Self Harm Scar Treatments

Vascular lasers, such as V Beam Perfecta, Excel V Plus amd Laser Genesis are effective in reducing redness in self-harm scars. These lasers work best for early scar management, and the treatments come with minimal discomfort and downtime required. Typically, a series of 4 to 8 sessions is necessary, spanning a period of 4 to 8 months. For raised scars, vascular laser therapy can be combined with fractional CO₂, laser coring using Ultraclear, and intralesional steroid injections and/or laser-assisted drug delivery.

Fractional lasers, such as Fraxel, CO2 Alma Hybrid and Ultraclear with laser coring, are used by Scars & Lasers team depending on the specific requirements of the scar. These lasers work through various methods, including

1. Scar remodelling, increasing the quality of collagen

2. Enhance the penetration of steroids which helps break down the scar tissue.

The number of fractional laser sessions needed typically ranges from 4 to 6, but this can vary depending on factors such as the location of the scar, its depth and width, and the patient's skin type. Generally, more treatments are required for wider and deeper scars. The fractional laser sessions are typically spaced 4 to 10 weeks apart.

The healing time for fractional lasers can range from about 3 to 9 days, depending on the specific type of laser used. As a general guide, the healing times are as follows: Picosecond lasers: 12 to 48 hoursFraxel: 3 to 7 daysCO2 Fractional: 4 to 10 days.

The most crucial consideration before undergoing revision treatment is to ensure that you are emotionally stable. It is generally best to undergo treatment after you have ceased self-harm behaviors, as this will allow Scars and Lasers team to make the most progress. We can work with your GP, psychiatrist, or psychologist to provide comprehensive support. Prevention is always the best approach, followed by early management and wound care. If your scars are less than 6 to 8 weeks old, there is a limited window to begin early scar remodeling. This can significantly reduce the risk of permanent scarring. Early scars are typically best treated with silicone products. Vascular lasers can also be effective in treating early scars.

The risks associated with laser treatment for cutting scars are minimal when applied by our team in a controlled manner. The risks can be summarized as follows: Infection: Occurs in less than 3% of cases. Skin colour changes: More likely in darker skin types and seen in approximately 3-5% of cases. However, this is generally temporary. Patterning: More common with CO2 lasers, but reduces over 1-3 months. Blistering: Seen in less than 1% of cases with vascular lasers. Scarring: Extremely rare, occurring in less than 0.1% of laser procedures.

The decision to employ surgical methods to treat self-harm scars is multifaceted, as there are both physical and emotional considerations. Here is a general guide to how we approach this decision: Early scars (red, narrow scars): These are best treated with vascular lasers and topicals. Narrow white scars with good blend: These are best treated with lasers. Self-harm/cutting not in remission: In these cases, conservative treatment is generally best. Wide scars (>2.4 mm): These are best treated with excision and/or followed by laser treatment. Multiple wide scars: These are best treated surgically with excision and grafting.

Coverage for scar treatment under ACC may vary depending on factors such as the cause and severity of the scar, as well as the type of treatment required. It is recommended to consult with our team at Scars and Lasers to determine if your scar treatment is covered.

Please see our ACC section.