Contracture Scars
Contracture scars are tightening scars that restrict movement and distort normal anatomy. They most commonly develop after burns, trauma, or deep surgical wounds and may affect the neck, hands, elbows, knees, or axilla.
At Scars & Lasers Auckland, we provide dermatologist-led assessment and advanced laser scar remodelling for functional scars. As an ACC-accredited provider for injury-related scarring, our focus is restoring mobility, improving elasticity, and optimising long-term structural outcomes.
The Science Behind It
Contracture scars form when excessive collagen deposition and persistent myofibroblast activity cause abnormal wound contraction.
In deep dermal injury:
- Collagen becomes dense and disorganised
- Scar tissue shortens
- Skin elasticity reduces
- Underlying tissue may become tethered
This can result in:
- Restricted joint movement
- Tightness or discomfort
- Functional impairment
- Cosmetic distortion
Unlike flat scars, contractures are functional scars requiring structural remodelling rather than superficial treatment.
Fractional laser technology creates controlled micro-channels within scar tissue, stimulating collagen reorganisation and progressive softening over time.
Expert Assessment Matters
Contracture scars must be evaluated clinically before treatment.
At Scars & Lasers, specialist assessment includes:
- Scar depth and maturity
- Degree of dermal fibrosis
- Tethering to fascia or deeper structures
- Range of motion restriction
- Anatomical site
- Skin type and pigmentation risk
- Previous surgery or grafting
- ACC eligibility (for trauma or burn-related scars)
Correct sequencing is critical. Some scars respond to staged laser remodelling. Others require surgical release prior to laser optimisation. Severe structural contractures may require hospital-based surgical management.
Treatment at a Glance
| Treatment Type | Number of Sessions | Procedure Time | Typical Recovery |
|---|---|---|---|
| Acclaro UltraClear® | 2 - 5+ sessions | 10 - 30 minutes | 3 - 5+ days |
| Alma Hybrid™ | 2 - 5+ sessions | 10 - 30 minutes | 3 - 5+ days |
| Steroids, Anti-Metabolites, Sonophoresis & Advanced Laser Combination Therapy | 2 - 5 sessions | 5 - 10 minutes | 0 |
| Vbeam® Pulse Dye Laser | 2 - 5+ sessions | 10 - 30 minutes | 3 - 5+ days |
Frequently Asked Questions
Laser therapy improves flexibility and texture but cannot completely correct severe structural contractures. Outcomes vary depending on scar depth, age, and anatomical location.
Important ACC & Treatment Disclaimer
ACC funding eligibility is determined by the Accident Compensation Corporation on a case-by-case basis. Approval is dependent on injury acceptance, clinical indication, and ACC policy at the time of application. Not all treatments offered at Scars & Lasers are ACC-funded. Private fees may apply for unfunded components of care.
Learn more about ACC IncidentsRestoring movement, releasing tension, and rebuilding confidence through advanced contracture scar reconstruction.
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