenderness or tightness for 24–48 hours; over-the-counter pain relief and our post-care instructions are usually enough.

Earlier is better once the skin has fully healed (usually 6–8 weeks after injury or surgery). That’s when raised, itchy scars often respond fastest to injections or laser. Older, thicker scars can still improve—treatment plans may simply require more sessions or combination therapy.

Temporary redness, swelling, or sensitivity are common. Cryotherapy can cause shortterm blistering; steroid injections may rarely thin or lighten the skin if overused. Postinflammatory pigmentation is possible, especially after sun exposure—we minimize this with conservative settings, test spots when appropriate, strict sun protection, and tailored after-care.

Yes. We individualize technique by location: ear-lobe keloids often respond well to cryotherapy plus injections; chest lesions need cautious, staged therapy due to higher recurrence; facial scars are treated with conservative energy settings and protective measures. Your plan is customized to the area, skin tone, and healing response.