Berkshire Aesthetics
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Close-up of a healed scar on the shoulder

Scar Treatments

Clinical assessment and multimodal management of cicatricial tissue

Cicatricial scarring — whether atrophic (e.g. post-acne ice-pick and boxcar scars), hypertrophic or post-surgical — results from aberrant wound healing and altered collagen architecture. At Berkshire Aesthetics, our medical assessment evaluates scar morphology, maturity and skin type before recommending appropriate resurfacing, remodelling or combination protocols.

Doctor-Led
CQC Registered
Award-Recognised
Est. 2016

Aetiology & Contributing Factors

  • Acne — particularly severe or untreated breakouts that damage deeper skin layers
  • Surgical procedures leaving incision scars
  • Accidental injury, burns or trauma to the skin
  • Inflammatory skin conditions that disrupt normal healing
  • Genetic tendency to form hypertrophic or keloid scars
  • Improper wound care or infection during the healing process

Clinical Presentation

  • Pitted or depressed scars (atrophic), commonly from acne — including ice pick, boxcar and rolling scars
  • Raised or thickened scars (hypertrophic or keloid)
  • Discoloured or pigmented scar tissue (red, pink, brown or white)
  • Uneven skin texture or surface irregularities
  • Tightness or reduced flexibility in scarred areas

Evidence-Based Treatment Modalities

Treatment selection is individualised following clinical assessment, taking into account disease severity, Fitzpatrick skin type, medical history and patient goals.

Morpheus8

Morpheus8 RF microneedling delivers radiofrequency energy into the deeper layers of scarred skin, stimulating collagen remodelling and improving texture. It is effective for both atrophic acne scars and broader textural irregularities.

Alma Hybrid CO2

Alma Hybrid CO2 laser precisely removes damaged surface skin and stimulates deep collagen renewal. It is particularly effective for deeper acne scars, surgical scars and significant textural concerns.

Polynucleotides

Polynucleotide injections support tissue regeneration and improve skin quality at the cellular level. They can enhance healing and improve the appearance of scarring, particularly when combined with other scar treatments.

In-Depth Guides

Explore our detailed guides for more information on specific concerns related to scars.

Acne & Scarring Hub

Comprehensive guide to all acne and scarring treatments at our clinic.

Acne Scar Treatment Guide

Detailed guide to ice pick, boxcar and rolling scar treatments.

Skin Texture & Pores

Improving uneven texture and enlarged pores after scarring.

Why we start with a consultation

Every treatment begins with a medical assessment. We need to understand your medical history, current health, skin condition and concerns before prescribing any procedure. This protects your safety and ensures the treatment is clinically appropriate for you.

During your consultation, Dr Langdon will explain what the treatment can realistically achieve, any risks specific to you, and whether an alternative might be more appropriate.

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All bookings are subject to our Booking Conditions.

Clinical FAQs: Scars

Complete removal is rarely possible, but significant improvement in texture, depth and appearance is achievable with appropriate treatment. Your doctor will set realistic expectations during consultation.
We treat acne scars (ice pick, boxcar, rolling), surgical scars, injury scars and textural irregularities. Your doctor will assess the scar type and recommend the most effective approach.
Most scar treatment plans involve 2–4 sessions spaced 4–6 weeks apart. The number depends on scar severity, type and the treatment used. This is discussed during consultation.
Topical anaesthetic is applied before Morpheus8 and laser treatments to maximise comfort. Most patients describe manageable discomfort during the procedure, which typically lasts 30–60 minutes.
Morpheus8 involves 2–5 days of redness and swelling. Alma Hybrid CO2 laser may require 5–10 days of recovery. Polynucleotide injections have minimal downtime. Your doctor will advise based on your plan.
Yes. Even mature scars can respond to treatment, though older scars may require more sessions. Collagen remodelling technologies can improve scars regardless of how long ago they formed.
Yes, with careful assessment. Morpheus8 is suitable for all skin tones. Laser treatment parameters are adjusted for your skin type to minimise the risk of post-inflammatory pigmentation changes.
Clinically reviewed by

Dr Selena Langdon — Medical Director, MBBS

GMC 6159259

Last reviewed:

Clinical Summary

Expected Recovery PeriodModerate — expect 2–5 days for Morpheus8 and up to 7–10 days for laser resurfacing; polynucleotide injections have minimal downtime
Therapeutic ResponseInitial improvements visible within 4–6 weeks; collagen remodelling continues over 3–6 months with progressive improvement after each session

Clinical Governance

  • Scar treatment plans are assessed and managed by experienced doctors who select the most appropriate technology for your scar type
  • We use advanced devices — Morpheus8 and Alma Hybrid CO2 — that can target both surface and deeper tissue remodelling
  • Honest expectations are set during consultation; we explain what degree of improvement is realistic for your specific scarring

Book a Consultation

Request a medical assessment for your scars with our clinical team.

Book NowCall 01628 202028

Related Conditions

Further Reading & Clinical References

The following external resources provide independent clinical and regulatory information.

This content is for informational purposes only and does not constitute medical advice. Individual suitability for any treatment is assessed during a consultation. Always seek the guidance of a qualified medical professional with any questions regarding a medical condition or treatment.

Clinical governance

Page last reviewed: February 2026

Reviewed by Dr Selena Langdon, Medical Director (GMC 6159259) — Last reviewed: February 2026

Request a Clinical Assessment

Book a medical consultation to discuss diagnosis and an individualised treatment protocol.

Book a ConsultationCall us: 01628 202028