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15 Green Lane East, Remuera,  Auckland, New Zealand
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Monday - Friday: 7:45 am - 5:00 pm

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.

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Expert Assessment Matters

Nd:YAG Laser

(Available on Excel V and Excel V Plus)

Best for

Mild cases or isolated vessels.

How It Works

The long-pulse Nd:YAG laser emits energy at a wavelength absorbed by haemoglobin in blood vessels. This heat causes the targeted vessels to collapse, effectively treating both surface red veins and deeper blue veins.

Results

Treated vessels may disappear immediately or gradually fade over several weeks.

Rejuran (Polynucleotides)

(Candela VBeam Perfecta, Excel V, Excel V Plus, Sciton BBL)

Best for

Stimulating collagen and vascular remodelling to reduce persistent skin redness.

How It Works

Often recommended in combination with vascular laser or BBL treatments to enhance skin healing, texture, and redness reduction.

Combined Vascular Laser and BBL Approach

(Candela VBeam Perfecta, Excel V, Excel V Plus, Sciton BBL)

Best for

More severe cases or large areas of visible facial veins and redness, particularly in rosacea.

How It Works

This approach layers multiple vascular-targeting technologies in one session, including:

  • Nd:YAG Laser: For deeper blue or purple visible blood vessels.
  • Vascular-Tailored Settings of Broad-Based Light (BBL): For diffuse redness and widespread visible capillaries.
  • Pulse Dye Laser: (Candela VBeam Perfecta, Excel V Plus) For bright pink surface vessels and fine skin flushing.

Results

Effectively reduces visible veins, diffuse redness, and facial flushing commonly seen in rosacea.

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
2 - 5+ sessions
10 - 30 minutes
3 - 5+ days
2 - 5+ sessions
10 - 30 minutes
3 - 5+ days
2 - 5+ sessions
10 - 30 minutes
3 - 5+ days
FAQs

Frequently Asked Questions

What are the limitations of laser treatment for contracture scars?

Laser therapy improves flexibility and texture but cannot completely correct severe structural contractures. Outcomes vary depending on scar depth, age, and anatomical location.

Can contracture scars be completely removed?

Scars cannot be erased. Treatment aims to improve movement, comfort, and appearance.

How many treatments are required?

Most patients require 3–6 staged treatments. Severe scars may require extended programmes or combination therapy.

When is surgery necessary?

Surgery may be required if:

  • Joint movement is significantly restricted
  • Deep structural tethering is present
  • Laser therapy alone is insufficient

Laser therapy is often used following surgical release to optimise long-term remodelling.

Is treatment painful?

For deeper fractional laser treatments and contracture remodelling, local anaesthesia is administered to ensure patient comfort. Temporary swelling, redness, and downtime are expected during recovery.

Is contracture scar treatment covered by ACC?

If the scar resulted from an ACC-covered injury and a valid ACC45 and claim number are in place, assessment and treatment may be eligible. Funding approval is determined by ACC.

When is the best time to treat a contracture scar?

Early intervention during scar maturation may improve long-term outcomes. Mature contractures can also respond to structured treatment.

Why choose Scars & Lasers?

  • Dermatologist-led contracture scar assessment
  • ACC-accredited for burns and traumatic scars
  • Advanced fractional laser platformsFunctional, not cosmetic-only focus
  • Individualised treatment sequencing

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 Incidents